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brilinta coupon patient assistance form

by Harry Padberg Published 2 years ago Updated 1 year ago
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What is the Brilinta prescription Rebate program?

Brilinta Mail Order Prescription Rebate: Eligible commercially insured patients can save on their out-of-pocket costs that exceed $15 on each 90-day supply; patient must have used a mail-order pharmacy for their prescription fill; maximum savings of $600 per prescription; for more information contact the program at 888-462-3705.

How can I save money with Brilinta?

Brilinta Savings Card: Eligible cash-paying patients may save up to $100 per 30-day supply prescription; for additional information contact the program at 888-512-7454.

How much does Brilinta cost with nicerx?

With NiceRx you could get your Brilinta prescription for a flat fee of $49 per month. This is the only fee you will need to pay, irrespective of the retail price of your medication. You could make the following savings every month if you are eligible for the patient assistance program: Am I eligible for the Brilinta patient assistance program?

Can I get a Brilinta If I have private insurance?

If you have private insurance you may be able to receive your BRILINTA for as low as $5 with our BRILINTA savings card program If you are uninsured or have Medicare Part D and still face affordability challenges, you may be eligible for our patient assistance program, AZ&Me

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How much does a 30 day supply of BRILINTA cost?

The list price for BRLINTA is $425.21* for a 30-day supply.

What pharmaceutical company makes BRILINTA?

AstraZeneca announced today that the US Food and Drug Administration (FDA) has approved BRILINTA (ticagrelor) tablets to reduce the rate of heart attack (myocardial infarction [MI]) and cardiovascular (CV) death in adult patients with acute coronary syndrome (ACS), compared to clopidogrel.

Can BRILINTA cause shortness of breath?

BRILINTA can cause serious side effects, including bleeding, shortness of breath, and irregular breathing. Call your doctor if you have new or unexpected shortness of breath or irregular breathing, or any side effect that bothers you or does not go away. Your doctor can decide what treatment is needed.

Does AstraZeneca have a patient assistance program?

Patient Assistance Program AZ&Me™ is designed to help qualifying people without insurance and those on Medicare who are having trouble affording their AstraZeneca medications.

When will Brilinta go generic?

Drugs Going Generic in 2021BrandGenericAnticipated release dateBrilintaticagrelorJuly 2021SelzentrymaravirocAugust, 2021Atriplaefavirenz / emtricitabine / tenofovirSeptember, 2021BystolicnebivololSeptember, 20217 more rows•Jul 26, 2018

How much does Brilinta cost at Walmart?

$491.19Brilinta is a brand-name prescription drug that's manufactured by AstraZeneca. On average, Brilinta costs $558.23 for 60, 90MG Tablet....Average 12 Month Prices for Brilinta.PharmacyBrilinta Retail PriceBrilinta SingleCare PriceWalmart$491.19$438.33Walgreens$537.54$444.354 more rows

How long do you take Brilinta after stent?

Official answer. Brilinta is typically used for 6 to 12 months, or longer, after a stent or heart attack. It is given with low-dose aspirin to help prevent blood clots. Based on your use, you may receive Brilinta for different amounts of time.

Can I take Brilinta forever?

Brilinta is meant to be used as a long-term treatment. Current treatment guidelines recommend that most people who take Brilinta should be on the drug for at least 6 to 12 months. If you and your doctor determine that Brilinta is safe and effective for you, you'll likely take it long term.

What are the long term effects of Brilinta?

Long-term effects of Brilinta The PEGASUS study followed patients for three years. While bleeding rates were higher in those taking Brilinta and aspirin compared to aspirin alone, the rates of fatal bleeding, intracranial hemorrhage, and death from any cause were no different.

What is the 360 support program?

About Access 360 The AstraZeneca Access 360™ program provides personal support to help streamline access and reimbursement for select AstraZeneca medicines.

How do you qualify for free eliquis?

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;More items...

What is an STI card?

STI card programs offer financial assistance or benefits to patients prescribed participating medications and bridge reimbursement gaps providing patients with greater access to medications. These benefits are paid for by participating pharmaceutical manufacturers. PATIENT CHOICE.

Is there a generic brand for Brilinta?

