ELIQUIS 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. Select a medicine to learn more. All Program payments are for the benefit of the patient only. ELIQUIS is available in 2.5mg and 5mgtablets. Please have your NPI available as you will need it to register the account. This offer is non-transferable, no substitutions are permissible, and offer cannot be combined with any other rebate/coupon, free trial, or similar, Bristol-Myers Squibb and Pfizer reserve the right to rescind, revoke, or amend. The next dose of ELIQUIS should not be administered earlier than 5 hours after the removal of the catheter. Take ELIQUIS exactly as prescribed by your doctor. Enter the name of your prescribed medicines and follow the onscreen instructions. Need to re-enroll to a program? Fax completed enrollment forms to 1-877-736-6506, or complete and submit an online enrollment form through our provider portal. Manufacturer - Pfizer. Tap to call 1-844-384-4957. TEL: 800-736-0003 FAX: 800-736-1611: Languages Spoken: English, Spanish, Others By Translation Service Reduction in Risk of Recurrent DVT/PE Following Initial Therapy: concomitant use of other drugs that affect hemostasis, such as nonsteroidal anti-inflammatory drugs (NSAIDs), platelet inhibitors, otheranticoagulants, a history of traumatic or repeated epidural or spinalpunctures, a history of spinal deformity or spinalsurgery, optimal timing between the administration of ELIQUIS and neuraxial procedures isnotknown, Severe hypersensitivity reaction to ELIQUIS (e.g., anaphylacticreactions). If patients need help paying for medicines that are either not available through Pfizers assistance programs or not made by Pfizer, the following programs may be able to help. Sorry, you need to enable JavaScript to visit this website. Take ELIQUIS twice every day with or without food, and do not change your dose or stop taking it unless your doctor tells you to. ELIQUIS can cause bleeding, which can be serious, and rarely may lead to death. Patients must also provide proof of income, such as a W2 form, a paycheck stub, or prior years tax return. With NiceRx you'll always pay a flat monthly fee of $49. Physicians should consider the potential benefit versus the risk of neuraxial intervention in ELIQUISpatients. Spinal or epidural blood clots (hematoma). Refill your prescription before you run out. Pfizer PAP Connect is designed to simplify how patients can access certain Pfizer medicines through the Pfizer Patient Assistance Program (PAP). Our logo is shorthand for everything Pfizer represents: an image that is instantly identifiable to our colleagues, patients, the external scientific community, and the public. Pfizer RxPathways is part of Pfizers corporate social investment strategy that focuses on leveraging the full range of the companys resources people, skills, expertise and funding to broaden access to medicines and strengthen health care delivery for underserved people around the world. Need to re-enroll to a program? TEMPORARY INTERRUPTION FOR SURGERY AND OTHERINTERVENTIONS, FEMALES AND MALES OF REPRODUCTIVE POTENTIAL. PP-UNP-USA-0905. Applies to: Eliquis Number of uses: Contact the program Form more information phone: 855-354-7847 or Visit website Patient Assistance & Copay Programs for Eliquis Reproductions of this card are void. This offer is limited to one use per patient per lifetime and is non-transferable. This downloadable brochure provides a summary of key government, state, and pharmaceutical assistance resources that can help patients access their medicine. If you get this reaction, it will usually happen soon after you take a dose of ELIQUIS. The Pfizer Patient Assistance Program is a joint program of Pfizer Inc. and the Pfizer Patient Assistance Foundation. The risk may also be increased by traumatic or repeated epidural or spinal puncture. Be treated by a healthcare provider licensed in an outpatient setting in the United States, Puerto Rico, or US Virgin Islands. This downloadable tool includes two sections: a discharge kit for your patients and a checklist for your discharge planningteam. Monitor patients frequently and if neurological compromise is noted, urgent diagnosis and treatment is necessary. Present your activated Co-pay Card to your pharmacist, along with your ELIQUIS prescription, 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 $6,400. For more information, please call the toll-free number 1-866-706-2400. On the other side, there is a medication identification number. Formulary exception requests: A formulary is an insurance companys list of covered medications. The health information contained herein is provided for educational purposes only and is not intended to replace discussions with a healthcare provider. Call 1-855-796-4968www.rxoutreach.org, NeedyMeds, a nonprofit information resource dedicated to helping people locate assistance programs to help them afford their medications and other health care costs. You are about to leave the Bristol Myers Squibb and Pfizer hcp.eliquis.com site. Should your organization be approved, all coordinators in your organization will be able to register their accounts directly using their work email address. and Pfizer at 1-855-ELIQUIS if you have any questions. This offer may not be redeemed on prescriptions written for longer than 30 days. For more than 150 years, Pfizer has worked to make a difference for all who rely on us. Please see Full Prescribing Information, including Boxed WARNINGS and Medication Guide. By redeeming this offer, you certify that you have not previously filled a prescription for ELIQUIS. To determine which available program(s) may be right for them, patients will be asked to answer four questions: Based on the answers to these questions, patients will be provided with a list of programs that may be able to help them. Take ELIQUIS exactly as prescribed by your doctor. 