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What to Do If Your Insurance No Longer Covers Eliquis: Affordable Alternatives and Savings Options
What to Do If Your Insurance No Longer Covers Eliquis: Affordable Alternatives and Savings Options
- Jason K
Eliquis (apixaban) is one of the most commonly prescribed blood thinners for preventing strokes and blood clots. However, many patients find themselves facing high out-of-pocket costs when their insurance stops covering it or moves it to a higher tier with increased copays.
If your insurance no longer covers Eliquis, there are still ways to access this medication at a lower cost. This guide explores why insurance coverage changes, affordable alternatives, and options like buying Eliquis from Canada to help reduce expenses.
Why Does Insurance Stop Covering Eliquis?
Insurance plans regularly update their drug formularies, which can affect coverage for certain medications. Some of the most common reasons why Eliquis may no longer be covered include:
- Formulary Changes – Insurance companies periodically adjust their list of covered drugs, and Eliquis may have been removed or placed on a higher tier.
- Requirement for Prior Authorization – Some plans require additional approval before covering Eliquis, meaning your doctor must submit extra paperwork.
- Switching to Generic Alternatives – With generic apixaban now available, some insurance plans have shifted coverage away from brand-name Eliquis to encourage patients to use the lower-cost option.
- Medicare Part D Coverage Gaps – Some Medicare patients experience higher costs due to coverage limitations or the “donut hole” in their plan.
If you receive a notice that Eliquis is no longer covered, contacting your insurance provider is the first step to understanding your options.
How Buying Eliquis From Canada Can Help You Save
Many Americans purchase a 90-day supply of prescription medications from Canada to save on costs. The price of Eliquis in Canada is often 30–50% lower than in the U.S., making it a reliable option for those facing high out-of-pocket expenses.
Steps to Buy Eliquis From a Canadian Pharmacy
1. Find a trusted prescription referral service that connects patients with licensed Canadian pharmacies.
2. Submit a valid U.S. prescription for Eliquis (apixaban) or have your prescriber fax it in.
3. Compare pricing and place an order for a 90-day supply to maximize savings.
4. Receive delivery of your medication directly to your home.
Additional Ways to Save on Eliquis
Manufacturer Coupons and Assistance Programs
Eliquis manufacturers offer savings programs for eligible patients, including co-pay cards or financial assistance for those who qualify. However, these programs are often limited and may not be available to Medicare patients.
Pharmacy Discount Cards
Using discount cards at local pharmacies may reduce the cost of Eliquis, though savings may not be as significant as buying from Canada. Comparing multiple discount programs can help find the best price.
Switching to an Alternative Blood Thinner
If Eliquis remains too expensive, your doctor may recommend switching to another direct oral anticoagulant (DOAC). Options include:
- Xarelto (rivaroxaban)
- Pradaxa (dabigatran)
- Warfarin (Coumadin) – While cheaper, it requires frequent blood monitoring.
Before switching medications, consult with your doctor to ensure the alternative is safe and effective for your condition.
Frequently Asked Questions
Can I legally buy Eliquis from Canada?
Yes, U.S. residents can import up to a 90-day supply of Eliquis for personal use with a valid prescription.
Is generic apixaban the same as Eliquis?
Yes, generic apixaban contains the same active ingredient as Eliquis and is considered equally effective.
How much can I save by buying Eliquis from Canada?
Patients can save 30–50% compared to U.S. prices, depending on dosage and supply size.
Does Eliquis have a patient assistance program?
Yes, Eliquis offers a co-pay card and patient assistance program, but eligibility restrictions apply.
What should I do if my insurance denies coverage for Eliquis?
Check if generic apixaban is covered, consider buying from Canada, or ask your doctor about switching to a different blood thinner.
Conclusion
If your insurance no longer covers Eliquis, there are still ways to access the medication affordably. Patients can explore generic options, manufacturer savings programs, and cost-effective alternatives like purchasing Eliquis from Canada.
By using trusted prescription referral services, comparing pricing, and discussing alternatives with a doctor, patients can continue their treatment without overpaying.
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