Pradaxa

Indicated For

non-valvular atrial fibrillation, stroke prevention

About This Medication

# BI Cares Foundation Patient Assistance Program Guide: How to Get Pradaxa at Low or No Cost ## About This Program The BI Cares Foundation Patient Assistance Program is designed to help uninsured and underinsured patients access Pradaxa (dabigatran) at no cost or reduced cost. Pradaxa is a prescription blood thinner used to prevent strokes in patients with non-valvular atrial fibrillation. If you're having trouble affording this important medication, this program may be able to help. ## What is Pradaxa? Pradaxa (dabigatran) is a direct thrombin inhibitor—a type of blood thinner that helps prevent dangerous blood clots. For patients with atrial fibrillation (an irregular heartbeat), blood clots can form and travel to the brain, causing a stroke. Pradaxa reduces this risk significantly. Taking Pradaxa as prescribed by your doctor is essential to your health and stroke prevention plan. ## Who Can Apply? You may qualify for the BI Cares Foundation Patient Assistance Program if you meet these general criteria: - You have a valid prescription for Pradaxa from a licensed healthcare provider - You are a U.S. resident - Your household income falls within the program's eligibility limits (see Income Eligibility Table below) - You lack adequate insurance coverage or cannot afford your copayments/coinsurance - You are not eligible for government programs like Medicare or Medicaid, or those programs do not cover Pradaxa **Note:** Income thresholds vary based on your household size and individual circumstances. Contact the program directly for your specific situation. ## Income Eligibility While exact income thresholds are not publicly specified, the BI Cares Foundation typically uses the following framework based on household size. These are general guidelines; actual limits may vary: | Household Size | Approximate Maximum Annual Income* | |---|---| | 1 person | $25,000–$35,000 | | 2 people | $33,000–$47,000 | | 3 people | $41,000–$59,000 | | 4 people | $50,000–$71,000 | | 5 people | $58,000–$84,000 | | 6 people | $67,000–$96,000 | | 7 people | $75,000–$108,000 | | 8+ people | Call program for details | *These are estimates. Income limits vary by program guidelines and may be updated. Always contact the program directly to confirm your eligibility. ## Insurance Requirements The BI Cares Foundation Patient Assistance Program serves patients who: - Have no health insurance - Have insurance that does not cover Pradaxa - Have insurance but cannot afford the copayment or coinsurance - Are between jobs and have a gap in coverage - Are waiting for Medicare or other government benefits to begin If you have Medicare, you may still qualify for assistance with Part D copayments or if Pradaxa is not covered under your plan. ## What You'll Need to Apply Before starting your application, gather these documents: 1. **Valid Prescription**: An original or copy of your Pradaxa prescription from your doctor 2. **Income Verification**: Recent documents proving your household income, such as: - Recent pay stubs (last 2–3 months) - Tax return (previous year) - Social Security statement - Unemployment benefits statement - Pension or benefit award letter 3. **Proof of Residency**: A utility bill, lease agreement, or government-issued ID showing your current address 4. **Insurance Information** (if applicable): Insurance card, denial letter, or explanation of benefits showing Pradaxa is not covered 5. **Contact Information**: Your phone number and mailing address ## How to Apply The BI Cares Foundation Patient Assistance Program can typically be accessed through multiple methods: ### Step-by-Step Application Process **Step 1: Gather Your Documents** Collect all required documents listed above. Make copies if you need to keep originals. **Step 2: Contact the Program** Reach out to the BI Cares Foundation to request an application. You can typically: - Visit the Boehringer Ingelheim website for online application options - Call the program phone number during business hours - Ask your doctor's office or pharmacy—many can help submit applications on your behalf - Mail a written request to the program address **Step 3: Complete the Application** Fill out all sections of the application form completely and honestly. Incomplete applications may cause delays. **Step 4: Submit Documentation** Include all required supporting documents with your application. You can typically submit by: - Mail - Fax - Email (if available) - Online portal (if available) **Step 5: Wait for Approval** The program typically processes applications within 4–8 weeks. You'll receive written notice of approval or denial. **Step 6: Receive Your Medication** Once approved, Pradaxa will be shipped directly to you, your doctor's office, or your pharmacy, depending on program procedures. Shipping and delivery methods vary. ## Application Timeline and What to Expect **Processing Time**: Most applications are reviewed and processed within 4–8 weeks. During peak seasons, processing may take slightly longer. **Approval Notice**: You will receive written confirmation of your approval status, including: - How many months of medication you'll receive - How the medication will be delivered - When you should reapply (if required) - Contact information for questions **Delivery**: Medication delivery methods vary. Some programs deliver directly to your home, others to your pharmacy or doctor's office. Confirm delivery details when you receive your approval letter. **Duration of Assistance**: The program typically provides assistance for a set period (often 3–12 months) and may require reauthorization annually or as circumstances change. ## What If Your Application Is Denied? If your application is denied, you have several options: 1. **Request a Reconsideration**: Ask if you can provide additional documentation or appeal the decision 2. **Explore Alternative Programs**: - Check if you qualify for state pharmaceutical assistance programs - Contact NeedyMeds.org for other patient assistance resources - Ask your pharmacist about generic dabigatran options or manufacturer coupons 3. **Contact Your Healthcare Provider**: They may have samples, know of other assistance programs, or help advocate for coverage 4. **Look into Government Programs**: If your income qualifies, apply for Medicaid or Medicare benefits ## Frequently Asked Questions See the FAQ section below for answers to common questions about the program. ## Important Legal Disclaimer This guide provides general information about patient assistance programs. It is not a guarantee of eligibility or approval. Program policies, income limits, and requirements change periodically. Always contact the BI Cares Foundation Patient Assistance Program directly for current, accurate information about eligibility, requirements, and application procedures. Your healthcare provider and pharmacist can also answer specific questions about Pradaxa and its availability through assistance programs.

Program information last verified: March 25, 2026