Source: Fingertip Formulary, health plan or state listed above, and/or data on file, Boehringer Ingelheim Pharmaceuticals, Inc.
accurate as of 11/08/2017.
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.
PRADAXA Savings Card Terms and Conditions
A) 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.
B) 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. This offer is limited to one use per patient per lifetime.
By accepting this offer, patient confirms that this offer is consistent with his or her insurance, and that he/she will report the value received as may be required by insurance provider. Patient agrees to notify Boehringer Ingelheim of any relevant changes that would affect his or her eligibility, e.g. becoming government insured after having participated in the offer as commercially insured.
You must present this card to the pharmacist with your Pradaxa prescription to participate. Program not health insurance. No claim for reimbursement for the one free 30-day supply of product dispensed pursuant to this Savings Card may be submitted to any third party payer, whether private or government payer (like Medicare Part D, Medicaid, Vet. Aff., Dept. of Def., or Tricare), or submitted to count toward a patient’s True Out of Pocket (TrOOP) cost. Not valid for patients receiving Medicare Part A covered care in a facility (including, but not limited to, a hospital, skilled nursing facility, nursing home, and hospice).
Only one card per person, offer not transferrable and cannot be combined with any other offer. Offers may change at any time, without notice.
Valid in the 50 United States, territories, DC, and Puerto Rico. This offer is void where restricted or prohibited by law.
Benefits do not exceed program expiration on December 31, 2019. If you live in Massachusetts, card expires on the earlier of December 31, 2019, or date AB-rated generic equivalent is available. Other state restrictions may apply.
Card not accepted in Veterans' Affairs pharmacies.