Boehringer Ingelheim CARES Foundation Patient Assistance Program for Medicare Beneficiaries

Boehringer Ingelheim

The Boehringer Ingelheim CARES Foundation Patient Assistance Program for Medicare Beneficiaries makes Boehringer Ingelheim Pharmaceuticals, Inc., products available to patients enrolled in Medicare. Patients with Medicare who need help paying for their Boehringer Ingelheim medication, and who meet certain household income levels, may qualify for assistance.
Contact Information
Boehringer Ingelheim CARES Foundation, Inc.
P.O. Box 66745
St. Louis, MO 63166-6745
1-(800) 556-8317 (phone)
1-(866) 727-5891 (fax)
How to Apply:
Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to RxResource.
Patient must be a U.S. citizen or legal resident of the U.S. Patient and physician must submit a completed, signed application along with a prescription for the medication and financial documentation. Patient must meet the required income guidelines, based on the Federal Poverty Level (FPL), which is adjusted annually. Patient is required to have spent at least 3% of the annual household income of prescriptions during the current calendar year. These medications can include medications manufactured by Boehringer Ingelheim as well as other pharmaceutical companies. Documentation of out-of-pocket prescription costs is required. An individual may not qualify if they have non-Medicare insurance that covers their prescription drugs, are eligible for Medicaid, are eligible for Medicare's Low Income Subsidies, also known as EXTRA HELP. (In 2011, this is for individuals with incomes limited to $16,335.)
Other Information:
Hours of operation: Monday-Friday 7:30am - 5:30pm CST
Product(s) covered by program:
  • Aggrenox® Capsules
  • Atrovent® Inhalation Aerosol
  • Combivent® Inhalation Aerosol
  • Micardis® HCT Tablets
  • Micardis® Tablets
  • Mirapex® Extended Release Tablets
  • Mirapex® Tablets
  • Spiriva® HandiHaler®
  • Twynsta® Tablets