![]() Help you find out if ELIQUIS is covered by your insurance planĭetermine if you are eligible for assistance paying for ELIQUISĬheck if you qualify for the ELIQUIS Co-pay Card Please see Full Prescribing Information, including Boxed WARNINGS and Medication Guide.Ĭall Tap to call 1-855-ELIQUIS (354-7847) from Monday – Friday, 8 AM – 8 PM (ET). To the pharmacist: For processing assistance, please call tap to call McKesson Pharmacy Support This offer may not be redeemed on prescriptions written for longer than 30 days Patient is responsible for applicable taxes, if any. ![]() ![]() Present your activated Free Trial Offer Card to your pharmacist along with yourĮligible patients who present a Free 30-Day Trial card together with a valid 30-day prescription for ELIQUIS at participating pharmacies can receive a free 30-day supply (up to 74 tablets) of ELIQUIS. The Co-pay Card will be accepted only at participating pharmacies. For those customers using mail-order or any non-participating retail pharmacy, please call tap to call 86 to request a patient rebate form, or go to to download a formīy using this card, you and your pharmacist understand and agree to comply with the eligibility requirements and terms of use Patient is responsible for applicable taxes, if any Your drug costs may also be different if you are enrolled in an SPAP.Present your activated Co-pay Card to your pharmacist, along with your ELIQUIS prescriptionĮligible patients who present an activated Co-pay Card together with a valid prescription for ELIQUIS at participating pharmacies may pay as little as $10 per 30-day supply (up to 74 tablets for the first fill, and up to 60 tablets for all subsequent fills) for up to 24 months, subject to a maximum annual benefit of $6,400. You will pay different drug costs during the year. Note: If you have Extra Help, you do not have a coverage gap. Your Part D plan should keep track of how much money you have spent out of pocket for covered drugs and your progression through coverage periods-and this information should appear in your monthly statements. During catastrophic coverage, you will pay 5% of the cost for each of your drugs, or $4.15 for generics and $10.35 for brand-name drugs (whichever is greater). Amounts paid by State Pharmaceutical Assistance Programs (SPAPs), AIDS Drug Assistance Programs, and the Indian Health ServiceĬosts that do not help you reach catastrophic coverage include monthly premiums, what your plan pays toward drug costs, the cost of non-covered drugs, the cost of covered drugs from pharmacies outside your plan’s network, and the 75% generic discount.Amounts paid by others, including family members, most charities, and other persons on your behalf.Almost the full cost of brand-name drugs (including the manufacturer’s discount) purchased during the coverage gap.What you paid during the initial coverage period.The out-of-pocket costs that help you reach catastrophic coverage include: During this period, you pay significantly lower copays or coinsurance for your covered drugs for the remainder of the year. ![]() This amount is made up of what you pay for covered drugs and some costs that others pay (see below). In all Part D plans, you enter catastrophic coverage after you reach $7,400 in out-of-pocket costs for covered drugs. For example, if a drug’s total cost is $100 and you pay your plan’s $20 copay during the initial coverage period, you will be responsible for paying $25 (25% of $100) during the coverage gap. In the past, you were responsible for a higher percentage of the cost of your drugs.Īlthough the donut hole has closed, you may still see a difference in cost between the initial coverage period and the donut hole. The donut hole closed for all drugs in 2020, meaning that when you enter the coverage gap you will be responsible for 25% of the cost of your drugs. While in the coverage gap, you are responsible for a percentage of the cost of your drugs. You enter the donut hole when your total drug costs-including what you and your plan have paid for your drugs-reaches a certain limit. The Medicare Part D donut hole or coverage gap is the phase of Part D coverage after your initial coverage period. ![]()
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