1-800-FDA-1088. Will other medicines be added to Pfizer PAP Connect? If you get this reaction, it will usually happen soon after you take a dose of ELIQUIS. If you encounter technical difficulties in viewing our product information please contact Pfizer.ca Franais You are now leaving the Pfizer Canada website. For People at Risk of Stroke due to AFib Not Caused by a Heart Valve Problem. ELIQUIS should be discontinued at least 24 hours prior to elective surgery or invasive procedures with a low risk of bleeding or where the bleeding would be noncritical in location and easily controlled. For certain Pfizer medicines, patients and healthcare providers can complete the application process online through Pfizer PAP Connect. Program Offers Assistance to Insured and Uninsured Patients. (877) 517-6326 (MondayFriday, 8 AM8 PM ET), Adverse event or product quality complaints, BMSMedInfo.com to search online or email your inquiry (login or registration required), (800) 321-1335 (MondayFriday, 8 AM8 PM ET). 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. Pfizer has been helping patients gain access to the Pfizer medicines they need for more than 25 years. These programs include: Patients, health care providers and patient advocates can visitwww.PfizerRxPathways.comto learn more about Pfizers programs, including eligibility criteria and how to apply, and to download applications or program brochures. Sorry, you need to enable JavaScript to visit this website. ELIQUIS is a prescription medicine used to: Reduce the risk of stroke and blood clots in people who have atrial fibrillation (AFib), a type of irregular heartbeat, not caused by a heart valve problem. ELIQUIS 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 or knee replacement surgery. Look out for the following icons as you read: Do not stop taking ELIQUIS without talking to the doctor who prescribed it to you Currently Pfizer PAP Connect is available for the most commonly requested primary care medications, or to begin the application process, visit Pfizer PAP Connect at, 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, Meet income guidelines, which vary by medicine, but start at 400% of the Federal Poverty Level, adjusted for family size, Be treated by a healthcare provider licensed in the U.S. or a U.S. territory, Be at or below 400% of the Federal Poverty Level, adjusted for family size, Reside in the U.S. (migrant and homeless patients are presumed eligible). Combined P-gp and Strong CYP3A4 Inhibitors: Although clarithromycin is a combined P-gp and strong CYP3A4 inhibitor, pharmacokinetic data suggest that no dose adjustment is necessary with concomitant administration withELIQUIS. The Pfizer Patient Assistance Foundation is a separate legal entity from Pfizer Inc. with distinct legal restrictions. To locate participating clinics, health centers, and hospitals near you, type in your ZIP Code and click "Go.". to know about ELIQUIS. The Pfizer Originals payment assistance card works just like the card for your insurance plan. For your convenience, specialized Bristol Myers Squibb representatives are available by phone or email to help you with your medical, technical, or general inquiries. Reproductions of this Co-pay Card are void. The Pfizer Savings Program, Pfizer PAP Connect is a new way for patients and their healthcare providers to enroll in the Pfizer Patient Assistance Program, Patients and healthcare providers should go to. Participants could possibly be featured in videos as well as a wide range of promotional materials if selected. Do I need access to a computer and the internet to use Pfizer PAP Connect? What is ELIQUIS? 432-US-210061012/21, U.S. FULL PRESCRIBING INFORMATION, including Boxed WARNINGS, Please verify that you are a U.S. Healthcare Professional. Income limits are subject to change on an annual basis; current limits reflect 2021 Federal Poverty Level Guidelines. For more specific information on the application process, please visit www.PfizerRxPathways.com or call the toll-free phone number 1-844-989-PATH (7284) to consult with a Pfizer Medicine Access Counselor. Go to, Rx Outreach A nonprofit charitable organization that provides eligible patients with access to more than 500 medications at an affordable cost. 360 support, call 1-844-989-PATH ( 7284 ) includes two sections: a formulary an. 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