Migraine Copay Card Guide: Nurtec, Ubrelvy & More (2026)

Most people with commercial insurance can get brand-name migraine medication like Nurtec ODT for as little as $0 with the manufacturer’s copay card. Without one, Nurtec ODT’s list price is about $161 per tablet, or roughly $1,290 for an 8-tablet pack [3], and the injectable preventives cost more than that each month.

Every major migraine drug maker runs a copay card that can bring the cost down to $0 to $35 a month. This guide compares them side by side and lists who qualifies. It also covers the fine print that trips people up and what to do if the card doesn’t apply to you.

Migraine copay cards compared

Each migraine copay card below is the manufacturer’s own program. You don’t need a third-party coupon site or a membership.

Medication	Used for	With the copay card	Annual cap	Official program
Nurtec ODT (rimegepant)	Treating attacks and preventing them	As little as $0 / 30 days	$7,000	nurtec.com/savings, 1-866-222-4183
Ubrelvy (ubrogepant)	Treating attacks	As little as $0 / fill	$7,000	ubrelvy.com/savings
Qulipta (atogepant)	Prevention (daily pill)	As little as $0 / month	See program terms	1-855-785-4782
Zavzpret (zavegepant)	Treating attacks (nasal spray)	As little as $0 / 30 days	See program terms	zavzpret.com/savings, 1-866-222-4183
Aimovig (erenumab)	Prevention (monthly injection)	As little as $5 / month	Varies by plan	1-833-246-6844
Emgality (galcanezumab)	Prevention (monthly injection)	As little as $35 / month	$4,900	1-800-545-5979
Ajovy (fremanezumab)	Prevention (monthly or quarterly injection)	Savings on each fill	See program terms	ajovy.com/savings

Fast facts: migraine copay cards in 2026

As little as $0: Nurtec ODT, Ubrelvy, Qulipta and Zavzpret, for eligible commercially insured patients [1][5]

Nurtec ODT: $0 for a 30-day supply, $7,000 a year max, plus one free fill (up to 16 tablets) while insurance is checked. Live support at 1-866-222-4183 [1][2]

Injectable preventives: Aimovig as little as $5/month [7], Emgality as little as $35/month (up to $4,900/year) [6]

Excluded from every card: Medicare, Medicaid, TRICARE, VA and other government plans

No insurance or on Medicare? Manufacturer patient assistance programs can provide these drugs free if you qualify by income [4]

All of these drugs belong to the CGRP family, the newest class of migraine treatment. They block a protein that drives migraine pain and inflammation. Your prescriber picks the drug, but the copay card is often what decides whether you can afford to keep taking it.

The Nurtec copay card: how it works

The Nurtec savings card lets eligible commercially insured patients pay as little as $0 for a 30-day supply of Nurtec ODT, up to $7,000 in savings per year. [1][2] Pfizer’s terms add a few details that matter:

One free fill while you wait on insurance. New patients can get Nurtec ODT at no cost for one prescription fill (up to 16 tablets) while their insurance benefits are being verified. To keep paying $0 after that fill, your plan has to approve coverage. [2]
Once every 30 days. The card can’t be used more than once per 30 days per patient. [2]
Commercial insurance only, age 18+, U.S. or Puerto Rico. The offer is “not valid for cash-paying patients.” [2]
It expires December 31, 2026. Re-enroll in January. [2]
Accumulator and maximizer plans are excluded. If your health plan runs an accumulator adjustment or copay maximizer program, you’re not eligible under Pfizer’s terms. [2] Ask your plan directly: “Do you use a copay accumulator or maximizer program?”

How to get it: go to the official Nurtec savings page, answer a short eligibility screen and download the card. Your pharmacy runs it together with your insurance. If you get stuck, Pfizer’s live support line (1-866-222-4183, Monday–Friday, 8 a.m.–8 p.m. ET) and its Migraine Patient Access Coordinators handle insurance questions, including prior authorizations. [1]

Why Nurtec is a two-for-one

Nurtec ODT is the only migraine medicine approved both to treat a migraine once it starts and to prevent attacks when taken every other day. That changes the cost math. Someone using Nurtec for both jobs may need only one card and one prescription, where they’d otherwise need two drugs. If you’re filling an acute medicine and a separate preventive, ask your prescriber whether one would cover both.

How much is Nurtec without insurance?

Without insurance, an 8-tablet pack of Nurtec ODT carries a list price of about $1,290 (about $161 per tablet), according to Pfizer’s 2026 price disclosure. [3] Discount-card cash prices at retail pharmacies usually fall between about $900 and $1,100 a pack, which is still steep for a medicine many people need every month.

Because the Nurtec savings card can’t be used by cash-paying patients, uninsured patients should go straight to the patient assistance program below rather than pay pharmacy cash prices.

