www.eliquis.com Sign In : How Do You Qualify For Free Eliquis
Please Sign In at www.eliquis.com using your 7-digit NCPDP code and click SUBMIT. This site is strictly intended for use by pharmacists and pharmacy administrators.
You may be eligible for the Co-pay Card for ELIQUIS (apixaban) if
- You are insured by commercial insurance and your prescription insurance coverage does not cover the full cost of your prescription, that is, you have a co-pay obligation for ELIQUIS;
- You do not have prescription insurance coverage through a state or federal healthcare program, including but not limited to Medicare Part D, Medicaid, Medigap, Veterans Affairs (VA), or Department of Defense (DOD) programs; patients who move from commercial plans to state or federal healthcare programs will no longer be eligible
- You are 18 years of age, or older; and
- You are a resident of the United States or Puerto Rico
www.eliquis.com Activate Card
1. To Activate the Card please visit the site https://www.activatethecard.com/eliquis/
2. Now Please log in using your 7-digit NCPDP code and click SUBMIT.
3. This site is strictly intended for use by pharmacists and pharmacy administrators.
Eliquis 30-Day FREE Trial Eligibility and Terms of Use
ELIGIBILITY REQUIREMENTS:
You may be eligible for the Free 30-Day Trial Offer for ELIQUIS® (apixaban) if:
- You have not previously filled a prescription for ELIQUIS.
- You have a valid 30-day prescription for ELIQUIS.
- You are being treated with ELIQUIS for an FDA-approved indication that an HCP has planned for more than 35 days of treatment;
- You are 18 years of age, or older; and.
- You are a resident of the United States or Puerto Rico.
TERMS OF USE:
- Eligible 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. Patient is responsible for applicable taxes, if any. This offer may not be redeemed on prescriptions written for longer than 30 days.
- This offer is limited to one use per patient per lifetime and is non-transferrable. By redeeming this offer, you certify that you have not previously filled a prescription for ELIQUIS.
- The Free 30-Day Trial for the specified prescription cannot be combined with any other rebate/coupon, free trial, or similar offer. No substitutions are permitted.
- Patients, pharmacists, and prescribers cannot seek reimbursement for the Free 30-Day Trial of ELIQUIS from health insurance or any third party, including state or federally funded programs.
- Patients may not count the Free 30-Day Trial of ELIQUIS as an expense incurred for purposes of determining out-of-pocket costs for any plan, including true out-of-pocket costs, (“TrOOP”), for purposes of calculating the out-of-pocket threshold for Medicare Part D plans.
- Activation and use of the Free 30-Day Trial card must take place by December 31, 2022. This card expires on December 31, 2022.
- Only valid in the United States and Puerto Rico; this offer is void where restricted or prohibited by law.
- Bristol-Myers Squibb and Pfizer reserve the right to rescind, revoke, or amend this offer at any time without notice.
- This Free 30-Day Trial card may not be sold, purchased, traded, or counterfeited. Reproductions of this card are void.
- This offer is not conditioned on any past, present, or future purchase, including refills.
- The ELIQUIS Free 30-Day Trial offer is not health insurance.
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