There are two coupons for Brilinta :

#1

Brilinta™ Coupon: Free 30-Day Supply + $18 Co-Pay 11 Refills

Description:

Manufacturer Printable Coupon

Details:

Brilinta™ Coupon: Get a free 30-day supply of Brilinta the new cardiovascular drug from AstraZeneca. Coupon also good to reduce your copay by up to $75 per month (patient required to pay the first $18).  

- Patient pays $0.00 for the first fill and the first $18 of the next 11 refills.
- Maximum value of Brilinta coupon is $75 per prescription ($1,100 per year).
- Patient help line is 1-888-412-7454.
- Brilinta coupon adjudicated by Therapy First Plus; pharmacist help line is 1-800-422-5604.
- Brilinta coupon must be activated by 2/28/2012.
- Coupon expires 14 months from date of activation.
- Maximum of 60 Brilinta tablets per prescription.
- Residents of Massachusetts, patients with Medicare and other government sponsored insurance are eligible for the free 30-day supply but NOT the copay reduction portion of the program.
#2

Brilinta Reusable Buying Group Coupon (Free - No Membership Fees)

Save up to 75% off Retail Price

Brilinta
Reusable Buying Group Coupon
  • Name: ________________________________
  • RxMBR: 10 Digit Phone Number
  • RxBin: 610709
  • RxPCN: 7777
  • RxGRP: EDRUGCOUPON
  • Program: UNA RX CARD - UNITED NETWORKS OF AMERICA
  • Discount program for drugs similar to how the AAA card gets you discounts on motel rooms.
  • Ideal for people with no drug coverage, self employed, donut hole seniors.
  • Accepted at all the big chains (Walgreens, CVS, Rite Aid, Etc.) and most independent pharmacies. Not to be combined with insurance, great for drugs not covered by your plan.
  • Click here for price quote from drugstore near you that participates in this program.
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