Questions can also be submitted via mail to: P.O. 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. ![]()
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