Program Locator Tool – External Link
Full Manufacturer List – External Link
AstraZeneca | |||
| Bevespi, Breztri, Brilinta, Bydureon, Nexium, Crestor, Pulmicort, Daliresp, Farxiga, Symbicort, Xigduo | AZ&Me | P: 800-292-6363 F: 800-961-8323 | Income - < 300% of FPL Guidelines |
Amgen Assist | |||
| Evenity, Prolia | Amgen Amgen Assist | P: 888-427-7478 | Income - < 400% of FPL Guidelines |
Boehringer Ingelheim | |||
| Atrovent, Combivent, Glyxambi, Jardiance, Spiriva, Stiolto, Tradjenta | BI Cares | P: 800-556-8317 F: 866-851-2827 | Income - < 200% of FPL Guidelines |
Bristol Myers Squibb | |||
| Eliquis | BMS | P: 800-736-0003 F: 800-736-1611 | Income - < 400% of FPL Guidelines |
GlaxoSmithKline | |||
| Advair, Anoro, Arnuity, Breo, Flovent, Trelegy, Lamictal | GSK For You | P: 866-728-4368 F: 855-474-3063 | Monthly Income - $2,831.25 |
Novo Nordisk | |||
| Fiasp, Tresiba, Levemir, Novolog, Novolin, Ozempic, Victoza, Xultophy, Rybelsus | NovoCare | P: 866-310-7549 F: 866-441-4190 | Income - < 400% of FPL Guidelines |
Lilly Cares Foundation | |||
| Cialis, Cymbalta, Strattera, Humalog, Humalin, Trulicity | Lilly Cares | P: 800-545-6962 F: 844-431-6650 | Income - < 400% of FPL Guidelines |
Merck Helps | |||
| Janumet, Januvia, & Various Vaccines | MerckHelp | P: 800-727-5400 ALL APPLICATIONS ARE MAILED | Income - < $58,320 for individuals |
Sanofi Patient Connection | |||
| Admelog, Apidra, Insulin Glargine, Lantus, Lovenox, Soliqua, Toujeo | Sanofi Patient Connection | P: 888-847-4877 F: 888-847-1797 | Income - < 400% of FPL Guidelines |
Co-pay Savings Cards
Basaglar, Breztri, Epi-Pen, Eliquis, Farxiga, Januvia, Jardiance, Mounjaro, Ozempic, Rybelsus, Trelegy, Tresiba, Trulicity, Wegovy
Discount Drug Programs
- Generics Only – List constantly updating
- does not require insurance
- Pricing is (Wholesale Cost + 15% + $5 Shipping)
- *NOTE* Prescriptions MUST have patients email address in the “not to the pharmacist” field.
- Also, Patient should have an account created prior to RX being sent to prevent delay.
- Offers some discount at participating retail pharmacies.
- Replaces Insurance/Cannot be combined with insurance coverage
- Offers some discount at participating retail pharmacies.
- Replaces Insurance/Cannot be combined with insurance coverage
Walmart Discount Drugs – Medication List
- Basic/Generic Medications
- Replaces Insurance/Cannot be combined with insurance coverage
- Options for Diabetes, Cholesterol, Blood Pressure, Plavix, Mental Health Medications, Digestion, Pain Management, Thyroid, Folic Acid, Family Planning, Albuterol
Walgreens Prescription Savings Club
- Annual Membership Required – $20/year
- Replaces Insurance/Cannot be combined with insurance coverage
- Assists in applying for Patient Assistance Programs
- Free Application/Fees Apply (ONLY IF PATIENT ACCEPTS QUOTE) – $45 monthly payments for 9 months
- If Ineligible for Patient Assistance, SimpleFill applies for grants/alternative funding up to $2000/yr
- Membership cost $140/yr or $50/quartely
- Offers shipping credits, once exhausted member responsible for shipping costs
- Insulin discount program designed for uninsured or underinsured
- Medicare Part D Recipients not previously enrolled are not eligible per guidelines.
- Provides any combination of up to 3 vials or 2 packs of insulin pens for $99.
- Complete application at link above and download/save/print card to be used at *MOST* retail pharmacies
- Maintenance Medications – 30 day scripts approx $7 / 90 day scripts approx $15
- Maintenance Medications – 30 day scripts approx $6 / 90 day scripts approx $13
