Navigating Manufacturer Savings and Assistance
For many, the most direct path to significant savings on Eliquis is through programs offered by its manufacturers, Bristol Myers Squibb and Pfizer. These options are often a lifeline for both commercially insured and uninsured patients who meet specific eligibility criteria.
The Eliquis Co-pay Card
This program is exclusively for patients with commercial insurance who do not have full coverage for Eliquis. By using the co-pay card, eligible individuals can dramatically reduce their out-of-pocket costs. Benefits often include paying as little as $10 for a 30-day supply, and potentially the same low co-pay for the first 90-day fill.
To be eligible, patients must meet the following criteria:
- Have commercial insurance that doesn't cover the full cost of Eliquis.
- Have a co-pay greater than $10.
- Not be enrolled in any state or federal healthcare programs like Medicare Part D, Medicaid, or VA/DoD benefits.
- Be a resident of the United States or a U.S. territory.
Bristol-Myers Squibb Patient Assistance Foundation
For uninsured or underinsured patients facing financial hardship, the manufacturer-sponsored Patient Assistance Foundation offers free medication. Eligibility is based on household income and insurance status. To qualify for free medication, individuals must be uninsured or meet specific income-based guidelines for Medicare Part D enrollees.
Eliquis 360 Support
The manufacturer provides a comprehensive support program called Eliquis 360 Support. It offers information on navigating insurance, accessing co-pay assistance, and understanding the medication. Patients can sign up online or call a support line to learn about potential ways to save.
Using Third-Party Discounts and Pharmacy Options
Beyond manufacturer programs, several widely available resources can help reduce the cost of Eliquis, especially for those who are uninsured or have government-funded insurance.
Pharmacy Discount Cards and Coupons
Discount cards from services like SingleCare, GoodRx, and Optum Perks can offer significant savings on Eliquis at participating pharmacies. These coupons can often lower the cash price substantially. It's important to note that these cards typically cannot be used in conjunction with your insurance, but they can be a better option than your insurance co-pay, depending on your plan.
Compare Prices Between Pharmacies
The cost of Eliquis can vary significantly depending on the pharmacy you visit. Websites and apps from discount card providers often allow you to compare prices at major chains like CVS, Walgreens, and Walmart, as well as smaller, independent pharmacies. A quick check online can reveal the best price in your area.
Mail-Order Pharmacies and 90-Day Supplies
For patients on a stable long-term dose, filling a 90-day supply through a mail-order pharmacy can often be more cost-effective than monthly refills. Many insurance plans, including Medicare Part D, offer lower co-payments for extended supplies from preferred mail-order providers. This approach also provides added convenience by shipping the medication directly to your home.
Government-Sponsored Programs
For patients with Medicare or Medicaid, specific government-funded programs can provide significant relief from the high cost of Eliquis.
Medicare Extra Help Program
For Medicare Part D enrollees with limited income and resources, the Extra Help program (also known as the Low-Income Subsidy) can dramatically reduce out-of-pocket costs. Eligible individuals could pay as little as a few dollars per month for covered prescriptions, including Eliquis.
Medicaid
Most state Medicaid programs include Eliquis on their formularies, often with minimal or no co-payment. The specific coverage and cost can vary by state, so it's essential to check with your state's Medicaid office for details.
Exploring Therapeutic Alternatives
While Eliquis may be the best option for many, speaking with your doctor about potential alternatives is a valid strategy for exploring cheaper options. Never switch or stop taking your medication without consulting a healthcare professional, as doing so can increase serious health risks.
Eliquis Alternatives and Their Costs
| Medication (Active Ingredient) | Average Monthly Retail Cost (without coupons) | Key Considerations | When to Consider |
|---|---|---|---|
| Eliquis (apixaban) | ~$814 - $829 for 60, 5mg tabs | Very expensive brand-name, no generic in the U.S. until 2028 due to patents. | When other options are unsuitable or if eligible for manufacturer savings programs. |
| Warfarin (Coumadin, Jantoven) | ~$4 - $29 | Very inexpensive, generic available. Requires frequent blood monitoring (INR), strict diet, and has many drug interactions. | When cost is the primary concern and frequent monitoring is manageable. |
| Xarelto (rivaroxaban) | ~$550 | Similar cost to Eliquis. Generic 2.5 mg version approved but widely available generic is not yet on the market. | When a once-daily regimen is preferred, if insurance favors it, or if manufacturer programs are viable. |
| Pradaxa (dabigatran) | ~$566 | Similar cost to Eliquis/Xarelto. Different mechanism of action (thrombin inhibitor). | When the mechanism of action is preferred or if insurance coverage is better. |
The Future of Generic Apixaban
While generic versions of Eliquis (apixaban) were approved by the FDA in 2019, patent lawsuits have delayed their market entry. As of now, the earliest generics are expected to be available is April 1, 2028. The arrival of generic apixaban is anticipated to drive down the cost significantly through market competition, similar to other medications.
In the meantime, it is worth discussing all of these savings strategies with your healthcare provider to find the most cost-effective and clinically appropriate plan for your needs. For more details on assistance programs, you can consult with resources like the Medicine Assistance Tool.
Conclusion
While Eliquis presents a significant financial challenge for many, patients have multiple avenues for reducing their out-of-pocket costs. From utilizing manufacturer-sponsored co-pay cards and patient assistance programs to taking advantage of pharmacy discount cards and exploring therapeutic alternatives, a variety of strategies exist. The future arrival of generic apixaban promises even broader access to lower-cost options. The key is to be proactive: investigate all available programs, compare your options, and always consult with your healthcare team to ensure you maintain safe, consistent, and affordable treatment.
