Gilotrif Prescription Discount Coupon

Life happens. When it does, you may need help with your medicine or co-pay costs. Many drug manufactor provide drug coupon to help with medication.

Gilotrif Coupon Details

Gilotrif Co-pay Assistance Program: Eligible commercially insured patients may pay $0 per prescription with savings of up to $5500 per month; maximum annual program benefit is $25,000; for additional information contact the program at 877-546-5349.

Benefits :

  • Prescription
  • Offer Type: Copay Card Program
  • Activate By: Patient
  • Coverage Requirments:
  • Pharmacy Support Number 877-546-5349

Contact Details :

Free Discount Drug Coupon

All patients are eligible to receive a discount by using this free Gilotrif coupon. Save up to 80% on your prescription costs when using our drug coupons at your local pharmacy.

Assistance Fund - Financial Assistance
Assistance Fund - Financial Assistance

Free Prescription Discount Card

  • No registration required.
  • Everyone is eligible.
  • Get discount up to 80%.
  • Card can be used for person with Insurance or without insurance for discount.
  • Never expires.
  • Ready for immediate.
  • No activation required.
  • Prescription Coupon

Gilotrif Cost

How much does Gilotrif cost near you?

It may varies based on the pharmacy you fill you prescription from.

Gilotrif Copay Assistance

Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines and copay programs to low income or uninsured and under-insured people who meet specific guidelines. Eligibility requirements vary for each program.

Elligibility requirements:

  • 1. Must be uninsured.
  • 2. At or below 400% of FPL.
  • 3. Must reside and receive treatment in US.
  • 4. Gilotrif Copay assistance, and patient assistance programs are available for eligible patients.


BI Cares Patient Assistance Program - Gilotrif

This program provides medication at no cost.

Provider: Boehringer Ingelheim Cares Foundation, Inc.

Medication :

  • Gilotrif tablet (afatinib)

Additional Info for Coupon

Coupon Eligibility

Insurance: Must be uninsured or underinsured

Income: Based on FPL

US Residency: Must be a US resident

Part D: Yes, but contact program for details

Diagnosis: Not specified

Patient Access Network Foundation (PAN)

This is a copay assistance program

Provider: Patient Access Network Foundation

Medication :

  • Gilotrif tablet (afatinib)

Additional Info for Coupon

*Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance.

Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly.

Note: All new enrollment is now done electronically or over the phone. Contact program for details.

Coupon Eligibility

Insurance: *See Additional Information section below

Income: Between 400-500% of FPL

US Residency: Must reside and receive treatment in US

Part D: Determined case by case

Diagnosis: FDA Approved Diagnosis - See Program Website for Details