Delzicol Savings Program

Welcome to the DELZICOL Savings Program for eligible patients*

To register and print a DELZICOL Savings Card, please click the button below.

Click Here

Click here for full Prescribing Information for DELZICOL.

To reactivate your DELZICOL Savings Card, please enter the 11-digit ID# that was included in your email message.

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1-855-706-8716 for assistance.

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If you do not have your 11 Digit ID#, or if you need a DELZICOL Savings Card, please click here to register and print a card.

Click here for full Prescribing Information for DELZICOL.

*This offer is valid only for patients with DELZICOL prescriptions. Check with your pharmacist for your copay discount. Maximum savings limit applies; patient out-of pocket expense may vary. Offer not valid for patients enrolled in Medicare, Medicaid, or other federal or state healthcare programs. Please click here for Program Terms, Conditions, and Eligibility Criteria.

DELZICOL^® and its design are registered trademarks of Allergan Therapeutics LLC, an AbbVie company.

PRIVACY STATEMENT | TERMS OF USE | CONTACT US | COOKIES SETTINGS | US-DEL-210010 12/21

This offer is good for use only with a valid prescription for DELZICOL® (mesalamine) delayed-release capsules at the time the prescription is filled by the pharmacist and dispensed to the patient.
. Depending on your insurance coverage, most eligible patients may pay as little as $10 per 30-day supply for each of up to twelve (12) prescription fills. Check with your pharmacist for your copay discount. Maximum savings limit applies; patient out-of-pocket expense may vary.
. This card is not valid for use by patients enrolled in Medicare, Medicaid, or other federal or state programs (including any state pharmaceutical assistance programs), or private indemnity or HMO insurance plans that reimburse you for the entire cost of your prescription drugs. Patients may not use this card if they are Medicare-eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. This offer is not valid for cash-paying patients.
AbbVie reserves the right to rescind, revoke, or amend this offer without notice.
Offer good only in the USA, including Puerto Rico, at participating retail pharmacies.
Void if prohibited by law, taxed, or restricted.
This card is not transferable. The selling, purchasing, trading, or counterfeiting of this card is prohibited by law.
This card has no cash value and may not be used in combination with any other discount, coupon, rebate, free trial, or similar offer for the specified prescription.
This offer is not health insurance.
Subject to all other terms and conditions, the maximum annual benefit that may be available solely for the patient’s benefit under the copay assistance program is $4,080 per calendar year. The actual application and use of the benefit available under the copay assistance program may vary on a monthly, quarterly, and/or annual basis depending on each individual patient’s plan of insurance and other prescription drug costs.
By redeeming this card, you acknowledge that you are an eligible patient and that you understand and agree to comply with the terms and conditions of this offer.

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Delzicol Savings Program

Welcome to the DELZICOL Savings Program for eligible patients*

DELZICOL Program Terms, Conditions, and Eligibility Criteria