Did the cost of your blood thinner (anticoagulant) increase significantly this year?

Are you currently being prescribed a blood thinner and have experienced an increase in out-of-pocket costs this year?

Medicare coverage for certain brand-name medications has changed this year, and some patients are seeing increased copays of hundreds of dollars each month.

If this has happened to you, please share your experience by completing this form.

This information may be shared with our partner organization, the Partnership to Advance Cardiovascular Health, which is pulling together this information for us.
This is only for US patients with Medicare drug coverage who have experienced a significant cost increase in their blood thinner this year.
1.Contact information:(Required.)
2.Insurance plan:(Required.)
3.Details about the medication(s) and price increase(s):(Required.)
4.Permission to share this information with Partnership to Advance Cardiovascular Health:(Required.)