Asthma Medication Assistance for Patients

Here are some common asthma inhaler medications (short-acting beta2-agonists and long-acting beta2-agonists), their manufacturers and contact information for patients.

Short-acting beta2-agonist bronchodilators


ProAir® HFA

Manufacturer: TEVA

Contact:
http://hcp.proair.com/hfa/pdf/Teva-Cares-Foundation-Patient-Assistance-Application-021214.pdf
877-237-4881

TEVA Cares Foundation – PDF download application


ProAir® RespiClick 

Manufacturer: TEVA

Contact:

http://proair.com/respiclick/asthma-resources/assistance-program.aspx877-237-4881

$25 per for three refills


Proventil® HFA

Manufacturer: Merck

Contact:

https://www.proventilhfa.com/pfha/index.xhtml

855-257-3932

$15 off Out of Pocket Expense


Ventolin® HFA

Manufacturer: GSK

Contact:

https://www.gskforyou.com/

888-825-5249


Xopenex HFA® 

Manufacturer: Sunovian

Contact:
https://www.xopenexhfa.com/
844-276-8262

No Direct savings offer – Call the support number to talk to a Reimbursement Specialists http://www.cephaloncares.com/DoIQualify.aspx


Long-acting beta2-agonist bronchodilators


Arcapta™ Neohaler™

Manufacturer: Sunovian

Contact:

https://www.arcapta.com/savings/arcapta-patient-support.cfm

844-276-8262

Pay as little as $10 Savings Card


Serevent® Diskus®

Manufacturer: GSK

Contact:

https://www.gskforyou.com/

888-825-5249


Striverdi® Respimat®

Manufacturer: Boehringer Ingelheim

Contact:

https://www.boehringer-ingelheim.us/sites/us/files/files/bipi-universal-application.pdf

800-556-8317

Boehringer Ingelheim Cares Foundation, Inc. Mail in form


Inhaled corticosteroids


Alvesco® HFA

Manufacturer: COVIS

Contact:

https://www.alvesco.us/

877-264-2440

$17 dollar Co pay


ArmonAir™ RespiClick®

Manufacturer: TEVA

Contact:

http://www.armonair.com/

877-237-4881

TEVA Cares Foundation – PDF download application


Arnuity® Ellipta®

Manufacturer: GSK

Contact:

https://www.arnuity.com/arnuity-savings-and-offers/index.html

888-825-5249

$10 a month for 12 months.


Asmanex® HFA

Manufacturer: Merck

Contact:

https://www.asmanex.com/asmanex-hfa/index.xhtml

800-727-5400

1 free and $15 multiuse offers


Asmanex® Twisthaler®

Manufacturer: Merck

Contact:

https://www.asmanex.com/asmanex-hfa/index.xhtml

800-727-5400

1 free and $15 multiuse offers


Flovent® Diskus®

Manufacturer: GSK

Contact:

https://www.gskforyou.com/

888-825-5249


Flovent® HFA

Manufacturer: GSK

Contact:

https://www.gskforyou.com/

888-825-5249


Pulmicort Flexhaler®

Manufacturer: AstraZeneca

Contact:

https://www.pulmicortflexhalertouchpoints.com/savings-card.html

800-422-5604

$20 a month


QVAR® Redihaler™

Manufacturer: TEVA

Contact:

https://www.qvar.com/redihaler/savings

877-237-4881

Pay no more than $15 a month


Combination Medications


Advair Diskus®

Manufacturer: GSK

Contact:

https://www.advair.com/coupon-and-savings.html

866-GSK-FOR-U (866-475-3678)

Reduced cost savings program


Advair® HFA

Manufacturer: GSK

Contact:

https://www.advair.com/coupon-and-savings.html

866-GSK-FOR-U (866-475-3678)

Reduced cost savings program


AirDuo™ RespiClick®

Manufacturer: TEVA

Contact:

http://myairduo.com/(X(1)S(lh0fs5m4d5t44svtbdk3ma4b))/teva-patient-assistance-program.aspx

877-237-4881

TEVA Cares Foundation – PDF download application


Anoro® Ellipta®

Manufacturer: GSK

Contact:

https://www.anoro.com/savings.html

866-GSK-FOR-U (866-475-3678)

