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apixaban patient assistance form

by Serenity Kuhic Published 1 year ago Updated 1 year ago
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What is the patient support program for Eliquis® (apixaban)?

The patient support program for ELIQUIS®(apixaban) (the “Program”) is designed to provide you with reimbursement support services. To participate in the Program we will need to receive, use, and disclose your personal information. Please read this form carefully and contact Bristol Myers Squibb

How to edit Eliquis patient assistance form?

PDF editor permits you to help make changes to your Eliquis Patient Assistance Form from the internet connected gadget, personalize it based on your requirements, indicator this in electronic format and also disperse differently. Turn your records into enforceable documents by making and implementing your signature with one click.

How long does the anticoagulant effect of apixaban last?

The anticoagulant effect of apixaban can be expected to persist for at least 24 hours after the last dose (i.e., about two half-lives). An agent to reverse the anti-factor Xa activity of apixaban is available. Please visit www.andexxa.comfor more information on availability of a reversal agent.

What drugs should not be taken with apixaban?

Combined P-gp and Strong CYP3A4 Inhibitors:Inhibitors of P-glycoprotein (P-gp) and cytochrome P450 3A4 (CYP3A4) increase exposure to apixaban and increase the risk of bleeding.

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How do I get assistance with eliquis?

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.

Does Bristol Myers Squibb have a patient assistance program?

The Bristol Myers Squibb Patient Assistance Foundation (BMSPAF) is an independent, charitable organization that helps eligible patients who need temporary help obtaining the medicines listed on this website.

Does Pfizer have a patient assistance program?

Pfizer RxPathways® patients in need get access to their Pfizer medicines. Today, Pfizer RxPathways® connects eligible U.S. patients to a range of Pfizer assistance programs that provide insurance support, co-pay help, and medicines for free or at a savings.

Who is the manufacturer for eliquis?

Bristol-Myers Squibb Co.Brand Name: Eliquis® Generic Name: apixaban Manufacturer: Bristol-Myers Squibb Co. with nonvalvular atrial fibrillation. completing 6-12 months of standard anticoagulation for venous thromboembolism).

How do I get Eliquis for $10 a month?

Eligible 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 ...

Is Eliquis made by Pfizer?

Sales of Eliquis, which Bristol-Myers co-developed with Pfizer, rose 22% to $1.93 billion and made up about 30% of the Bristol-Myers' total revenues in the latest reported quarter. Eliquis is an approved treatment to reduce the risk of stroke in patients with irregular heartbeat or atrial fibrillation.

What is Xelsource?

Psoriatic Arthritis. • XELJANZ/XELJANZ XR (tofacitinib) is indicated for the treatment of adult patients with active psoriatic arthritis who have had an inadequate response or intolerance to methotrexate or other disease-modifying antirheumatic drugs (DMARDs).

Does Viatris have a patient assistance program?

The Viatris Patient Assistance Program provides certain medicines for free to patients with demonstrated financial need. Viatris is committed to helping patients get the treatments they need, when and where they need them.

Which Pfizer blood pressure medication is being recalled?

The drugs in the Pfizer recall include certain batches of Accupril (quinapril hydrochloride) tablets and Accuretic (quinapril hydrochloride plus hydrochlorothiazide) tablets distributed by Pfizer, as well as two related generic formulations distributed by Greenstone.

Is Eliquis going generic in 2022?

As the original manufacturers, they own a patent that prevents generics from being introduced until the patent expires. That patent was extended from February 2023 to November 2026. Both drug makers say that's when generics can be made available.

Why is Eliquis being recalled?

1) Why is Eliquis being recalled? This voluntary recall is for a single lot of Eliquis (apixaban) 5 mg Oral/Tablets (60 tablets/bottle) [lot number HN0063] distributed in February 2017. It is based on a report of a single bottle which was found to contain 2.5 mg Eliquis tablets instead of the labeled 5 mg tablets.

What is the cheapest alternative to Eliquis?

Similar anticoagulant medications to Eliquis include:Warfarin (Coumadin, Jantoven): Warfarin is a generic drug that is comparable with Eliquis but costs significantly less – as little as $4. ... Pradaxa, Xarelto, and Savaysa: Similar medications to Eliquis, these drugs do not have cheaper, generic versions currently.

What can I do if I can't afford eliquis?

If your insurance doesn't cover Eliquis, talk to your healthcare provider about filing an appeal for coverage. They may be able to submit a letter that explains why you need coverage for Eliquis. Or you can ask your provider about similar medication options that are covered by your plan.

