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Formulary Coverage & Savings | Pradaxa® (dabigatran etexilate) Skip to main content

Coverage & Savings Card


Find PRADAXA Formulary Coverage

To view specific coverage information for your patients, select a state and plan type.

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Medicare
Non‑Medicare


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Savings for eligible patients

PRADAXA Dual-Offer Savings Card

Eligible patients could:

  • Pay $0 monthly co-pay
  • OR
  • Receive 1 free 30-day supply§

Annual limit, restrictions and terms & conditions apply

  • *Source: Fingertip Formulary, health plan or state listed above, and/or data on file, Boehringer Ingelheim Pharmaceuticals, Inc. accurate as of 6/1/2016. Placement on formulary does not establish clinical comparability of products, including safety and efficacy, and is not a guarantee of full or partial coverage and/or payment. Contact health plan, state, or medicare.gov for most current information, as it may change without notice. This is not intended to be an exhaustive list of all plans in your area. Boehringer Ingelheim Pharmaceuticals, Inc. does not sponsor or endorse any particular plan, and the company/plan names listed do not imply their endorsement of Boehringer Ingelheim Pharmaceuticals, Inc. or the product(s) referenced.
  • Percentage excludes plans where information on PRADAXA coverage is not provided.
  • Eligible commercially insured patients 18 years or older may pay as little as $0/month, subject to a $2400 maximum annual program benefit or 12 uses, whichever comes first. Benefit available and card valid for 12 consecutive mos. from activation date. Eligible patients may re-enroll for additional 12 consecutive-month periods by reactivating expired card; benefits not to exceed program expiration on December 31, 2017. If you live in Massachusetts, card expires on the earlier of June 30, 2017, or date AB-rated generic equivalent is available. One card per patient, not transferrable, and cannot be combined with any other offer. Card not accepted in Veterans' Affairs pharmacies.
  • §Eligible government insured/cash-paying patients 18 years or older whose prescriptions are paid for in part/full by state or federally funded program(s), like Medicare Part D, Medicaid, Veterans' Affairs, Dept. of Def., or Tricare may receive 1 free 30-day supply within a 12 month period. You must present this card to the pharmacist with your Pradaxa prescription to participate. Offers not health insurance and only valid for patients in the 50 United States, Washington DC, and Puerto Rico. Offers may change at any time, without notice.
  • References:
  • 1. Data on File. Boehringer Ingelheim Pharmaceuticals, Inc.