Welcome to Patient Rebate Portal
Submit rebate claims for the payments you've made for certain drugs.

To submit a rebate claim you will need:

• A Patient Rebate Portal account (create account)
• Information to verify your drug purchase

Please note: You may only submit a claim if you have commercial insurance or are self-insured, and you are not a participant of Medicare Part D, VA, TriCare, CHAMPUS, Medicaid, or any other similar federal or state program.

Download the claim submission form for fax or mail.