Starting PRADAXA

Savings Card eligibility form

Save money on your prescription

PRADAXA savings card

PRADAXA Savings Card for eligible patients

Whether you’ve just received a prescription for PRADAXA, or already have a prescription, you can get valuable savings with the PRADAXA Savings Card. To start, simply confirm your eligibility and activate your card. It’s quick, easy and the savings add up!

You could pay no more than $10 a month for a full year!
*Eligibility, restrictions and terms and conditions apply.

Get the PRADAXA Savings Card

Benefits of the PRADAXA Savings Card

If you are a patient at least 18 years of age, you may be eligible for one of the following:

If commercially insured (private, corporate, or employer insurance), you could pay no more than $10 with maximum savings of $150 per monthly prescription over a 12 consecutive month period, subject to a total limit of $1800 in potential savings or 12 uses, whichever comes first. Consult your insurer for any limitations under your policy.

or
or

If covered by a government-funded program (e.g., Medicare Part D, Medicaid, TriCare, DoD), or you are a cash-paying patient, you could receive one free 30-day supply of PRADAXA. This offer is limited to one use per patient per lifetime. This card is not valid in Vet. Affairs pharmacies.

TERMS AND CONDITIONS

Dual offer

  1. 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.
  2. 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.

Card must be activated before first use, and presented to pharmacist with Pradaxa prescription to participate. These offers do not constitute 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.

Only one card per person, offer not transferrable and cannot be combined with any other offer. Offers may change at any time, without notice.

Benefits do not exceed program expiration on December 31, 2019. If you live in Massachusetts, card expires on June 30, 2019, or date AB-rated generic equivalent is available.

Card not accepted in Veterans’ Affairs pharmacies.

Please answer the questions below to see if you are eligible for a PRADAXA Savings Card:

1. Are you currently a resident of the United States or Puerto Rico and 18 years of age or older?

Yes
No

2. Are your prescriptions paid for in part or in full by state or federally funded program(s), like Medicare Part D, Medicaid, Department of Defense (DOD), Tricare, or are you a cash-paying patient?

Yes
No

3. Do you have commercial insurance?
(private, corporate, or employer insurance)

Yes
No
PRADAXA savings card

4. Which condition are you dealing with?

Atrial fibrillation (AFib) not caused by a heart valve problem
Deep vein thrombosis (DVT)
Pulmonary embolism (PE)
Check all
TERMS AND CONDITIONS

Dual offer

  1. 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.
  2. 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.

Card must be activated before first use, and presented to pharmacist with Pradaxa prescription to participate. These offers do not constitute 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.

Only one card per person, offer not transferrable and cannot be combined with any other offer. Offers may change at any time, without notice.

Benefits do not exceed program expiration on December 31, 2019. If you live in Massachusetts, card expires on June 30, 2019, or date AB-rated generic equivalent is available.

Card not accepted in Veterans’ Affairs pharmacies.

Revised 12/2018: PC-US-103501-R2

Great! You are eligible for the PRADAXA Savings Card program.
Fill in the information below to get your activated PRADAXA Savings Card.

*Indicates required fields.

Please enter a first name
Please enter a last name
Please enter a valid address
Please enter a valid address line 2
Please enter a valid city
Please enter a valid state
Please enter a valid zip code
Please enter a valid phone number
Please enter a valid date of birth
Why?
question mark icon
You must be 18 years or older to enroll.
Please enter a valid email address
Please enter a valid matching email address
If you don't have an email address, call 1-877-481-5332 1-877-481-5332 to activate your card

*Patient Gender

Male
Female
Prefers not to say

Privacy notice: Boehringer Ingelheim Pharmaceuticals, Inc. respects your privacy. By downloading or activating a savings card, or re‑enrolling in the savings program, you allow Boehringer Ingelheim Pharmaceuticals, Inc. and companies working with us, to use your registration information to: (1) administer your benefits; (2) contact you about the savings program; and (3) evaluate the savings program in relation to your card usage received from the pharmacy.

By checking here, I allow Boehringer Ingelheim Pharmaceuticals, Inc. and companies working on its behalf to use this information to contact me about health- and product-related information and services associated with PRADAXA and other products.

If you don't have an email address, call 1-877-481-5332 1-877-481-5332 to activate your card

Thank you for activating your Savings Card.

PRADAXA savings card

You can use your card to start saving on your PRADAXA (dabigatran etexilate mesylate) capsules prescription.

Here’s how:

STEP 1 Cut out your PRADAXA Savings Card and keep it in your wallet

STEP 2 Show this card to your pharmacists when you fill your prescription

Your Savings Card has also been emailed to email address.

I would like to be enrolled in the comprehensive, easy-to-use PRADAXALink™ support program.

