You made the right choice

Now that you have your ILUMYA™ prescription, it’s time to enroll in ILUMYA SUPPORT Lighting the Way™ to gain access to a world of support and resources for your journey to finding your shine.

Interested in savings?

Be sure to answer the eligibility questions at the bottom of this form.

In order to submit this form, you must be prescribed ILUMYA™ and 18 years of age or older.

All fields required.

Success! You have activated your membership for ILUMYA SUPPORT Lighting the Way™.

We’re sorry—the ILUMYA SUPPORT™ copay card is only available to commercially insured patients. But you will receive an email and text message from us shortly confirming your ILUMYA SUPPORT Lighting the Way™ membership!

Please call 855-4ILUMYA (855-445-8692) for more information.

We’re unable to find this information

Sorry, we’re having trouble finding your copay information in our system.

Please call 855-4ILUMYA (855-445-8692) for further assistance.

Success! You have activated your copay card and membership for ILUMYA SUPPORT Lighting the Way™.

You will receive a confirmation email and text message from us shortly.

HERE'S YOUR ILUMYA SUPPORT LIGHTING THE WAY™ COPAY CARD

  • BIN:  
  • Grp:  
  • ID:  
This copay card only covers pharmacy benefits. If you need coverage for medical benefits, please call 855-4ILUMYA (855-445-8692).