On Medicare? Here’s what to do instead

Federal anti-kickback rules bar every manufacturer copay card from Medicare (including Part D and Medicare Advantage), Medicaid, TRICARE and VA coverage. That’s the law, not a choice by the drug company. You still have options:

Check your Part D coverage first. Many Part D plans cover Nurtec and other CGRP drugs, usually with prior authorization and quantity limits. Your plan’s formulary lists the tier and the rules.
Part D’s annual out-of-pocket cap limits what you pay for covered drugs in a year. You can also spread those costs across the year through the Medicare Prescription Payment Plan.
Apply to the manufacturer’s assistance program. Pfizer RxPathways accepts people who are uninsured or on government insurance (including Medicare) and can’t afford their copay. Medicare Part D patients need income at or below 300% of the Federal Poverty Level, and must enroll in the Medicare Prescription Payment Plan first. [4]

Migraine patient assistance: free medicine if you qualify

Every company on the list above runs a patient assistance program that can provide its migraine drug at no cost to people with low income, no insurance, or coverage that doesn’t include the drug:

Nurtec ODT and Zavzpret: Pfizer RxPathways [4]
Ubrelvy and Qulipta: myAbbVie Assist. One application covers both drugs. Details in our Ubrelvy and Qulipta guides.
Ajovy: Teva Cares Foundation [9]
Aimovig: Amgen Safety Net Foundation
Emgality: Lilly Cares Foundation

Expect to provide income documentation (a tax return or pay stubs) and have your prescriber complete a section of the form. Approval usually takes a few weeks. Ask your neurologist’s office about samples to cover you in the meantime, since CGRP samples are commonly stocked. For a step-by-step walkthrough and the most common reasons applications are rejected, see How Patient Assistance Programs Work.

When the card isn’t enough: getting your plan to cover it

A copay card can only discount a claim your plan has already approved. Insurers usually cover CGRP migraine drugs eventually, but often only after some hurdles:

Step therapy: plans often require you to try one or two generic triptans (such as sumatriptan or rizatriptan) first. If you’ve tried them without relief, had side effects, or have heart disease or high blood pressure that makes triptans unsafe, make sure that’s written in your chart. That documentation is what gets a prior authorization or appeal approved.
Quantity limits: plans commonly cap acute tablets each month. A migraine diary showing how many migraine days you have a month is the strongest evidence for raising the limit, and for adding a preventive.
Denied? Ask for the denial in writing, have your prescriber file an appeal, and call the manufacturer’s support line. Pfizer’s access coordinators help with Nurtec appeals at no charge. [1]

Frequently Asked Questions

Can I really get migraine medication for $0 with a copay card?

Yes, if you have commercial insurance that covers the drug. Nurtec ODT, Ubrelvy, Qulipta and Zavzpret all advertise as little as $0 for eligible commercially insured patients, up to each card’s annual cap. Medicare, Medicaid and other government plans are excluded from every manufacturer copay card.

How much does the Nurtec copay card save?

Eligible commercially insured patients may pay as little as $0 for a 30-day supply, up to $7,000 a year. The card can be used once every 30 days, and new patients can get one free fill (up to 16 tablets) while their insurance is being checked.

How much is Nurtec without insurance?

Pfizer’s published list price is about $1,290 for an 8-tablet pack, or about $161 per tablet. Discount-card cash prices usually land between $900 and $1,100 a pack. The copay card does not work for cash-paying patients, but Pfizer RxPathways may provide Nurtec free if you qualify by income.

Does Medicare cover Nurtec, and can I use the copay card?

Many Medicare Part D plans cover Nurtec, usually with prior authorization and quantity limits. You can’t use the copay card on Medicare, but Pfizer RxPathways accepts Medicare patients who can’t afford their copay and meet its income rules.

Which migraine copay card has the lowest cost?

Nurtec ODT, Ubrelvy, Qulipta and Zavzpret all advertise as little as $0. Aimovig advertises as little as $5 a month, and Emgality as little as $35 a month. What you actually pay also depends on your plan’s deductible and whether it uses an accumulator or maximizer program.

Do I need to re-enroll in a migraine copay card every year?

Usually, yes. The Nurtec, Zavzpret and Emgality offers all state that they expire on December 31, 2026, and Aimovig requires re-enrollment every calendar year. Set a reminder for early January so your first refill of the year doesn’t ring up at full price.

Sources

This guide covers cost and access, not medical advice. Talk to your prescriber before starting, stopping or switching a migraine medication. Program terms, prices and eligibility change without notice, so confirm current details with the official program (linked in the sources above) before relying on them. We’re an independent publisher, not affiliated with or endorsed by Pfizer, AbbVie, Amgen, Eli Lilly or Teva. See our full medical disclaimer.