Ticagrelor tablets, a generic version of Brilinta from AstraZeneca Pharmaceuticals, have been granted Abbreviated New Drug Application (ANDA) approval in 60 mg and 90 mg doses.

How long should you take Brilinta after a stent?

Brilinta is typically used for 6 to 12 months, or longer, after a stent or heart attack. It is given with low-dose aspirin to help prevent blood clots. Based on your use, you may receive Brilinta for different amounts of time.

What are the long term effects of Brilinta?

Long-term effects of Brilinta The PEGASUS study followed patients for three years. While bleeding rates were higher in those taking Brilinta and aspirin compared to aspirin alone, the rates of fatal bleeding, intracranial hemorrhage, and death from any cause were no different.

What is better Brilinta or Plavix?

The findings come from a sub-study of the PLATO trial, which showed that Brilinta works better than Plavix at preventing heart attacks, strokes, and deaths from heart disease in people with acute coronary syndrome (ACS).

How much does Brilinta cost?

The cost for Brilinta oral tablet 90 mg is around $432 for a supply of 60 tablets, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.

What is brilinta used for?

Brilinta (ticagrelor) is a member of the platelet aggregation inhibitors drug class and is commonly used for Acute Coronary Syndrome, Cardiovascular Risk Reduction, Coronary Artery Disease, and others.

Is Brilinta a generic drug?

A generic version of Brilinta has been approved by the FDA. However we either do not have pricing information for it, or it is not commercially available. More info: generic Brilinta availability. This Brilinta price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.

Help patients save today

Every download will have a different number so please don't make duplicates of the same card.

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If your patients fill their prescriptions through mail order, they can fill out this form or call 1-888-512-7454.

How much does Brilinta cost?

For more information about Brilinta and to determine if it is right for you, consult your healthcare professional.As the fastest growing pharmacy program in the country, Prescription Hope can obtain Brilinta for individuals at the set price of $50.00 per month. To obtain prescription medications, Prescription Hope works directly with over 180 pharmaceutical manufacturers patient assistance programs to obtain Brilinta at a set, affordable price.

What is brilinta used for?

It is used to lower one’s chances of having another heart attack or stroke.While using Brilinta you may be a risk for serious bleeding that can sometimes lead to death. You may notice easy bruising or more bleeding. For example, nose bleeds may be more frequent while on Brilinta. Your blood may not clot as easily, so bleeding may take longer to stop. Call your doctor immediately if you have any signs of excessive bleeding. These signs may include but are not limited to:

Is Prescription Hope A Brilinta Coupon Or Insurance Product?

Prescription Hope is not a Brilinta coupon card or insurance policy. Prescription Hope is a national advocacy program that works with any coverage, you may already have. Although Prescription Hope is not a Brilinta coupon, individuals searching for a Brilinta coupon can find more savings through Prescription Hope!When you obtain your medications from Prescription Hope, your total will never cost more than $50.00 per month for each medication. If we cannot help you obtain a prescription medication, we will never charge a fee for that medication.

Can Prescription Hope Get My Brilinta If I Have Insurance Coverage?

Because Prescription Hope is not an insurance plan, our program works alongside any coverage you may currently have to obtain your Brilinta medication for an affordable price. Therefore, our national advocacy program does not have medication tiers, copays, or deductibles.Every year, Prescription Hope works with some of the most prominent insurance organizations across the United States. This includes Anthem Blue Cross Blue Shield, United Healthcare, and Humana.When adding Prescription Hope, insurance organizations can provide a better level of care for their clients. Contact us today and learn more about how Prescription Hope can help individuals obtain affordable prescription medication.

Is prescription hope a coupon?

Although Prescription Hope is not a Brilinta coupon, individuals searching for a Brilinta coupon can find more savings through Prescription Hope!When you obtain your medications from Prescription Hope, your total will never cost more than $50.00 per month for each medication.

Is Brilinta ticagrelor FDA approved?

A Brilinta generic, ticagrelor tablet, has been approved by the FDA and is available in the United States. Avoid purchasing Brilinta generic medications from fraudulent online pharmacies, as the medications could be harmful to take. Only purchase your medications from verified, reputable pharmacies. For more information about Brilinta and ...

