The Boehringer Ingelheim Cares Foundation Patient Assistance Program makes select Boehringer Ingelheim Pharmaceuticals, Inc., medicines available free of charge to eligible patients. The program is geared toward helping provide medications to those who need it most, including senior citizens and families living on limited incomes.

How to Apply

Please either download the application below (if available) or go to the program website for more information on how to apply. Once you fill out your application, send it to the address on the application. Remember not to send program applications to PPA.

Product(s) Covered by Program

  • A

    • Aggrenox® Capsules
    • Aptivus®
    • Atrovent® HFA
  • C

    • Combivent® Respimat®
  • G

    • Gilotrif® Tablets
  • M

    • Mirapex ER® Extended Release Tablets
    • Mirapex® Tablets
  • O

    • Ofev® Capsules
  • P

    • Pradaxa® Capsules
  • S

    • Spiriva® HandiHaler®
    • Spiriva® Respimat®
    • Striverdi® Respimat®
  • V

    • Viramune XR®