What is simple fill?

Simplefill is a full-service prescription assistance company that researches, qualifies, and maintains patients' enrollment in all sources of assistance available to them.

Does Walgreens accept eliquis co pay card?

Valid at all major chains including Walgreens, CVS Pharmacy, Target, WalMart Pharmacy, Duane Reade and 65,000 pharmacies nationwide.

How do I contact Bristol Myers Squibb?

Contact UsCustomer and Community Relations. 1-800-332-2056. (toll free U.S. only)Report Side Effects or Product Quality Complaints. 1-800-721-5072. (toll free U.S. only)Medical Information Contact Center. 1-800-321-1335. (toll free U.S. only) Mon - Fri 8am - 8pm ET.

What is Eliquis used for?

ELIQUIS (apixaban) is a prescription medicine used to treat blood clots in the veins of your legs (deep vein thrombosis) or lungs (pulmonary embolism), and reduce the risk of them occurring again . ELIQUIS (apixaban) is a prescription medicine used to reduce the risk of forming a blood clot in the legs and lungs of people who have just had hip ...

What are the symptoms of eliquis?

or bleeding. Tell your doctor right away if you have any of these signs or symptoms (especially in your legs and feet) when taking ELIQUIS: Tingling. Numbness.

How many different tablets are there for Eliquis?

ELIQUIS is available in two different tablets. Your doctor or healthcare provider will determine what dose is right for you.

Can you refill Eliquis after knee replacement?

When leaving the hospital following hip or knee replacement, be sure that you will have ELIQUIS available to avoid missing any doses. ELIQUIS is available in two different tablets. Your doctor or healthcare provider will determine what dose is right for you.

Can Eliquis cause bleeding?

Bleeding. ELIQUIS can cause bleeding, which can be serious, and rarely may lead to death. This is because ELIQUIS is a blood thinner medicine that reduces blood clotting. While taking ELIQUIS, you may bruise more easily and it may take longer than usual for any bleeding to stop.

Can you stop Eliquis before surgery?

ELIQUIS may need to be stopped prior to surgery or a medical or dental procedure. Your doctor will tell you when you should stop taking ELIQUIS and when you may start taking it again. If you have to stop taking ELIQUIS, your doctor may prescribe another medicine to help prevent a blood clot from forming.

Can you breastfeed with Eliquis?

Tell your doctor if you are pregnant or breastfeeding, or planning to become pregnant or breastfeed. You and your doctor should decide if you will take ELIQUIS or breastfeed. You should not do both.

What is Eliquis used for?

ELIQUIS is indicated to reduce the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation (NVAF). ELIQUIS is indicated for the prophylaxis of deep vein thrombosis (DVT), which may lead to pulmonary embolism (PE), in patients who have undergone hip or knee replacement surgery.

How long after a catheter removal can you give Eliquis?

The next dose of ELIQUIS should not be administered earlier than 5 hours after the removal of the catheter. The risk may also be increased by traumatic or repeated epidural or spinal puncture. If traumatic puncture occurs, delay the administration of ELIQUIS for 48 hours.

How long is the Eliquis trial?

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;

How much does Eliquis cost?

Eligible 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 $3800. Other restrictions may apply. Patient is responsible for applicable taxes, if any.

Is Eliquis a copay?

The Co-pay Card for ELIQUIS is not health insurance.

How to contact McKesson Pharmacy?

To the pharmacist:For processing assistance, please call McKesson Pharmacy Support at 1-866-279-4730.

How long is the free trial for a new patient?

Free 30-day trial offer for first-time patients and

What is the number to call for Eliquis?from bms.com

For more information about how insurance covers ELIQUIS and co-pay assistance for eligible, commercially-insured patients, visit ELIQUIS patient support or call 855-354-7847.

What is the number to call for Abraxane?from bms.com

For more information about how insurance covers ABRAXANE and co-pay assistance for eligible, commercially-insured patients, visit Bristol Myers Squibb Access Support or call 1-800-861-0048. Assistance for Uninsured Patients.

What is prior authorization for Eliquis?

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.

What is a formulary exception?

Formulary exception requests: A formulary is an insurance company’s list of covered medications. Some insurance plans may not cover ELIQUIS, or will ask that a formulary exception request be submitted. Our live specialists can provide general information regarding the exception process to help you and your healthcare prescriber. 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.

