← Medication Database
Cardiology

Tribenzor

Generic: olmesartan medoxomil/amlodipine/hydrochlorothiazide

Manufacturer: Daiichi Sankyo  ·  Program:

Apply for Assistance

Eligibility Criteria

Insurance Requirement

See program details

Residency

U.S. resident with a valid U.S. address

Program Information

Processing Time

4–8 weeks

Delivery Method

Varies by program

Application Method

Multiple

Indicated For

hypertension

About This Medication

# Getting Help Paying for Tribenzor: Your Guide to Affordability Programs ## Important Information About Tribenzor Assistance Tribenzor is a combination medication used to treat high blood pressure. It contains three active ingredients: olmesartan medoxomil, amlodipine, and hydrochlorothiazide. While the manufacturer Daiichi Sankyo does not currently have an active patient assistance program (PAP), there are several other ways to reduce your out-of-pocket costs for this medication. ## About Tribenzor Tribenzor combines three blood pressure-lowering medications in one tablet: - **Olmesartan medoxomil** - an angiotensin receptor blocker (ARB) - **Amlodipine** - a calcium channel blocker - **Hydrochlorothiazide** - a diuretic (water pill) Taking this combination medication helps control high blood pressure and reduce your risk of heart disease and stroke. ## Available Resources to Lower Your Costs ### 1. Tribenzor Savings Card The easiest way to save on Tribenzor is through the manufacturer's savings card program. **Where to Find It:** Visit https://tribenzor.com/savings **How It Works:** - Download or print the savings card from the website - Present it at your pharmacy when filling your prescription - You may save significantly on your copay or out-of-pocket costs - This card is typically available to patients with commercial insurance - Some restrictions may apply; check the terms on the website ### 2. State Pharmaceutical Assistance Programs Most U.S. states offer their own programs to help residents afford prescription medications. These programs are separate from the manufacturer and may have different eligibility requirements. **How to Find Your State Program:** - Visit the National Association of State Pharmaceutical Assistance Programs (ASPPAP) at www.medicaidplans.org - Search for your state - Contact your state's Medicaid office directly **Typical Requirements:** - Proof of state residency - Income verification - Proof of prescription from your doctor - May require that you've been denied or cannot afford your medication ### 3. NeedyMeds.org NeedyMeds is a free, nonprofit database that lists hundreds of programs to help you afford medications. **How to Use It:** - Visit www.needymeds.org - Search for "Tribenzor" or your generic medication names - Browse available assistance programs - Contact information for each program is provided - No registration required ### 4. GoodRx and Similar Discount Programs Online prescription discount services can significantly reduce medication costs. **How They Work:** - Visit GoodRx.com or similar services (SingleCare, RxSaver, etc.) - Enter "Tribenzor" and your location - Compare prices at different pharmacies - Get a coupon code to present at checkout - These are NOT insurance; they're negotiated discounts - Savings typically range from 20-70% off retail prices ### 5. Generic Alternatives If brand-name Tribenzor is unaffordable, ask your doctor if you can take the individual generic components separately: - Olmesartan medoxomil (generic) - Amlodipine (generic) - Hydrochlorothiazide (generic) Generic versions are often significantly cheaper than the brand-name combination. Your doctor can prescribe them separately or suggest a different combination that works with your insurance. ### 6. Insurance Options **If You Have Health Insurance:** - Check your formulary to see if Tribenzor is covered - Ask about your copay or coinsurance amount - Discuss with your doctor if a different medication might have lower out-of-pocket costs - Use your insurance's patient assistance resources **If You Don't Have Insurance:** - You may qualify for Medicaid (contact your state's Medicaid office) - Community health centers offer affordable care - Hospital financial assistance programs may help - Contact 211.org or call 2-1-1 for local resources ## Income Eligibility Information While Daiichi Sankyo's manufacturer PAP is not currently active, state programs and nonprofit assistance programs typically use income guidelines. These vary by program, but generally: - **Single Individual:** Programs often assist those earning up to 200-400% of the federal poverty level (roughly $28,000-$56,000 annually) - **Family of Two:** Approximately $37,000-$74,000 annually - **Family of Three:** Approximately $47,000-$94,000 annually - **Family of Four:** Approximately $57,000-$114,000 annually Specific income limits vary significantly by program. Check with each individual program for their exact requirements. ## Documents You May Need When applying for assistance programs, gather these documents in advance: - **Proof of Income:** Recent pay stubs, tax return, Social Security benefits statement, or unemployment documentation - **Proof of Residency:** Utility bill, lease agreement, or driver's license - **Valid Prescription:** From your doctor for Tribenzor - **Insurance Information:** Policy number and group number (if applicable) - **Identification:** Driver's license or state ID - **Medical Records:** Any documentation of your high blood pressure diagnosis ## Step-by-Step: How to Get Help **Step 1: Talk to Your Doctor** - Tell your doctor you're having trouble affording Tribenzor - Ask if generic alternatives or different medications might work - Request written prescriptions for any programs you'll apply to **Step 2: Try the Savings Card First** - Visit https://tribenzor.com/savings - Download or print the card - Present it at your pharmacy - This is the quickest option **Step 3: Research Additional Programs** - If the savings card doesn't help enough, check state programs - Visit ASPPAP.org to find your state program - Check NeedyMeds.org for additional options **Step 4: Apply** - Complete the application for your chosen program - Gather required income and residency documents - Submit by mail, fax, or online (varies by program) - Keep copies for your records **Step 5: Follow Up** - Note the processing timeline (typically 4-8 weeks) - Keep your original prescription; you may need to resubmit - Contact the program if you don't hear back within the stated timeframe ## What Happens If Your Application Is Denied If you're denied assistance: 1. **Ask Why:** Request a written explanation 2. **Appeal:** Many programs allow appeals with additional documentation 3. **Try Another Program:** Different programs have different criteria 4. **Discuss Alternatives:** Talk to your doctor about more affordable medication options 5. **Contact a Patient Advocate:** Nonprofit organizations can help you navigate the system ## Refilling Your Medication - **Savings Card:** Present it each time you fill - **State Programs:** Usually require annual reauthorization - **Discount Services:** Generate a new coupon code each time - **Talk to Your Pharmacy:** They may have additional discount programs ## Important Reminders - **Don't Miss Doses:** If you can't afford Tribenzor, call your doctor—don't just stop taking it - **Be Honest About Costs:** Your doctor wants to help and can suggest more affordable options - **Watch for Scams:** Never pay upfront fees for legitimate assistance programs - **Check Expiration Dates:** Savings cards and coupons typically expire—note the dates - **Combine Strategies:** You might use a savings card AND a discount service for maximum savings ## Legal Disclaimer This guide provides general information about medication assistance resources. It is not medical advice and does not replace consultation with your healthcare provider or pharmacist. Eligibility requirements, benefits, and terms of assistance programs change frequently. Always verify current information directly with programs before applying. This guide is intended for educational purposes only and does not guarantee approval for any assistance program. ## Getting More Help - **National Patient Advocate Foundation:** 1-800-532-5274 - **211.org:** Call 2-1-1 for local resources - **Your Pharmacy:** Ask your pharmacist about programs they know - **Your Doctor's Office:** Staff often have lists of assistance programs - **Local Community Health Centers:** Can help uninsured or low-income patients

Program information last verified: March 25, 2026

Ready to apply for Tribenzor assistance?

ProvisionRX manages the complete application process. Start your application in about 15 minutes.

Start My ApplicationBrowse All Medications