Coumadin

Indicated For

Atrial Fibrillation (AF), Venous Thromboembolism (VTE), mechanical heart valve anticoagulant

About This Medication

# Coumadin (Warfarin) Patient Assistance Programs: How to Get Your Medication at Low or No Cost ## About Coumadin and Why Assistance Programs Matter Coumadin (brand name for warfarin) is a prescription anticoagulant medication prescribed to thousands of Americans each year to prevent blood clots and reduce the risk of stroke and other serious complications. However, the cost of brand-name Coumadin can be a barrier for many patients. Fortunately, several patient assistance programs exist to help eligible individuals access this critical medication at reduced or no cost. ## Understanding Your Coumadin Assistance Options There are multiple pathways to obtain affordable Coumadin, depending on your insurance status, income level, and specific circumstances. The main programs include: ### Option 1: Prescription Hope Medication Access Service **Program Overview:** Prescription Hope is the nation's fastest-growing pharmacy program that works to obtain Coumadin for eligible patients at a set monthly price. **Cost:** $60.00 per month for Coumadin (some sources reference $70.00 per month) **Income Eligibility:** Individuals and families earning less than $200,000 per year may qualify **Insurance Status:** Works alongside existing insurance coverage—you do not need to be uninsured to participate. Prescription Hope operates outside of prescription medication tiers, meaning your insurance tier does not affect eligibility. **Key Benefit:** If Prescription Hope cannot obtain your Coumadin prescription, you will not be charged a fee for that medication. ### Option 2: Together Rx Access Program (Bristol-Myers-Squibb) **Program Overview:** The manufacturer of Coumadin, Bristol-Myers-Squibb, participates in the Together Rx Access program, which offers a discount savings card for brand-name Coumadin. **Discount:** Card discounts range from 25-40 percent, depending on your pharmacy and other factors **Income Eligibility:** - Single individual: Up to $45,000 per year - Family of four: Up to $90,000 per year - Income eligibility is adjusted for family size **Insurance Requirements:** You must not qualify for Medicare, and you cannot have public or private prescription drug coverage **Contact Information:** Phone: 1-800-444-4106 ### Option 3: Rx Outreach (For Generic Warfarin) **Program Overview:** Rx Outreach is a nonprofit charitable organization that provides low-cost prescription medications, including generic warfarin, to people in need across the U.S. **How It Works:** Prescriptions are mailed directly to you after receipt of an Rx Outreach form, your prescription, and a modest payment **Income Eligibility:** Income must be below a certain threshold that varies based on the number of financially dependent people in your household. Contact the program for exact figures. **Availability:** Available regardless of age, use of another discount medicine program, or participation in other patient assistance programs **Contact Information:** Phone: 1-800-769-3880 ### Option 4: Bristol Myers Squibb Patient Assistance Foundation (BMSPAF) **Program Overview:** An independent, charitable organization that helps eligible patients who need temporary help with Bristol-Myers-Squibb medications, including Coumadin **Website:** www.bmspaf.org ## Income Eligibility Comparison | Program | Individual Income Limit | Family of 4 Income Limit | Notes | |---------|------------------------|------------------------|-------| | Prescription Hope | <$200,000 | <$200,000 | Highest income threshold | | Together Rx Access | $45,000 | $90,000 | Adjusted for family size | | Rx Outreach | Varies | Varies | Contact program for specifics | | BMSPAF | Varies | Varies | Contact program for specifics | ## Insurance Requirements **Prescription Hope:** Works with or without existing insurance. You can participate even if you have commercial insurance, Medicare, or other coverage. **Together Rx Access:** You must NOT have Medicare or public/private prescription drug coverage to qualify. **Rx Outreach:** Available regardless of insurance status or participation in other programs. **BMSPAF:** Eligibility varies; contact the foundation for specific requirements. ## Step-by-Step Application Process ### For Prescription Hope: 1. **Visit the website or call:** Access Prescription Hope's application through their website or call their enrollment line 2. **Provide basic information:** Share your income, household size, and current medications 3. **Get pre-qualified:** Receive confirmation of your eligibility 4. **Enroll:** Complete the enrollment process 5. **Provide prescription:** Submit your Coumadin prescription from your doctor 6. **Receive medication:** Prescription Hope obtains your medication and arranges delivery 7. **Pay monthly fee:** Pay the set price of $60.00 per month ### For Together Rx Access: 1. **Verify eligibility:** Confirm you meet income and insurance requirements 2. **Request discount card:** Contact 1-800-444-4106 or visit the program website 3. **Receive card:** Get your discount savings card by mail 4. **Use at pharmacy:** Present the card when filling your Coumadin prescription 5. **Receive discount:** Enjoy 25-40% savings depending on your pharmacy ### For Rx Outreach: 1. **Contact the program:** Call 1-800-769-3880 or visit their website 2. **Verify income eligibility:** Confirm your household income meets requirements 3. **Complete Rx Outreach form:** Fill out the required application form 4. **Obtain prescription:** Get a prescription from your doctor 5. **Submit materials:** Send the form, prescription, and payment to Rx Outreach 6. **Receive medication:** Prescription is mailed directly to your home ## Timeline and Delivery **Prescription Hope:** Processing time varies; contact the program for specific timelines. Medication is obtained and delivered according to their standard procedures. **Together Rx Access:** Discount card typically arrives within 7-10 business days. Savings are applied immediately at participating pharmacies. **Rx Outreach:** Prescriptions are mailed directly to patients after all materials are received and processed. Timeline varies based on program volume. ## What Happens If Your Application Is Denied If one program denies your application, you have several alternatives: - **Try another program:** Each program has different eligibility criteria. If you don't qualify for one, you may qualify for another. - **Explore generic options:** Generic warfarin is often less expensive and available through multiple assistance programs, including Rx Outreach. - **Check state programs:** Some states offer their own pharmaceutical assistance programs for residents. Contact your state health department for information. - **Ask your doctor:** Your healthcare provider may have information about additional resources or samples. - **Contact patient advocacy organizations:** Organizations like the Patient Advocate Foundation may provide additional guidance. ## Reauthorization and Refills Most patient assistance programs require periodic reauthorization to confirm continued eligibility. Specific reauthorization requirements vary by program: - **Prescription Hope:** Contact the program to learn about their reauthorization timeline and process - **Together Rx Access:** Discount cards typically need to be renewed annually - **Rx Outreach:** Contact the program for reauthorization requirements - **BMSPAF:** Contact the foundation for specific reauthorization policies Always contact your program before your current assistance expires to ensure uninterrupted access to your medication. ## Important Disclaimer This guide provides general information about patient assistance programs for Coumadin (warfarin) as of March 2026. Program details, eligibility requirements, income thresholds, and contact information are subject to change. Always verify current program requirements directly with the program before applying. This information is not a substitute for professional medical or financial advice. Consult with your healthcare provider or a patient advocate if you have questions about your specific situation. Coumadin requires regular monitoring through blood tests (INR levels); ensure you maintain regular contact with your healthcare provider while using any assistance program.

Program information last verified: March 30, 2026