Striverdi Respimat

Indicated For

COPD, chronic bronchitis, emphysema

About This Medication

# Boehringer Cares Patient Assistance Program Guide: How to Get Striverdi Respimat at Low or No Cost ## About This Program The Boehringer Cares Patient Assistance Program is designed to help uninsured and underinsured patients afford Striverdi Respimat (olodaterol), a long-acting bronchodilator medication used to treat COPD, chronic bronchitis, and emphysema. If you qualify based on income and insurance status, you may receive Striverdi Respimat at no cost or at a significantly reduced price. ## About Striverdi Respimat Striverdi Respimat is a prescription inhaler that contains olodaterol, a long-acting beta2-agonist (LABA). It works by relaxing muscles in the airways to improve breathing and reduce symptoms like shortness of breath, wheezing, and coughing. This medication is typically used once daily for maintenance treatment of COPD and is not intended for emergency relief during acute breathing problems. ## Who Can Apply? You may be eligible for the Boehringer Cares Patient Assistance Program if you meet ALL of these criteria: - You are a U.S. resident - You have a valid prescription for Striverdi Respimat from a licensed healthcare provider - You are **uninsured or underinsured** (meaning your insurance doesn't cover this medication or your out-of-pocket costs are too high) - You do NOT have Medicare, Medicaid, or other government insurance programs - Your household income falls at or below 400% of the Federal Poverty Level (FPL) - You cannot afford to purchase Striverdi Respimat on your own ## Income Eligibility Guidelines Your household income must not exceed 400% of the Federal Poverty Level. Here are the maximum annual income limits based on household size: | Household Size | Maximum Annual Income | |---|---| | 1 person | $55,000 | | 2 people | $74,000 | | 3 people | $93,000 | | 4 people | $112,000 | | 5 people | $131,000 | | 6 people | $150,000 | | 7 people | $169,000 | | 8 people | $188,000 | For households larger than 8 people, add $19,000 for each additional family member. ## Insurance Requirements This program is specifically for patients who: - Have no health insurance coverage, OR - Have health insurance that does not cover Striverdi Respimat, OR - Have insurance with very high copays or deductibles that make the medication unaffordable **Important:** If you are covered by Medicare, Medicaid, Tricare, VA benefits, or other government insurance programs, you are NOT eligible for this program. Ask your healthcare provider about alternative assistance options. ## What You'll Need to Apply Before you start your application, gather these documents: 1. **Proof of Income** — Recent pay stubs, tax returns, W-2 forms, Social Security statement, unemployment benefits letter, or pension statement 2. **Proof of Residency** — Utility bill, lease agreement, mortgage statement, or government-issued ID with your current address 3. **Proof of Insurance Status** — If uninsured, bring nothing; if underinsured, bring your insurance card or denial letter showing the medication is not covered 4. **Valid Prescription** — Your doctor's prescription for Striverdi Respimat (your prescriber may need to submit part of the application) ## Step-by-Step Application Instructions ### Step 1: Speak With Your Healthcare Provider Talk to your doctor or pharmacist about the Boehringer Cares Patient Assistance Program. Your healthcare provider's office may be familiar with the program and can help guide you through the process. They will need to sign off on your application confirming they are your prescriber. ### Step 2: Choose Your Application Method You can apply in multiple ways: - **Phone:** Call (800) 556-8317 to speak with a representative who can guide you through the application over the phone - **Online:** Visit https://www.boehringer-ingelheim.com/patient-assistance/boehringer-cares-foundation-patient-assistance-program to apply through their online portal - **Mail:** Request a paper application and mail it in with your supporting documents - **Ask Your Pharmacy:** Many pharmacies can help you apply or submit your information directly ### Step 3: Complete the Application Whether applying by phone or online, you'll be asked to provide: - Your full name, date of birth, and contact information - Your household size and annual income - Proof of your residency status - Information about your current insurance (or confirmation you're uninsured) - Your prescription information - Your prescriber's name and contact information Be honest and accurate on your application. Any false information may result in denial and could have legal consequences. ### Step 4: Submit Your Documents Provide copies of your proof of income and proof of residency. If you applied by phone, ask the representative how to submit these documents (by mail, fax, or secure upload). If applying online, you may be able to upload files directly. Make sure your prescriber signs and submits their portion of the application confirming they prescribed Striverdi Respimat for you. ### Step 5: Wait for Approval The Boehringer Cares Program typically processes applications within 2-4 weeks. You'll be notified by phone, email, or mail about the status of your application. ### Step 6: Receive Your Medication If approved, Striverdi Respimat will be shipped directly to you or to your healthcare provider's office. Follow the instructions that come with your shipment. If it's sent to your provider's office, contact them to arrange pickup. ## Timeline and Delivery - **Processing Time:** Most applications are approved or denied within 2-4 weeks - **Delivery:** Your medication will be shipped to your home address or your physician's office, typically within 7-10 business days after approval - **How Much You'll Get:** Depending on your circumstances, you may receive a 30-, 60-, or 90-day supply ## Annual Reauthorization Your assistance is **not permanent**. You will need to reapply and be reauthorized each year to continue receiving Striverdi Respimat through this program. The program will notify you when it's time to reapply. Keep your contact information current with the program so you don't miss renewal deadlines. ## Savings Card Alternative If you have insurance but your copays are high, you may also be eligible for the Striverdi Respimat Savings Card, which can reduce your out-of-pocket costs. Learn more at https://patient.boehringer-ingelheim.com/us/products/striverdi/savingcard ## What If Your Application Is Denied? If you don't qualify for the Boehringer Cares Program, you have other options: - Ask your doctor about generic alternatives or other COPD medications that may be more affordable - Look into state pharmaceutical assistance programs in your area - Visit NeedyMeds.org or PatientAdvocate.org to find additional resources - Ask your pharmacist about discounts or payment plans - Contact local community health centers for financial assistance programs ## Contact Information **Boehringer Cares Patient Assistance Program** - Phone: (800) 556-8317 - Website: https://www.boehringer-ingelheim.com/patient-assistance/boehringer-cares-foundation-patient-assistance-program - Hours: Monday-Friday, 8 AM-5 PM ET ## Legal Disclaimer This guide is for informational purposes only and is not a substitute for official program documentation. Program eligibility, benefits, and requirements are subject to change at any time. Please verify all current information directly with the Boehringer Cares Program by calling (800) 556-8317 or visiting their official website. Always consult with your healthcare provider about your COPD treatment and medication options.

Program information last verified: March 25, 2026