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Cardiology

Tribenzor

Generic: olmesartan medoxomil, amlodipine, hydrochlorothiazide

Manufacturer: Daiichi Sankyo, Inc.  ·  Program:

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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

# Daiichi Sankyo Open Care Program Patient Guide: How to Get Tribenzor at Low or No Cost Tribenzor (olmesartan medoxomil, amlodipine, hydrochlorothiazide) is a prescription medication used to treat high blood pressure (hypertension) in adults not adequately controlled by two other blood pressure medications. The **Daiichi Sankyo Open Care Program** offers free Tribenzor to eligible uninsured patients with low income, helping those who cannot afford their medication or find other payment sources.[3][7] ## About Tribenzor **Tribenzor** is a **three-in-one combination pill** approved by the FDA in 2010 for hypertension treatment. It contains: - **Olmesartan medoxomil**: Blocks angiotensin II receptors to relax blood vessels. - **Amlodipine**: A calcium channel blocker that prevents calcium entry into blood vessel walls, easing blood flow. - **Hydrochlorothiazide**: A diuretic that reduces blood volume by removing excess water and salt.[2] Taken once daily, Tribenzor simplifies treatment for patients needing multiple blood pressure drugs, potentially improving adherence by reducing pill burden. Clinical trials showed it lowers systolic and diastolic blood pressure more effectively than dual combinations, with mean reductions of 7.6-8.4/4.5-5.4 mm Hg after 8 weeks.[2] It's not for initial therapy but for those not controlled on two-drug regimens. Common side effects include dizziness, swelling, or fatigue—discuss with your doctor.[1][2] ## Who Qualifies for the Program? The **Daiichi Sankyo Open Care Program** targets **underinsured or uninsured patients** prescribed Daiichi Sankyo products like Tribenzor, who lack alternative payment sources. Key requirements include:[3][7] - U.S. resident (or U.S. territory). - **Uninsured** (Medicare Part D patients are ineligible).[7] - Household income at or below **200% of the Federal Poverty Level (FPL)**.[7] - Valid prescription for an FDA-approved use (hypertension).[1] **Note**: Specific details like exact application process may vary; contact Daiichi Sankyo directly via AccessCentral4U for current eligibility.[6][8] The program participates in Partnership for Prescription Assistance (PPA).[3] ## Income Eligibility Breakdown Eligibility hinges on income ≤ **200% FPL**. Use the table below for 2026 guidelines (approximate; check HHS.gov for exact figures, as they adjust annually). | Household Size | 100% FPL (Annual) | 200% FPL (Annual Max) | |----------------|-------------------|-----------------------| | 1 (Individual) | $15,060 | **$30,120** | | 2 (Couple) | $20,440 | **$40,880** | | 3 | $25,820 | **$51,640** | | 4 | $31,200 | **$62,400** | | +1 Person | +$5,380 | **+$10,760** | *Table based on 2026 projected FPL; verify with official sources. Income includes all household earnings before taxes. Assets may be reviewed.*[7] ## Insurance Requirements - **Must be uninsured**; Medicare Part D enrollees do not qualify.[7] - Underinsured patients without sufficient coverage may apply if no other payment options exist.[3] - Commercial insurance? Use the **Tribenzor Savings Card** first—eligible patients pay as low as **$5/month** at pharmacies.[4] - Insured but high copays? Explore copay foundations like PAN (≤400% FPL, Medicare OK), HealthWell, or Patient Advocate Foundation (≤300-400% FPL).[1] ## Step-by-Step Application Process 1. **Confirm Eligibility**: Review income (≤200% FPL), uninsured status, and prescription.[7] 2. **Gather Documents**: Prescription, proof of income (tax returns, pay stubs), proof of no insurance (denial letter if applicable), ID.[3] 3. **Contact Provider**: Call **Daiichi Sankyo AccessCentral4U** (details at dsaccesscentral4u.com) or visit their patient assistance page.[6][8] 4. **Submit Application**: Physician or patient completes form (online, mail, or phone). Include all docs.[7] 5. **Wait for Approval**: Processing varies; expect 2-4 weeks typically for PAPs. 6. **Receive Medication**: Shipped to doctor’s office or home if approved.[3] **Tip**: Your doctor’s office often handles applications—ask for help! ## Timeline and Delivery - **Processing Time**: 2-4 weeks from submission (industry standard; confirm with program).[8] - **Delivery**: Free medication mailed to your doctor or directly to you, typically 90-day supply.[3] - **Refills**: Reauthorization often required annually or per supply; track expiration.[7] ## Alternatives if Denied - **Savings Card**: $5/month for commercial insurance.[4] - **Government Programs**: Apply for Medicaid (state-specific); dual eligibles get full coverage. Low-Income Subsidy (LIS) for Medicare (call 1-800-772-1213).[1] - **Copay Foundations**: PAN Foundation (400% FPL), HealthWell, Patient Advocate (300-400% FPL).[1] - **Discounts**: NowPatient coupons up to 90% off.[1] - **Contact Daiichi Sankyo**: Ask about other programs if denied.[1][6] - **PPA**: Partnership for Prescription Assistance connects to 200+ programs.[3] ## Disclaimer This guide provides general information based on available sources as of 2026 and is not medical or legal advice. Program details change; **always verify with Daiichi Sankyo AccessCentral4U or official sites**. Eligibility not guaranteed. Consult your healthcare provider before starting Tribenzor. Daiichi Sankyo reserves rights to modify terms.[3][6][7] (Word count: 942)

Program information last verified: March 25, 2026

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