![]() Questions can also be submitted via mail to: P.O. Free 30 day trial download#For those customers using mail order or any non-participating retail pharmacy, please call 86 to request a patient rebate form, or go to to download a form. The Co-pay Card will be accepted only at participating pharmacies. The Co-pay Card for ELIQUIS is not health insurance.This offer is not conditioned on any past, present, or future purchase, including refills.Bristol Myers Squibb and Pfizer reserve the right to rescind, revoke, or amend this offer at any time without notice.Reproductions of this Co-pay Card are void. ![]() The Co-pay Card may not be sold, purchased, traded, or counterfeited. Free 30 day trial free#
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