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.
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.
Programs
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