Benicar HCT
Generic: olmesartan medoxomil hydrochlorothiazide
Manufacturer: Daiichi Sankyo · Program: Daiichi Sankyo AccessCentral
Apply for AssistanceEligibility Criteria
Insurance Requirement
Uninsured, underinsured, or unable to afford cost-sharing; Medicare/Medicaid may qualify for some
Residency
US resident
Household income below 200–400% FPL; uninsured, underinsured, or financially constrained (varies by program)
Program Information
Processing Time
2–8 weeks
Delivery Method
Varies by program
Application Method
Online
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- Proof of income
- Proof of residency
- Completed enrollment form signed by physician
- Valid prescription
Indicated For
Hypertension
About This Medication
# Daiichi Sankyo AccessCentral Patient Guide: How to Get Benicar HCT at Low or No Cost Benicar HCT (olmesartan medoxomil hydrochlorothiazide) is a prescription medication used to treat high blood pressure (hypertension) in adults. It combines two active ingredients—olmesartan, an angiotensin receptor blocker (ARB) that relaxes blood vessels, and hydrochlorothiazide, a diuretic that helps remove excess salt and water from the body—to lower blood pressure and reduce the risk of stroke, heart attack, or kidney problems.[1][2] Daiichi Sankyo's **AccessCentral** program (also called AccessCentral4U) helps eligible patients like you get **Benicar HCT** at low or no cost if you're uninsured, underinsured, or facing financial challenges.[1][2][3] This guide explains everything you need to know about the program in simple terms. It's designed for patients, so we'll cover who qualifies, how to apply, and what to expect. Always talk to your doctor before starting or changing any medication. ## Who Qualifies for Daiichi Sankyo AccessCentral? The program is for patients who need Daiichi Sankyo medicines like **Benicar HCT** but can't afford them due to financial hardship. Key eligibility factors include: - **Financial need**: Household income typically below **200–400% of the Federal Poverty Level (FPL)**. This varies by program and family size—exact thresholds are assessed case-by-case.[program details] - **Insurance status**: Uninsured, underinsured, or unable to pay cost-sharing (like copays). Medicare or Medicaid patients may qualify for some support.[1][program details] - **U.S. residency**: You must live in the U.S. and provide proof.[program details] - **Valid prescription**: A doctor must prescribe **Benicar HCT** and confirm it's medically necessary.[1] **Not everyone qualifies**. Commercial insurance patients might use the separate Patient Savings Card instead (visit DSAccessCentral4U.com).[1] The program provides free medication to eligible uninsured or underinsured patients.[2][3][4] ## About Benicar HCT **Benicar HCT** is taken once daily, usually with or without food. Common strengths include 20/12.5 mg, 40/12.5 mg, and 40/25 mg (olmesartan/hydrochlorothiazide). It starts working within 1-2 weeks but may take longer for full effect. Side effects can include dizziness, headache, or low blood pressure—report severe issues to your doctor immediately. Do not use if pregnant, as it can harm the fetus.[2] Your doctor will monitor your blood pressure and kidney function. ## Income Eligibility Breakdown Income limits are flexible (200–400% FPL) and evaluated individually. Use this table for 2026 FPL estimates (actuals from HHS.gov; program confirms exact eligibility).[program details] | Household Size | 200% FPL | 300% FPL | 400% FPL | |----------------|----------|----------|----------| | 1 person | $30,120 | $45,180 | $60,240 | | 2 people | $40,880 | $61,320 | $81,760 | | 3 people | $51,640 | $77,460 | $103,280| | 4 people | $62,400 | $93,600 | $124,800| | +1 person | +$10,760| +$16,140| +$21,520| *Notes*: Add ~$10,760 per extra person at 200% FPL. Income includes wages, Social Security, etc. Assets may be considered. Call 1-866-437-4669 for pre-screening.[1][3] ## Insurance Requirements - **Uninsured**: Fully eligible if income-qualified.[4] - **Underinsured/Private insurance**: May get copay help or free meds if copays are unaffordable.[1] - **Medicare/Medicaid**: Some qualify, but low-income subsidies (LIS) or state programs might apply first. Program helps appeal denials.[1][program details] Commercially insured? Try the savings card online first.[1] Program staff assist with insurance navigation.[2] ## Step-by-Step Application Process 1. **Talk to your doctor**: Get a valid **Benicar HCT** prescription. Ask them to complete the Physician Attestation on the enrollment form.[1] 2. **Gather documents**: - Proof of income (tax return, pay stubs, W-2s). - Proof of residency (utility bill, lease). - Completed enrollment form (signed by you and doctor). - Valid prescription copy.[program details][1] 3. **Get the form**: Download from DSAccessCentral4U.com or call **1-866-4-DSI-NOW (1-866-437-4669)**, Mon-Fri 8AM-6PM ET.[1][3] 4. **Submit**: Doctor faxes to 1-800-823-4506 or mails. Or use online portal.[1] 5. **Wait for approval**: If eligible, you're auto-enrolled; you'll get a welcome letter.[1] Phone support helps every step.[2] ## Timeline and Delivery - **Processing**: Varies; submit early. Similar programs take 2-4 weeks, but call for status.[1][8] - **Delivery**: Free meds shipped to your doctor's office or home (program decides). Refills auto-processed until eligibility ends.[3] - **Support hours**: Mon-Fri 8AM-6PM ET.[3] ## Alternatives if Denied - **Appeal**: Program helps with insurance denials or reapplications.[1] - **Savings Card**: For commercial insurance (DSAccessCentral4U.com).[1] - **Partnership for Prescription Assistance (PPA)**: Daiichi Sankyo partner; search other programs.[2][4][7] - **State programs/NeedyMeds/RxAssist**: Free tools for generics or other aid. - **Generic options**: Olmesartan HCT available cheaper via GoodRx. - **Reapply**: If circumstances change.[3] ## Disclaimer This guide is for informational purposes only and based on publicly available data as of 2026. Eligibility, terms, and availability can change—contact **Daiichi Sankyo AccessCentral** at 1-866-437-4669 or DSAccessCentral4U.com for latest details. Not a substitute for medical or legal advice. Daiichi Sankyo reserves rights to modify/terminate program. Free meds limited by availability.
Program information last verified: March 30, 2026
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