FREE 30-Day Trial Eligibility and Terms of Use

ELIGIBILITY REQUIREMENTS:

You may be eligible for the Free 30-Day Trial offer for ELIQUIS® (apixaban) if:
  1. You have not previously filled a prescription for ELIQUIS;

  2. You have a valid 30-day prescription for ELIQUIS;

  3. You are being treated with ELIQUIS for an FDA-approved indication that an HCP has planned for more than 35 days of treatment;

  4. You are 18 years of age, or older; and

  5. You are a resident of the United States or Puerto Rico.

TERMS OF USE:

  1. Eligible patients who present a Free 30-Day Trial card together with a valid 30-day prescription for ELIQUIS at participating pharmacies can receive a free 30-day supply (up to 74 tablets) of ELIQUIS. Patient is responsible for applicable taxes, if any. This offer may not be redeemed on prescriptions written for longer than 30 days.

  2. This offer is limited to one use per patient per lifetime and is non-transferrable. By redeeming this offer, you certify that you have not previously filled a prescription for ELIQUIS.

  3. The Free 30-Day Trial for the specified prescription cannot be combined with any other rebate/coupon, free trial or similar offer. No substitutions are permitted.

  4. Patients, pharmacists, and prescribers cannot seek reimbursement for the Free 30-day Trial of ELIQUIS from health insurance or any third party, including state or federally funded programs.

  5. Patients may not count the Free 30-Day Trial of ELIQUIS as an expense incurred for purposes of determining out-of-pocket costs for any plan, including true out-of-pocket costs, ("TrOOP"), for purposes of calculating the out-of-pocket threshold for Medicare Part D plans.

  6. Use of the pre-activated Free 30-Day Trial card must take place by December 31, 2019. This card expires on December 31, 2019.

  7. Only valid in the United States and Puerto Rico; this offer is void where restricted or prohibited by law.

  8. Bristol-Myers Squibb and Pfizer reserve the right to rescind, revoke or amend this offer at any time without notice.

  9. This Free 30-Day Trial card may not be sold, purchased, traded, or counterfeited. Reproductions of this card are void.

  10. This offer is not conditioned on any past, present or future purchase, including refills.

  11. The ELIQUIS Free 30-Day Trial offer is not health insurance.

BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE.

To the pharmacist: For processing assistance, please call McKesson Pharmacy Support at 866-279-4730.