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To submit a rebate claim you will need:

  • A Lupron Depot-PED PatientSavings account (create account)
  • Your insurance information
  • 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.