* To learn more about this side effect, see Apr 6, 2021 · vivid or bizarre dreams
An electronic application is available at www
Need a Refill? If you are already enrolled in the BI Cares Patient Assistance Program, which includes the Boehringer Ingelheim medicines listed below, and need to order a refill of your medication, please enter
Our online application process will guide you through the steps needed to complete and submit your portion of the online application: Step
This Application Form is for patients who would like to apply to receive the available medication(s) at no cost through the Program
It is free to apply, and those who qualify will receive their medicine for free — no co-pays or shipping costs
Learn more about resources for Lilly Cares including available medications and eligibility, application links, healthcare provider prescription forms and resources, and news and
NeedyMeds has free request on medication plus healthcare costs savings programs including prescription technical programs and therapeutic and dental clinics