Boehringer Ingelheim CARES Foundation Patient Assistance Virology Program
Boehringer Ingelheim
The Boehringer Ingelheim CARES Foundation Patient Assistance Program makes Boehringer Ingelheim Pharmaceuticals, Inc., products available to patients who are without pharmaceutical insurance coverage, and who meet certain household income levels. The program is geared toward helping provide medications to those who need it most, including senior citizens and families living on limited incomes.
Contact Information
Boehringer Ingelheim CARES Foundation, Inc.
P.O. Box 66565
St. Louis, MO 63166-6565
1-(800) 556-8317 (phone)
1-(800) 639-9118 (fax)
Boehringer Ingelheim CARES Foundation, Inc.
P.O. Box 66565
St. Louis, MO 63166-6565
1-(800) 556-8317 (phone)
1-(800) 639-9118 (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.
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.
Eligibility:
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. Patient must have no prescription drug coverage for the medication (including Medicare, Medicaid or any other public programs). Patient must meet the required income guidelines, based on the Federal Poverty Level (FPL), which is adjusted annually. To qualify for assistance, patients must meet the required income guideline of up to 500% of the Federal Poverty Level (FPL), which is adjusted annually. For example, in 2011, up to 500% of the FPL for a family of two living in the 48 states other than Alaska or Hawaii is $73,550. Patient applications are evaluated on a case-by-case basis by the program.
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. Patient must have no prescription drug coverage for the medication (including Medicare, Medicaid or any other public programs). Patient must meet the required income guidelines, based on the Federal Poverty Level (FPL), which is adjusted annually. To qualify for assistance, patients must meet the required income guideline of up to 500% of the Federal Poverty Level (FPL), which is adjusted annually. For example, in 2011, up to 500% of the FPL for a family of two living in the 48 states other than Alaska or Hawaii is $73,550. Patient applications are evaluated on a case-by-case basis by the program.
Other Information:
Hours of operation: Monday-Friday 7:30am - 5:30pm CST
Hours of operation: Monday-Friday 7:30am - 5:30pm CST
Product(s) covered by program:
- Aptivus® Capsules
- Aptivus® Oral Solution
- Viramune® Oral Suspension
- Viramune® Tablets
- Viramune® XR™