TERMS AND CONDITIONS

Dual offer

  1. 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.
  2. 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.

Card must be activated before first use, and presented to pharmacist with Pradaxa prescription to participate. These offers do not constitute 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.

Only one card per person, offer not transferrable and cannot be combined with any other offer. Offers may change at any time, without notice.

Benefits do not exceed program expiration on December 31, 2019. If you live in Massachusetts, card expires on June 30, 2019, or date AB-rated generic equivalent is available.

Card not accepted in Veterans’ Affairs pharmacies.

Sorry!

Unfortunately, you are not eligible for the PRADAXA Savings Card.
For more information and assistance, please call: 1‑877‑481‑53321-877-481-5332

Go to the PRADAXA home page

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IMPORTANT SAFETY INFORMATION AND USE OF PRADAXA

For people taking PRADAXA for atrial fibrillation: Do not stop taking PRADAXA without talking to the doctor who prescribes it for you. Stopping PRADAXA increases your risk of having a stroke. PRADAXA may need to be stopped prior to surgery or a medical or dental procedure. Your doctor will tell you when you should stop taking PRADAXA and when you may start taking it again. If you have to stop taking PRADAXA, your doctor may prescribe another medicine to help prevent a blood clot from forming.

PRADAXA can cause bleeding which can be serious and sometimes lead to death. Don’t take PRADAXA if you:

  • currently have abnormal bleeding;
  • have ever had an allergic reaction to it;
  • have had or plan to have a valve in your heart replaced

Your risk of bleeding with PRADAXA may be higher if you:

  • are 75 years old or older
  • have kidney problems
  • have stomach or intestine bleeding that is recent or keeps coming back or you have a stomach ulcer
  • take other medicines that increase your risk of bleeding, like aspirin products, non-steroidal anti-inflammatory drugs (NSAIDs) and blood thinners
  • have kidney problems and take dronedarone (Multaq®) or ketoconazole tablets (Nizoral®)

Call your doctor or seek immediate medical care if you have any of the following signs or symptoms of bleeding:

  • any unexpected, severe, or uncontrollable bleeding; or bleeding that lasts a long time
  • unusual or unexpected bruising
  • coughing up or vomiting blood; or vomit that looks like coffee grounds
  • pink or brown urine; red or black stools (looks like tar)
  • unexpected pain, swelling, or joint pain
  • headaches and feeling dizzy or weak

Spinal or epidural blood clots (hematoma). People who take PRADAXA and have medicine injected into their spinal and epidural area, or have a spinal puncture have a risk of forming a blood clot that can cause long-term or permanent loss of the ability to move (paralysis). Your risk of developing a spinal or epidural blood clot is higher if:

  • a thin tube called an epidural catheter is placed in your back to give you certain medicine
  • you take NSAIDs or a medicine to prevent blood from clotting
  • you have a history of difficult or repeated epidural or spinal punctures
  • you have a history of problems with your spine or have had surgery on your spine.

If you take PRADAXA and receive spinal anesthesia or have a spinal puncture, your doctor should watch you closely for symptoms of spinal or epidural blood clots. Tell your doctor right away if you have back pain, tingling, numbness, muscle weakness (especially in your legs and feet), loss of control of the bowels or bladder (incontinence).

Tell your doctor if you are pregnant or plan to become pregnant. It is not known if PRADAXA will harm your unborn baby. Tell your doctor right away if you become pregnant during treatment with PRADAXA.

Tell your doctor if you are breastfeeding or plan to breastfeed. It is not known if PRADAXA passes into your breast milk. You and your doctor should decide if you will take PRADAXA or breastfeed.

Take PRADAXA exactly as prescribed. It is important to tell your doctors about all medicines (prescription and over‑the‑counter), vitamins, and supplements you take. Some medicines may affect the way PRADAXA works.

PRADAXA can cause indigestion, stomach upset or burning, and stomach pain.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-10881-800-FDA-1088.

What is PRADAXA?

PRADAXA is a prescription blood thinner medicine that lowers the chance of blood clots forming in your body.
PRADAXA is used to:

  • reduce the risk of stroke and blood clots in people who have a medical condition called atrial fibrillation not caused by a heart valve problem. With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming and increase your risk of a stroke.
  • treat blood clots in the veins of your legs (deep vein thrombosis) or lungs (pulmonary embolism) and reduce the risk of them occurring again.

PRADAXA is not for use in people with artificial (prosthetic) heart valves.

CL-PX-100006 March 2018

Please see full Prescribing Information and Medication Guide.

The health information contained in this Website is provided for educational purposes only and is not intended to replace discussions with a healthcare professional. All decisions regarding
patient care must be made with a healthcare professional, considering the unique characteristics of the patient.

