www.eliquis.com Activate Card : Co-pay Card for ELIQUIS Activate

16/09/2024 Freddy activate 3
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www.eliquis.com Activate Card : Co-pay Card for ELIQUIS Activate

To Activate the ELIQUIS Card please login to the website www.eliquis.com and enter the card details for Activation. Please log in using your 7-digit NCPDP code and click SUBMIT.

There are two types of Eliquis cards that you may need to activate: the Co-pay Card and the Free Trial Offer Card . Here’s how to activate each one.

1. Activating the ELIQUIS Co-pay Card:

  • Online:

    1. Go to the Eliquis website: https://www.eliquis.com
    2. Read through the important safety information about Eliquis.
    3. Click on the “Activate Co-pay Card” button.
    4. You may be prompted to provide some personal information and answer a few questions about your eligibility.
    5. Follow the on-screen instructions to complete the activation process.

  • By Phone:

    1. Call the Eliquis support line at 1-855-ELIQUIS (354-7847)
    2. Follow the prompts to activate your co-pay card.

2. Activating the ELIQUIS Free Trial Offer Card:

  • Online:

    1. Go to the Eliquis website: https://www.eliquis.bmscustomerconnect.com/activatefto
    2. Read through the important safety information about Eliquis
    3. Click on the “Activate Free Trial Offer Card” button
    4. You may be prompted to provide some personal information and answer a few questions about your eligibility
    5. Follow the on-screen instructions to complete the activation process.

  • By Phone:

    1. Call the Eliquis support line at 1-855-ELIQUIS (354-7847).
    2. Follow the prompts to activate your free trial offer card.

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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

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.

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:

1) You have not previously filled a prescription for ELIQUIS.

2) You have a valid 30-day prescription for ELIQUIS

3) You are being treated with ELIQUIS for an FDA-approved indication that an HCP has planned for more than 35 days of treatment;

4) You are 18 years of age, or older; and

5) You are a resident of the United States or Puerto Rico

TERMS OF USE:

1) Qualified patients can obtain a free 30-day supply (up to 74 pills) of ELIQUIS at a participating pharmacy in exchange for a valid 30-day prescription and a Free 30-Day Trial card. Any and all applicable taxes must be paid by the patient. For the fulfilment of prescriptions having a shelf life of more than 30 days, this discount is not applicable.

2) 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.

3) 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.

4) 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.

5) 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.

6) Activation and use of the Free 30-Day Trial card must take place by December 31, 2022. This card expires on December 31, 2022.

7) Only valid in the United States and Puerto Rico; this offer is void where restricted or prohibited by law.

8) Bristol-Myers Squibb and Pfizer reserve the right to rescind, revoke, or amend this offer at any time without notice.

9) This Free 30-Day Trial card may not be sold, purchased, traded, or counterfeited. Reproductions of this card are void.

10) This offer is not conditioned on any past, present, or future purchase, including refills

11) The ELIQUIS Free 30-Day Trial offer is not health insurance.