![]() Talk to your healthcare team before any medical procedures. If your prescriber is unable to get ELIQUIS approved, and if you are eligible, we will refer you to other co-pay assistance programs or the patient assistance program.ĭo not stop taking ELIQUIS without talking to the doctor who prescribed it to youįor patients taking ELIQUIS for atrial fibrillation: stoppingĮLIQUIS increases your risk of having a stroke. Our live specialists can provide general information regarding the exception process to help you and your healthcare prescriber. Some insurance plans may not cover ELIQUIS, or will ask that a formulary exception request be submitted. Prior authorization: If your insurance plan needs prior authorization before approving coverage of ELIQUIS, live specialists can help coordinate the process among your doctors, insurer, and pharmacist, and get the paperwork submitted.įormulary exception requests: A formulary is an insurance company’s list of covered medications. You can provide your e-signature by visiting If you have questions along the way, our live specialists are availableįriday, 8 AM – 8 PM ET. Patient Authorization and Agreement form. ![]() Before we can contact your health plan to confirm your coverage details, you must sign a Our live specialists can contact your insurance company to research your prescription insurance benefits for ELIQUIS and explain them to you-including whether ELIQUIS is covered by your 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 Tell your doctor if you ever had spine problems or back surgery.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. This medicine may increase your risk for blood clots in your spine or back if you undergo an epidural or spinal puncture. Tell your doctor if you are using any of the following: Carbamazepine, itraconazole, ketoconazole, phenytoin, rifampin, ritonavir, St John's wortBlood thinner (including clopidogrel, heparin, prasugrel, warfarin)Medicine to treat depressionNSAID pain or arthritis medicine (including aspirin, celecoxib, diclofenac, ibuprofen, naproxen) Some medicines can affect how apixaban works. Keep all medicine out of the reach of children. Your doctor will do lab tests at regular visits to check on the effects of this medicine. With your doctor's supervision, you may need to stop using this medicine several days before you have surgery or medical tests. Tell any doctor or dentist who treats you that you are using this medicine. ![]() Tell your doctor if you ever had spine problems or back surgery. This medicine may increase your risk for a hematoma (blood clot) in your spine or back if you undergo an epidural or spinal puncture. You may also bruise easily, and it may take longer than usual for bleeding to stop. This medicine increases your risk for bleeding that can become serious if not controlled. You might have a higher risk of stroke for a short time after you stop using this medicine. ![]() Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, bleeding problems, antiphospholipid syndrome, or an artificial heart valve.ĭo not stop using this medicine suddenly without asking your doctor. ![]()
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