BRILINTA is more affordable than you may think
For your Medicare Part D patients*†
Majority of Medicare patients
will have a copay of less than $45 per month for BRILINTA*†
- Individual costs and benefit design may vary. Please consult with individual plans for specific information. AstraZeneca does not endorse any individual, commercial, Medicare Part D, or Medicaid plan or plans
*Subject to eligibility rules; restrictions apply.
†"Patients" means covered lives (EGWP, Medicare MA, Medicare PDP, Medicare SN, Medi-Medi, PACE) at tiers 1-7 Nationwide as calculated by Fingertip Formulary® 7/7/21.
Free Trial Offer for all eligible Commercial, Medicaid, Medicare, or Cash-Paying Patients:
This offer is good for all eligible patients who are 18 years of age or older, are residents of the United States or Puerto Rico, and have a valid BRILINTA prescription written within the last 30 days. These eligible patients can receive a free 30-day supply of BRILINTA. Patient is responsible for applicable taxes, if any. Offer is limited to one per patient and is not transferable. The Free Trial Offer cannot be combined with any other rebate, coupon, free trial, or similar offer. No substitutions permitted. Patients, pharmacists, and prescribers cannot seek reimbursement for the Free Trial Offer from health insurance or any third party, including state- or federally-funded programs. Patients may not count the Free Trial Offer as an expense incurred for purposes of determining out-of-pocket costs for any plan, including true out-of- pocket costs (TrOOP), or for purposes of calculating the out-of-pocket threshold for Medicare Part D plans. AstraZeneca reserves the right to rescind, revoke, or amend this offer at any time without notice. This Free Trial Offer voucher may not be sold, purchased, traded, or counterfeited. Reproductions of this voucher are void. This offer is not conditioned on any past, present, or future purchases, including refills. The Free Trial Offer is not insurance. If you have any questions regarding this offer, please call 1-XXX-XXX-XXXX.