Dalvance

Savings

*This offer is not valid for patients enrolled in Medicare, Medicaid, or other state or federal healthcare programs. Maximum savings limit applies; patient out-of-pocket expense may vary. See full Program Terms, Conditions, and Eligibility Criteria on card.

 
The DALVANCE CONNECTS℠ Patient Savings Program may assist eligible commercially insured patients with their out-of-pocket costs after patient pays the first $50 for DALVANCE, up to $800 per treatment course when administered in a practice-based or freestanding infusion center, hospital outpatient department, or home infusion service*

Reimbursement Portal

 
Learn about the reimbursement program

Contact Allergan Medical Information toll-free at 1-800-678-1605.