Boehringer Cares Patient Assistance Program

Funded

About

The Boehringer Cares Patient Assistance Program offers significant benefits by providing eligible patients with access to drug products like Cyltezo, Jardiance, Aptivus, Gilotrif, Ofev, and Spevigo at no cost. The program is designed to support patients who are residents of the United States or US Territories and meet specific income and healthcare coverage criteria. The Boehringer Cares Patient Assistance Program is committed to assisting those in need, particularly Medicare-eligible patients facing financial difficulties with drug costs.

Insurance requirements: Commercially insured, Medicare / Medicaid, Underinsured, Uninsured

Enrollment Forms

Enrollment Form

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: Yes

•Activation Required: No

Program Details

•Eligible patients may be able to receive medication free of charge

•HCP should fax completed form and an applicable documentation to: 8668512827, or mail to: Boehringer Cares Patient Assistance Program, PO Box 99055, Jeffersontown, KY 40296

•Some Medicare eligible patients who have difficulty meeting their Part D drug costs and who do not quality for other assistance may be eligible for the program as long there is no other prescription drug coverage and they meet the rest of the eligibility criteria

•For assistance or additional information, call 8005568317, Monday – Friday, 8:30 AM – 6:00 PM ET

Enrollment Forms

Enrollment Form