Save on BRILINTA® (ticagrelor) tablets with the $5 coupon card for eligible patients. Get your Savings Card coupon on your phone or download and print your card now before going to the pharmacy. Find today's lowest Brilinta price. Compare coupons, discount cards, savings programs and pharmacy costs side by side, with or without insurance. Access Brilinta for only $80/month through our Patient Assistance Program. Learn how to qualify and save today. TERMS OF USE: Eligible commercially insured patients with a valid prescription for BRILINTA® (ticagrelor) tablets who present this savings card at participating pharmacies will pay as low as $5 per 30-day supply. $200 maximum savings limit applies; patient's out-of-pocket expense may vary. If you pay cash for your prescription, AstraZeneca will pay up to the first $100, and you will be … Find information about how eligible patients can get the BRILINTA® (ticagrelor) savings card. TERMS OF USE: Eligible commercially insured/covered patients with no restrictions (step-edit, prior authorization, or NDC block) and a valid prescription for BRILINTA® (ticagrelor) tablets who present this savings card at participating pharmacies may pay as low as $5 for each 30-, 60-, or 90-day supply, subject to a maximum savings of $200 per 30, $400 per 60, or $600 per 90-day supply … Save on Brilinta (ticagrelor). Copay card: $18/mo. Patient assistance: FREE. Find every savings option. Find official manufacturer savings for Brilinta. Access copay cards, patient assistance, and lower your out-of-pocket costs. Get your Brilinta (Ticagrelor) for only $70.00 per month through our patient assistance program. Enroll today and get pre-qualified. Get a FREE Brilinta coupon & save up to 80% on Rx. Find the cheapest pharnacy deals with WellRx. Compare Brilinta prices, print discount coupons, find manufacturer promotions, copay cards and patient assistance programs. Eligibility for Free Trial Offer for Medicare or Medicaid Patients This offer is good for eligible patients purchasing up to a 30-day supply (up to 60 tablets) of BRILINTA® (ticagrelor) tablets and may not be used for any other product. This offer is good for the purchase of BRILINTA® manufactured for AstraZeneca Pharmaceuticals LP and lawfully purchased from an authorized retailer or … TERMS OF USE: Eligible commercially insured/covered patients with no restrictions (step-edit, prior authorization, or NDC block) and a valid prescription for BRILINTA® {ticagrelor} tablets who present this savings card at participating pharmacies may pay as low as $5 for each 30-, 60-, or 90-day supply, subject to a maximum savings of $200 per 30, $400 per 60, or $600 per 90-day supply … MAIL-ORDER REBATE FORM FOR BRILINTA TO AVOID DELAYS Be sure to send in both this completed form and your Mail-Order Pharmacy Receipt (the original or a copy). Print neatly if you are filling out this form by hand. Brilinta Coupon Simply bring the coupon below to the pharmacy, and save on Brilinta at CVS, Walgreens, Publix, Safeway, Albertsons, Rite Aid, Target, and many other drug stores! These coupons are free and can be used to save up to 80% on all medications. Ways to save on generic Brilinta These programs and tips can help make your prescription more affordable Fill a 90-Day Supply to Save You may be able to lower your total cost by filling a greater quantity at one time. Brilinta (brih-LIN-tah) is a brand-name medication prescribed to help prevent blood clots that could cause a heart attack or stroke. It's used in adults with certain heart and blood vessel conditions. Brilinta belongs to a group of drugs called antiplatelets (a type of blood thinner). Compare prices for Brilinta and download your savings coupon instantly to save up to 80%. Brilinta Prescription Discount Coupon/Offer from Manufacturer Co-Pay Card Program, patients can pay as little as $5 for prescriptions. Program Details ASTRAZENECA PHARMACEUTICALS AZ & Me Prescription Savings Program for people with Medicare Brilinta Tablets (ticagrelor) … Last Updated: 05/07/2026 Application Forms & Instructions The following documents are provided in interactive PDF format, allowing you to type information directly into the form. AZ&ME APPLICATION- PATIENT AUTHORIZATION (Page 2) I authorize my health care providers (HCPs) and staff, my health plans, and my designated contact to use, share and verify my Protected Health Information (my "Information") with AstraZeneca, including the AZ&ME Prescription Savings Program ("Program") and its affiliates, as well as its contractors ("AstraZeneca"). My Information … Learn about cost and Brilinta, financial and insurance assistance, ways to lower long-term costs, and more. Brilinta Patient Assistance Programs Simplefill helps Americans who are struggling to pay for the costly medications they rely on to manage chronic diseases such as acute coronary syndrome. Learn more about Brilinta patient assistance programs, and enroll with Simplefill today. APPLY NOW What is Brilinta? Learn about BRILINTA® (ticagrelor) coverage for patients with a Medicare Part D plan, including details on average cost. PI-Central BRILINTA® (ticagrelor) is an oral prescription indicated for patients with acute ischemic stroke, history of myocardial infarction, high-risk coronary artery disease and acute coronary syndrome. Program Details ASTRAZENECA PHARMACEUTICALS AZ & Me Prescription Savings Program for people without insurance Brilinta Tablets (ticagrelor) … Last Updated: 09/21/2026 Application Forms & Instructions The following documents are provided in interactive PDF format, allowing you to type information directly into the form. Learn more about Brilinta Patient Assistance and how Simplefill can help you get enrolled so you can start saving on your medication. Look up prices and save on Brilinta and other Platelet Aggregation Inhibitors drugs at CVS, Walgreens, and other nearby pharmacies. There are two coupons for Brilinta in 2026: Coupon Value and Save: Free trial 30 days and pay only $18 for the next 11 refills How Does It Work: Manufacturer Printable Coupon,Brilinta Cost Savings Program. AstraZeneca Coupon for Brilinta. Download and print the BRILINTA Savings Card on the Manufacturer website.Every download will have a unique number. you may receive up to $75 ($1,100 per year … Find out if you qualify to save on your medications today. Get Brilinta Prescription Assistance by calling: 1-888-233-4303. AZ&Me – AstraZeneca prescription savings program provides easy access at affordable price to all the eligible patients prescribed with AZ medications. Brilinta is a prescription drug used to reduce the risk of blood clots in some adults. Learn ways to reduce long-term drug costs and more. We would like to show you a description here but the site won't allow us. Easily fill out and eSign the BRILINTA Mail-Order Rebate Form with pdfFiller's secure online editor. Save time, ensure accuracy, and share with ease.
