Benicar
Generic: Olmesartan Medoxomil
Manufacturer: Daiichi Sankyo · Program: Daiichi Sankyo AccessCentral
Apply for AssistanceEligibility Criteria
Insurance Requirement
Uninsured or underinsured patients; some programs accept patients whose insurance does not cover the medication
Residency
US resident
Income Threshold
Up to 400% FPL
Household income below 200-400% of federal poverty level; exact thresholds vary by program
Program Information
Processing Time
2-6 weeks
Delivery Method
shipped to physician office or patient home
Application Method
Multiple
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 prescribing physician
- valid prescription from licensed US physician
Indicated For
Hypertension
About This Medication
# Daiichi Sankyo AccessCentral Patient Guide: How to Get Benicar (Olmesartan Medoxomil) at Low or No Cost Benicar (olmesartan medoxomil) is a prescription medication used to treat high blood pressure (hypertension) in adults and children ages 6 to 16. **Daiichi Sankyo AccessCentral** helps **uninsured or underinsured patients** get Benicar at no cost if they meet income and other eligibility rules. ## About Benicar (Olmesartan Medoxomil) Benicar belongs to a class of drugs called **angiotensin II receptor blockers (ARBs)**. It works by relaxing blood vessels, which lowers blood pressure and reduces the risk of heart attack, stroke, and kidney problems. It's taken once daily, with or without food, and comes in tablet strengths of 5 mg, 20 mg, and 40 mg. The FDA approved Benicar for adults in 2002 and expanded it to children 6-16 years old in 2010 after studies showed it safely lowers blood pressure in kids.[8][9] **Important safety note:** Common side effects include dizziness, headache, and nausea. Rare but serious risks include low blood pressure, high potassium levels, and kidney issues. Always follow your doctor's instructions and report side effects to FDA at 1-800-FDA-1088. ## Who Qualifies for Daiichi Sankyo AccessCentral? This program provides **free Benicar** to patients who: - Are **uninsured or underinsured** (insurance doesn't cover the medication). - Live in the **US** with proof of residency. - Have a **valid prescription** from a licensed US physician. - Meet **income limits** (household income below 200-400% of the federal poverty level, or FPL). **Not eligible:** Patients with government insurance like Medicare Part D, Medicaid, or VA benefits in most cases. Commercially insured patients may qualify for a separate savings card instead.[2] ## Income Eligibility Breakdown Eligibility is based on **household size and income** compared to the **Federal Poverty Level (FPL)**. The program covers incomes up to **400% FPL**, though exact limits may vary (typically 200-400% depending on specifics). Use the table below for 2026 FPL guidelines (adjusts annually; check current at healthcare.gov). | Household Size | 200% FPL | 400% FPL | |---------------|----------|----------| | 1 person | $30,120 | $60,240 | | 2 people | $40,880 | $81,760 | | 3 people | $51,640 | $103,280| | 4 people | $62,400 | $124,800| | +1 person | +$10,760| +$21,520| *Notes: Add $10,760 (200% FPL) or $21,520 (400% FPL) per additional person. Exact thresholds vary by program—call 1-866-437-4669 to confirm. Proof of income required (tax returns, pay stubs, etc.).[1][2] ## Insurance Requirements - **Uninsured patients** qualify most easily. - **Underinsured** (high copays, denials) may qualify if insurance doesn't cover Benicar. - **No Medicare, Medicaid, or federal insurance** in most cases—use other programs like Extra Help or SPAPs. - Commercially insured? Try the **Patient Savings Program** at DSAccessCentral4U.com (not this free drug program).[2][10] ## Step-by-Step Application Process 1. **Get a prescription:** Ask your US-licensed doctor for Benicar and discuss AccessCentral. 2. **Download the form:** Visit dsaccesscentral4u.com or call 1-866-4-DSI-NOW (1-866-437-4669), Mon-Fri 8AM-6PM ET.[3] 3. **Complete the Patient Enrollment Form:** Your doctor fills out and signs the **Physician Attestation** (page 4). You sign **Patient Consent** (page 5-6). Include: - Proof of income (W-2, 1040, pay stubs). - Proof of residency (utility bill, lease). - Valid prescription copy.[2] 4. **Submit:** Doctor submits via fax, mail, or online. Multiple methods available. 5. **Wait for approval:** 2-6 weeks. You'll be notified if eligible and auto-enrolled.[1] 6. **Receive medication:** Shipped to doctor's office or your home. **Tip:** Call AccessCentral4U for help—they offer insurance appeal support and resources.[10] ## Timeline and Delivery - **Processing:** 2-6 weeks from submission. - **Delivery:** Free shipping to physician's office or patient home. - **Supply duration:** Typically 1-3 months per shipment; reapply as needed. - **Support line:** 1-866-437-4669 for status updates.[1][3] ## Alternatives if Denied or Ineligible - **Generic olmesartan:** Cheaper option; ask your doctor. - **Other programs:** Partnership for Prescription Assistance (PPA), NeedyMeds.org, RxAssist.org. - **Savings cards:** Commercial insurance copay help at DSAccessCentral4U.com. - **Government aid:** Medicare Extra Help, state pharma assistance. - **Patient charity:** HealthWell Foundation or PAN Foundation for hypertension. No biosimilars available for Benicar (small molecule drug).[7] ## Disclaimer This guide is for informational purposes only and based on publicly available data as of 2026. Program details can change—**always verify with Daiichi Sankyo AccessCentral at 1-866-437-4669 or dsaccesscentral4u.com**. Not medical advice; consult your doctor. Daiichi Sankyo reserves the right to modify eligibility or end the program. Income limits use estimated 2026 FPL; confirm current values.
Program information last verified: March 30, 2026
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