Boehringer Ingelheim Pharmaceuticals, Inc. either owns or uses the trademarks Pradaxa®, PRADAXA with associated design ®, SolutionsPlus® and related images under license. Other referenced trademarks are owned by third parties.

This site is intended for U.S. residents only. Products discussed herein may have different names and labeling in different countries.

Use of this site is subject to the Internet Site Legal Notices and Disclaimers and Privacy Notice

Copyright © 2018 Boehringer Ingelheim Pharmaceuticals, Inc. All Rights Reserved. [04/18]

PC-US-103501

SEE MORE

Important safety information and use of PRADAXA

For people taking PRADAXA for atrial fibrillation: Do not stop taking PRADAXA without talking to the doctor who prescribes it for you. Stopping PRADAXA increases your risk of having a stroke. PRADAXA may need to be stopped prior to surgery or a medical or dental procedure. Your doctor will tell you when you should stop taking PRADAXA and when you may start taking it again. If you have to stop taking PRADAXA, your doctor may prescribe another medicine to help prevent a blood clot from forming.

PRADAXA can cause bleeding which can be serious and sometimes lead to death. Don’t take PRADAXA if you:

  • currently have abnormal bleeding;
  • have ever had an allergic reaction to it;
  • have had or plan to have a valve in your heart replaced

Your risk of bleeding with PRADAXA may be higher if you:

  • are 75 years old or older
  • have kidney problems
  • have stomach or intestine bleeding that is recent or keeps coming back or you have a stomach ulcer
  • take other medicines that increase your risk of bleeding, like aspirin products, non-steroidal anti-inflammatory drugs (NSAIDs) and blood thinners
  • have kidney problems and take dronedarone (Multaq®) or ketoconazole tablets (Nizoral®)

Call your doctor or seek immediate medical care if you have any of the following signs or symptoms of bleeding:

  • any unexpected, severe, or uncontrollable bleeding; or bleeding that lasts a long time
  • unusual or unexpected bruising
  • coughing up or vomiting blood; or vomit that looks like coffee grounds
  • pink or brown urine; red or black stools (looks like tar)
  • unexpected pain, swelling, or joint pain
  • headaches and feeling dizzy or weak

Spinal or epidural blood clots (hematoma). People who take PRADAXA and have medicine injected into their spinal and epidural area, or have a spinal puncture have a risk of forming a blood clot that can cause long-term or permanent loss of the ability to move (paralysis). Your risk of developing a spinal or epidural blood clot is higher if:

  • a thin tube called an epidural catheter is placed in your back to give you certain medicine
  • you take NSAIDs or a medicine to prevent blood from clotting
  • you have a history of difficult or repeated epidural or spinal punctures
  • you have a history of problems with your spine or have had surgery on your spine.

If you take PRADAXA and receive spinal anesthesia or have a spinal puncture, your doctor should watch you closely for symptoms of spinal or epidural blood clots. Tell your doctor right away if you have back pain, tingling, numbness, muscle weakness (especially in your legs and feet), loss of control of the bowels or bladder (incontinence).

Take PRADAXA exactly as prescribed. It is important to tell your doctors about all medicines, vitamins, and supplements you take. Some medicines may affect the way PRADAXA works.

PRADAXA can cause indigestion, stomach upset or burning, and stomach pain.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-10881-800-FDA-1088

What is PRADAXA?

PRADAXA is a prescription blood thinner medicine that lowers the chance of blood clots forming in your body. PRADAXA is used to:

  • reduce the risk of stroke and blood clots in people who have a medical condition called atrial fibrillation not caused by a heart valve problem. With atrial fibrillation, part of the heart does not beat the way it should. This can lead to blood clots forming and increase your risk of a stroke.
  • treat blood clots in the veins of your legs (deep vein thrombosis) or lungs (pulmonary embolism) and reduce the risk of them occurring again.

PRADAXA is not for use in people with artificial (prosthetic) heart valves.

Please see full Prescribing Information and Medication Guide.

The health information contained in this Website is provided for educational purposes only and is not intended to replace discussions with a healthcare professional. All decisions regarding
patient care must be made with a healthcare professional, considering the unique characteristics of the patient.

Boehringer Ingelheim Pharmaceuticals, Inc. either owns or uses the trademarks Pradaxa®, PRADAXA with associated design ®, SolutionsPlus® and related images under license. Other referenced trademarks are owned by third parties.

This site is intended for U.S. residents only. Products discussed herein may have different names and labeling in different countries.

Use of this site is subject to the Internet Site Legal Notices and Disclaimers and Privacy Notice

Copyright © 2015 Boehringer Ingelheim Pharmaceuticals, Inc. All Rights Reserved. [12/15]

PC-PXD-0219-CONS