The LIVALO® (pitavastatin) Promise Program
A Money-Back Offer for Up to the First 90 Days
If your doctor is concerned about lowering your LDL “bad” cholesterol and triglycerides and raising your HDL “good” cholesterol, you may be prescribed LIVALO. Along with diet, LIVALO can help you reach healthier cholesterol levels.
We welcome you to try LIVALO. Through our Promise Program, if you are not satisfied, you may be reimbursed up to 100% of your out-of-pocket prescription costs, with a maximum reimbursement of $75, for up to the first 90 days.*
*Maximum reimbursement of $75. You are not required to use LIVALO for the full 90 days in order to be eligible for reimbursement. Please see full Terms and Conditions, including eligibility requirements, below.
The LIVALO Promise Program is not a guarantee of efficacy. It provides a trial period that may help doctors and patients to assess the efficacy, safety, and tolerability of LIVALO.
Terms and Conditions
Reimbursement offered for up to the first 90 days on out-of-pocket prescription costs for LIVALO therapy to a maximum of $75. No reimbursement will be made if the reimbursement form is submitted after 8 months from the date of the first paid prescription. Prescriptions for more than one tablet per day are not eligible for reimbursement. Limit one reimbursement per person.
Offer void where prohibited by law. Valid only in the United States and Puerto Rico for residents of the US and PR. This offer is unavailable for patients whose prescription claims for LIVALO are reimbursed, in whole or in part, by any governmental program, including, without limitation, Medicaid, Medicare, Medicare Part D, Medigap or any other federal or state program, such as Champus, DOD, the VA, TRICARE, or any State Patient or Pharmaceutical Assistance Program. By accepting this offer, you agree to notify your insurance carrier of reimbursement if required to do so by law or under the terms of coverage.
Additional exclusions may apply and this offer may be terminated, rescinded, revoked, or amended by Kowa Pharmaceuticals America, Inc. and Lilly USA, LLC at any time without notice.
To be eligible for reimbursement, the entire reimbursement form must be complete. A copy of pharmacy receipt(s) must be submitted with the reimbursement form, clearly identifying LIVALO as the product purchased and indicating your name, the number of capsules dispensed, and the out-of-pocket amount paid. If any portion of your prescription costs are paid or reimbursed by a third-party payer (i.e., insurance company), a copy of your prescription coverage card, clearly identifying your name and group number, must be submitted with your reimbursement form. To be eligible for reimbursement, receipts must be submitted within eight months of the transaction date. Please allow 6-8 weeks to receive reimbursement.
If you have questions about the LIVALO Promise Program, please call toll-free, 1-866-923-1953.