LUPRON DEPOT Co-Pay Savings Card Program

Lupron Depot® Co-pay Savings Card

Patients with commercial insurance coverage for Lupron Depot® (leuprolide acetate for depot suspension) 3.75mg will pay as little as $10 for their co-pay, up to a maximum savings of $300 per month. Simply download a savings card and present it to MDR along with your prescription for Lupron Depot®.

Eligible Medications

  • Lupron Depot® (leuprolide acetate for depot suspension) 3.75mg

Eligibility Requirements

  • Valid for patients with commercial insurance coverage for Lupron Depot®
  • Not valid for patients receiving prescription reimbursement under any federal, state, or government funded insurance plan.
  • Indication for endometriosis or anemia prior to uterine fibroid surgery

Enrollment Instructions

  1. Go to www.luprondepotsavingscard.com.
  2. Answer the questions by selecting your indication and confirming that you have commercial insurance coverage.
  3. Download your co-pay savings card.
  4. Present the co-pay savings card to MDR when you’re ready to pay for your prescription.

For more information about this program, call 1-800-515-3784 or email info@mdrusa.com.