FREE Frist Prescription, Pay no more than $10 a month


Bevespi Aerosphere®

Manufacturer: AstraZeneca

Contact:

https://www.bevespi.com/bevespi-coupon.html

844-798-3617

Zero pay program


Breo® Ellipta®

Manufacturer: GSK

Contact:

https://www.gskforyou.com/

866-GSK-FOR-U (866-475-3678)

Reduced cost savings program


Dulera®

Manufacturer: Merck

Contact:

https://www.dulera.com/

800-727-5400

1 free and $15 multiuse offers


Stiolto™ Respimat®

Manufacturer: Boehringer Ingelheim

Contact:

https://www.stiolto.com/stiolto-support/savings

800-859-2174

Savings card, Various offers


Symbicort® (HFA)

Manufacturer: AstraZeneca

Contact:

https://www.mysymbicort.com/symbicort-savings-offer/symbicort-coupon.html

800-236-9933

FREE for up to one year


Trelegy® Ellipta®

Manufacturer: GSK

Contact:

https://www.trelegy.com/savings-and-support/index.html

866-GSK-FOR-U (866-475-3678)

Pay no more than $10 a month for a year


Utibron™ Neohaler®

Manufacturer: Sunovian

Contact:

https://www.dulera.com/

844-276-8262

Pay as little as $10 Savings Card and 30 day Free Trial Voucher


Muscarinic antagonist (anticholinergic) bronchodilators


Atrovent® HFA

Manufacturer: Boehringer Ingelheim

Contact:

https://www.boehringer-ingelheim.us/our-responsibility/patient-assistance-program

800-556-8317

Boehringer Ingelheim Cares Foundation, Inc. – Mail in form


Combivent® Respimat®

Manufacturer: Boehringer Ingelheim

Contact:

https://www.combivent.com/savings/card

800-867-1052

Pay as little as $10 for your next 6


Incruse® Ellipta®

Manufacturer: GSK

Contact:

https://www.incruse.com/incruse-savings-and-offers/incruse-coupon-offer.html

866-GSK-FOR-U (866-475-3678)

$10 a month on your 30-day prescription for INCRUSE for 12 months.


Seebri™ Neohaler®

Manufacturer: Sunovian

Contact:

https://www.seebri.us/savings/seebri-savings-card.html

844-276-8262

Pay as little as $10 Savings Card and 30 day Free Trial Voucher


Spiriva® HandiHaler®

Manufacturer: Boehringer Ingelheim

Contact:

https://www.spiriva.com/copd/why-spiriva/savings-and-support

888-777-1919

$0 for 12 months For qualification


Spiriva® Respimat®

Manufacturer: Boehringer Ingelheim

Contact:

https://www.spiriva.com/asthma/savings/

https://www.spiriva.com/copd/why-spiriva/savings-and-support

888-777-1919

$0 for 12 months For qualification


Tudorza™ Pressair™

Manufacturer: AstraZeneca

Contact:

https://www.tudorza.com/savings-program.html

866-421-2848

$25 guarantee program/New patients first fill free


Severe Asthma Treatments


Cinqair

Manufacturer: TEVA

Contact:

https://www.cinqair.com/

877-237-4881

TEVA Cares Foundation – PDF download application


Fasenra

Manufacturer: AstraZeneca

Contact:

https://www.fasenra.com/

833-360-4357

Pay as little as $0


Nucala

Manufacturer: GSK

Contact:

https://www.nucala.com/severe-asthma/steps-to-start/coverage-options/index.html

866-GSK-FOR-U (866-475-3678)

$0 co-pay program


Xolair

Manufacturer: Genentech Novartis

Contact:

https://www.xolair.com/allergic-asthma/financial-support-options.html

866-496-5247

Xolair co-pay Program, Independent Co-pay Assistance Foundations, The Genentech® Access to Care Foundation (GATCF)

 


PDE4 Inhibitors


Daliresp®

Manufacturer: AstraZeneca

Contact:

https://www.daliresp.com/savings-program.html

866-459-2015

$25 savings program