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Prescription Coverage Assistance Call Tap to call 1-855-ELIQUIS (354-7847) from Monday Friday, 8 AM 8 PM (ET). Live specialists are here to: Help you find out if ELIQUIS is covered by your insurance plan. Determine if you are eligible for assistance paying for ELIQUIS.
Eliquis Patient must be at or below 300% federal poverty level to qualify. View federal poverty guidelines. Medications can be shipped to the patients home. Applications are good for 1 year from the date approved by the program.
You may be eligible if you meet the following criteria: 1. You have an annual household income* at or below: $35,000 for a single person $48,000 for a family of two $60,000 for a family of three $70,000 for a family of four $80,000 for a family of five * Income limits may be higher in Alaska and Hawaii.
Bristol-Myers Squibb Patient Assistance Program Download application (PDF) Patient must be at or below 300% federal poverty level to qualify. Bristol-Myers Squibb Patient Assistance Foundation Inc.
The Bristol-Myers Squibb Patient Assistance Foundation, Inc. is a 501(c)(3) non-profit organization that provides temporary assistance in the form of free medication to eligible patients who have a financial hardship, generally have no public or private prescription drug insurance, and reside within the 50 states,