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JARDIANCE

JARDIANCE is an antidiabetic medication used to improve glucose control in people with type 2 diabetes. It is not recommended for type 1 diabetes.

1). Prescription Bliss

www.prescriptionbliss.com

Eligibility:
• Each program has different requirements, but many of our
patients come to us who are on Medicare and have a Part D plan and are unable to afford their copays or find themselves in the coverage gap of their prescription plan.
• If your insurance company has denied paying for your prescriptions or you have a high copay or coinsurance responsibility.

Instructions:
• Call 1-877-792-5477 or go to the website prescriptionbliss.com to apply
• Click on Apply Now
• Click on Begin Application


2.) RX Assistant

www.rxassistantprograms.com

Eligibility:
Its best to call to see if you qualify.
• U.S. citizen or resident
• Does not have insurance or insurance doesn't cover medication.
• On Medicare or in donut hole/coverage gap

Instructions:
• Go to rxassistantprograms.com to fill out online form
• Call 1-888-344-8915


3). https://www.boehringer-ingelheim.us/our-responsibility/patient-assistance-program

Eligibility:
• Be a resident with a physical address within the United States or US Territory
• Have one of the insurance coverage circumstances either no health coverage or not enough coverage to obtain the medication (eligible drugs are listed below)
• Not have access to alternate sources of coverage or funding for your medication
• Meet household income guidelines established by BI Cares

The following medications are eligible for the BI Patient Cares Assistance Program:
Aptivus Capsules, Atrovent HFA, Combivent Respimat, Glyxambi, Jardiance, Jentadueto, Jentadueto XR, Spiriva HandiHaler, Spiriva Respimat, Stiolto Respimat, Striverdi Respimat, Synjardy, Synjardy XR, Tradjenta, Trijardy XR

Instructions:
• Apply online at website above or call 1-800-556-8317
Please complete one of our online applications, whichever applies to you and follow the instructions on the application for submission

5124 S. 108th St, Hales Corners WI 53130 contact@collinsinsurancegroup.com  |  414.359.1790

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Not affiliated with the U. S. government or federal Medicare program.

We do not offer every plan available in your area. Currently, we represent six organizations which offer fifty products in your area. Please contact Medicare.gov1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

Privacy Policy

At Collins Insurance Group, LLC, we hold your privacy in the highest regard. We assure you that your personal information is not shared with any third parties. This privacy policy is designed to clearly outline how we collect, use, and protect the information you provide.

Information Collection:
We collect only the information necessary to provide and improve our services. This may include name, email address, etc. We do not sell, rent, or share this information with third parties.

How We Use Your Information:
The information collected is used solely for communicating with the intended party. We may use the information provided to communicate with you via phone, text (SMS), and email. We do not share your information with external parties for marketing or other purposes.

Your Choices:
Your control over your information is important to us. You have the right to access, correct, or delete your information. If you have any concerns or questions about your data, please feel free to contact us at contact@collinsinsurancegroup.com.

Policy Changes:
We may update our privacy policy from time to time. Any changes will be communicated to you, and your continued use of our services implies your acceptance of the revised policy.

You agree to the terms outlined in this privacy policy by using our services.

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