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.

By clicking the Submit button, I authorize Sun Pharmaceutical Industries, Inc., its affiliates, subsidiaries, and third-party agents to contact me by mail, email, text message, or phone call (which may be made using an automated dialing system or an artificial or pre-recorded voice) to provide information on dermatology products, programs, services, and disease-state information and/or utilize my information for market research or analytics. Sun Pharmaceutical Industries, Inc., its affiliates, subsidiaries, and third-party agents will not utilize or distribute my personal information outside the above terms of consent.

Please refer to our Privacy Policy for more information.

Eligible commercially insured patients 18 years or older may pay as little as $5/month for an ILUMYA™ prescription, subject to a $16,000 maximum annual program benefit. After the program maximum, patients will be responsible for the difference. This offer is valid only for patients who meet the program eligibility requirements, have commercial insurance that covers ILUMYA™, and have a valid prescription. One digital card per patient, not transferable, and cannot be combined with any other offer.

By accepting this offer, you agree that if you are required to do so under the terms of your insurance coverage for this prescription or are otherwise required to do so by law, you should notify your insurance carrier of your redemption of this copay card. This offer is not valid with any other program, discount, incentive, or similar offer involving ILUMYA™. It is prohibited for any person to sell, purchase, or trade; offer to sell, purchase, or trade; or counterfeit this copay card.

The ILUMYA SUPPORT Lighting the Way™ Program Text Messaging (SMS) is valid with most major US carriers. There is no fee payable to Sun Pharma to receive text messages; however, your carrier’s message and data rates may apply. Participants may receive an average of 5 messages per month during the course of this program. You may unsubscribe from the Program at any time by texting STOP. For help, text HELP or contact your mobile carrier.

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

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