Indications

This site is intended for U.S. residents 18 years of age or older.

Indications

This site is intended for U.S. residents 18 years of age or older.

ELIQUIS $10 Co-pay Card*

The Co-pay Card can help eligible commercially insured patients
SAVE ON OUT-OF-POCKET COSTS FOR ELIQUIS.

$10 CO-PAY CARD*

Click above to find out if you are eligible for a Co-pay Card, which lets commercially insured patients pay as little as $10 per month for up to 24 months from activation, with an annual maximum benefit of $6,400, or activate a Co-pay Card you’ve received from your doctor.

*For commercially insured patients.
Eligibility and terms and conditions apply.

Patient is responsible for applicable taxes, if any.

You can also ask Elise, our virtual assistant, for help or you can call 1-855-ELIQUIS (354-7847).

Reactivate a
Co-Pay Card

Click below to reactivate a Co-pay Card you’ve already activated in the past. You can also ask Elise, our
virtual assistant, for help or you can call
1-855-ELIQUIS (354-7847).

Activate a
Free Trial Offer Card

To receive an ELIQUIS Free Trial Offer Card, please request one from your healthcare professional. Then, click below to activate it. You can also ask Elise, our virtual assistant, for help or you can call 1-855-ELIQUIS (354-7847).

See eligibility requirements and terms of use.

  • 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 commercially insured patients. Eligibility and terms and conditions apply. Other restrictions may apply. Patient is responsible for applicable taxes, if any
  • The Co-pay Card will be accepted only at participating pharmacies. For those customers using mail-order or any non-participating retail pharmacy, please call 866-279-4730 to request a patient rebate form, or go to www.patientrebateonline.com to download a form
  • By using this card, you and your pharmacist understand and agree to comply with the eligibility and terms and conditions
  • Present your activated Free Trial Offer Card to your pharmacist along with your ELIQUIS prescription
  • Eligible patients who present a Free 30-Day Trial card together with a valid 30-day prescription for ELIQUIS at participating pharmacies can receive a free 30-day supply (up to 74 tablets) of ELIQUIS. Patient is responsible for applicable taxes, if any. This offer may not be redeemed on prescriptions written for longer than 30 days
  • By using this card, you and your pharmacist understand and agree to comply with the eligibility and terms and conditions

To the pharmacist: For processing assistance, please call McKesson Pharmacy Support at 1-866-279-4730.

Please see Full Prescribing Information, including Boxed WARNINGS and Medication Guide.

Learn more about ELIQUIS 360 Support

Understanding prescription drug insurance coverage can be complicated and time consuming. Live specialists are here to:

  • Help you find out if ELIQUIS is covered by your insurance plan
  • Determine if you are eligible for assistance paying for ELIQUIS
  • Check if you qualify for the ELIQUIS Co-pay Card
  • Assist with prior authorization and formulary exception requests

VISIT ELIQUIS 360 SUPPORT
To learn more