How to fill out and sign eliquis patient assistance program bristol myers squibb online?from uslegalforms.com

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

What is Eliquis used for?from eliquis.com

ELIQUIS is indicated to reduce the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation (NVAF). ELIQUIS is indicated for the prophylaxis of deep vein thrombosis (DVT), which may lead to pulmonary embolism (PE), in patients who have undergone hip or knee replacement surgery.

How long is the Eliquis trial?from eliquis.com

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;

How much does Eliquis cost?from eliquis.com

Eligible 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 $3800. Other restrictions may apply. Patient is responsible for applicable taxes, if any.

What are the symptoms of eliquis?from eliquis.bmscustomerconnect.com

or bleeding. Tell your doctor right away if you have any of these signs or symptoms (especially in your legs and feet) when taking ELIQUIS: Tingling. Numbness.

How long after a catheter removal can you give Eliquis?from eliquis.com

The next dose of ELIQUIS should not be administered earlier than 5 hours after the removal of the catheter. The risk may also be increased by traumatic or repeated epidural or spinal puncture. If traumatic puncture occurs, delay the administration of ELIQUIS for 48 hours.

Can you refill Eliquis after knee replacement?from eliquis.bmscustomerconnect.com

When leaving the hospital following hip or knee replacement, be sure that you will have ELIQUIS available to avoid missing any doses. ELIQUIS is available in two different tablets. Your doctor or healthcare provider will determine what dose is right for you.

How to contact Pfizer Rxpathways?

For more information about Pfizer RxPathways, please visit www.PfizerRxPathways.com. Patients can also call the toll-free phone number 1-844-989-PATH (7284) to consult with a Pfizer Medicine Access Counselor.

What is Pfizer Patient Assistance Program?

Pfizer Patient Assistance Program. Provides free Pfizer medicines to eligible patients through their doctor’s office or at home. To qualify, patients must: Have a valid prescription for the Pfizer medicine for which they are seeking assistance. Have no prescription coverage, or not enough coverage, to pay for their Pfizer medicine.

What is Pfizer Savings Program?

Pfizer Savings Program. Helps uninsured patients receive savings on more than 100 Pfizer medicines directly at their pharmacy, regardless of their income. Call 1-855-239-9869 to enroll. View available medicines.

How many Pfizer medicines are free?

The Pfizer Patient Assistance Program provides more than 60 Pfizer medicines for free to eligible patients through their doctor’s office, or in some cases, through home delivery.

How to be evaluated for Pfizer?

To be evaluated for assistance, patients and their healthcare providers must submit a completed enrollment form. Patients must also provide proof of income, such as a W2 form, a paycheck stub, or prior year’s tax return. In some cases, patients prescribed certain Pfizer medicines may first be required to seek alternate forms of assistance before they can be considered for free medicine through the Pfizer Patient Assistance Program.

Can underinsured patients get free Pfizer?

Both uninsured and underinsured patients may be eligible for help. To qualify for free medicine through the Pfizer Patient Assistance Program, patients must*:

Is Pfizer Savings Program covered by insurance?

*The Pfizer Savings Program is not health insurance . For more information, please call the toll-free number 1-866-706-2400. There are no membership fees to participate in this program.

What is the Patient Advocate Foundation?from patientadvocate.org

Patient Advocate Foundation (PAF) stands in solidarity with the Asian American and Pacific Islander (AAPI) community and denounces violence and racism against all communities of color. As advocates, our mission… ...Read More

How to fill out and sign BSA online?from uslegalforms.com

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

What is Eliquis used for?from eliquis.com

ELIQUIS is indicated to reduce the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation (NVAF). ELIQUIS is indicated for the prophylaxis of deep vein thrombosis (DVT), which may lead to pulmonary embolism (PE), in patients who have undergone hip or knee replacement surgery.

How long after a catheter removal can you give Eliquis?from eliquis.com

The next dose of ELIQUIS should not be administered earlier than 5 hours after the removal of the catheter. The risk may also be increased by traumatic or repeated epidural or spinal puncture. If traumatic puncture occurs, delay the administration of ELIQUIS for 48 hours.

How long is the Eliquis trial?from eliquis.com

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;

How much does Eliquis cost?from eliquis.com

Eligible 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 $3800. Other restrictions may apply. Patient is responsible for applicable taxes, if any.

What are the opinions expressed in WebMD?from webmd.com

The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions.

Is Eliquis a copay?from eliquis.com

The Co-pay Card for ELIQUIS is not health insurance.

How to contact McKesson Pharmacy?from eliquis.com

To the pharmacist:For processing assistance, please call McKesson Pharmacy Support at 1-866-279-4730.

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