BRILINTA FOR FIVE

BRILINTA is more affordable than you may think1

>90% of commercially insured patients can get BRILINTA for $5 per month, every month, for as long as you prescribe, with the BRILINTA Savings Card*†ǂ

BRILINTA® (ticagrelor) Savings Card
BRILINTA® (ticagrelor) Savings Card
With the BRILINTA Savings Card, patients can:
  • Pay as low as $5* for a 30-day supply
  • Save each time they refill
  • Maintain the benefit for as long as they're prescribed 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.

 

*Eligible patients will pay as low as $5 for a 30-day supply subject to a maximum savings of $200 per 30-day supply. Patients who remain eligible are automatically re-enrolled each year. See eligibility rules and restrictions.

 

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.

Help patients save today

Download Savings Card

Download a Savings Card for Your Patient

Every download will have a different number so please don't make duplicates of the same card.

Email Savings Card to Your Patient

Email a Savings Card to your patient

Email Savings Card to Your Patient

If your patients fill their prescriptions through mail order, they can fill out this form or call 1-888-512-7454.

Patients can Text to Receive a Card

Patients can text to receive a card

A coupon code will be sent to their phone; message and data rates may apply.

Tell patients to text SAVE to 997989.

Please note: If you are a health care professional affiliated with an employer, institution, or committee, or practicing in a state that restricts what items you may receive from manufacturers, we ask that you not accept or download any restricted items from this site. If you are a health care provider practicing in Vermont, we are required by state law to deny you permission to download any items made available on this site.

Reference
  1. Fingertip Formulary®. July 7, 2021.