Do I Qualify For My Brilinta Medication With Prescription Hope?

Prescription Hope works with thousands of Americans every month, obtaining prescription medications on their behalf for the set cost of $50.00 per month per medication.Both individuals and families earning less than $100,000 per year may qualify for Prescription Hope. If our advocates cannot obtain your Brilinta medication for you, we will never charge a fee for that medication.Once you apply for Prescription Hope, our knowledgeable advocates begin to work for you. We work to manage, track and refill medications on time, maintain up-to-date records, and renew prescription medications every year. Once your application is approved, the first shipment of prescription medication typically arrives within four to six weeks. We also place refills to come in on a regular schedule.Through our program, Americans save thousands every year from the retail cost of their prescription medications through Prescription Hope.

What is the NIH score for brilinta?

BRILINTA is indicated to reduce the risk of stroke in patients with acute ischemic stroke (NIH Stroke Scale Score ≤5) or high-risk transient ischemic attack (TIA).

Can Brilinta cause bleeding?

BRILINTA, like other antiplatelet agents, can cause significant, sometimes fatal bleeding

Is Brilinta contraindicated for peptic ulcers?

BRILINTA is contraindicated in patients with a history of intracranial hemorrhage or active pathological bleeding such as peptic ulcer or intracranial hemorrhage. BRILINTA is also contraindicated in patients with hypersensitivity (eg, angioedema) to ticagrelor or any component of the product

Can you take Brilinta with ticagrelor?

Avoid use of BRILINTA in patients with severe hepatic impairment. Severe hepatic impairment is likely to increase serum concentration of ticagrelor and there are no studies of BRILINTA in these patients

Co-Pay Savings

You may be eligible for the Co-Pay Savings Program if you are commercially insured and not enrolled in a state or federally funded program.

Patient Assistance Program

AZ&Me™ is designed to help qualifying people without insurance and those on Medicare who are having trouble affording their AstraZeneca medications.

Co-Pay Savings

We provide financial assistance to eligible commercially insured patients that help reduce monthly cost of your medication. Commercial insurance is sometimes referred to as “private insurance” and is typically provided by the company you work for.

AZ&Me Prescription Savings Program

AstraZeneca medicines provided at no cost. Click here to review the list of medicines available through this program.

Additional Affordability Resources

Here are some additional resources that may help you gain access to the medicines or services you need. This is not a complete list and is provided as a public service for health care providers, caregivers, and low-income patients.

How do I apply for the Brilinta patient assistance program?

Our process makes it as easy as possible to apply for the Brilinta patient assistance program. Begin by completing your enrollment application on our website and let us know the full details of all medications you’re taking, including Brilinta. You must also provide details about your healthcare provider, your insurance plan, and your household income .

How to apply for Brilinta?

Our process makes it as easy as possible to apply for the Brilinta patient assistance program. Begin by completing your enrollment application on our website and let us know the full details of all medications you’re taking, including Brilinta. You must also provide details about your healthcare provider, your insurance plan, and your household income.

How much does Brilinta cost without insurance?

As a guide, a pack of 60, 90 mg Brilinta tablets can cost between $450 and $530.

How much does Brilinta cost?

Is your Brilinta medication too expensive? Start receiving your medication for only $49 per month .*

What is Brilinta used for?

Brilinta is a medication taken to reduce the risk of heart attacks, strokes, and death caused by blood clots. It’s prescribed to adults who: Have previously had a heart attack. Have coronary artery disease (CAD) and who are at a high risk of having a heart attack or a stroke.

What is the active ingredient in Brilinta?

Brilinta active ingredients. The active ingredient in Brilinta is called ticagrelor. This reduces the risk of your blood clotting and causing a heart attack or a stroke. It works on the platelets in your blood, which are the substances that cause your blood to thicken and clot.

Does NiceRx cover Brilinta?

NiceRx may be able to help if you have insurance and your insurance company won’t pay for your Brilinta medication, or you have a high copay or coinsurance responsibility. It is likely that we may also be able to assist if you don’t have insurance or your Medicare plan doesn’t cover Brilinta.

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