For U.S. Residents Only

Indication

MULTAQ is a prescription medicine used to lower the chance you would need to go into the hospital for an irregular heart rhythm called atrial fibrillation (AFib). It is meant for people who have had AFib in the past but are now in normal heart rhythm.
Read Full Important Safety Information

Multaq Savings
Card Program

Not actual patients.

Welcome to the MULTAQ Savings Card Program

With the MULTAQ Savings Card you may be eligible to pay as low as $0 co-pay on each of your next 13 MULTAQ fills with no income restrictions. Maximum benefits apply. See terms and conditions here.*

Select one of the options below to get started

I want a savings card*

Apply for a new card

I want to activate my savings card

Activate here if you already received a printed card from your healthcare provider or pharmacist

I want to re-enroll*

Already using a MULTAQ Savings Card? Re-enroll to continue using your savings card.

*See terms and conditions

Answer 3 quick questions to apply for your MULTAQ Savings Card^*.

^†Required fields

I am a patient or caregiver over the age of 18 AND a resident of the United States, Puerto Rico, Guam or the US Virgin Islands.^†

Sorry, you are not eligible for a savings card. You must be 18 years of age or older and a resident of the US or a US territory to be eligible. Please call 1-855-699-8685 if you would like to speak to a customer service representative.

Yes No

I have commercial (also known as private) insurance.^† Yes No

I am enrolled in a state or federally funded government program, including but not limited to Medicare, Medicaid, VA, DoD, or Tricare.^† Yes No

Please indicate that you acknowledge and understand the following statement and confirm that the information you have provided is accurate and complete, as this is necessary for compliance with applicable federal and state laws. This offer is not valid for prescriptions covered by or submitted for reimbursement under Medicaid, Medicare, VA, DOD, TRICARE, or similar federal or state programs including any state pharmaceutical assistance program. Should you begin receiving prescription benefits from any federal, state, or government funded program at any time, you will no longer be eligible to participate in this program. If you have an Affordable Care (Health Care Exchange) plan, you may still be qualified to receive and use this savings card.

Please note: the Federal Employees Health Benefits (FEHB) Program is not a federal or state government health care program for purposes of the savings program. Void where prohibited by law. Savings may vary depending on patients’ out-of-pocket costs. Upon registration, patients receive all program details. Sanofi US reserves the right to rescind, revoke, or amend the program without notice. Do you acknowledge and understand this statement and confirm that the information you have provided is accurate and complete?

I confirm that the information provided is accurate and complete, as this is necessary for compliance with federal healthcare program laws.^†

First Name^†

Last Name^†

Address^†

Address (continued)

ZIP Code^†

City^†

State^†

Phone Number (no dashes)^†
Why do we need this?

Date of Birth^†
Why do we need this?

Email Address^†

Verify Email Address^†

I understand the information I provide, along with information about my use of the MULTAQ Savings Card will be stored and used by Sanofi, and parties acting on its behalf to provide services to me. Sanofi may also store and use my information to contact me about products, services, offers and other information that it believes may be of interest to me. Sanofi may also use my information for other communication, services and marketing activities as well as display interest-based advertising to me on unaffiliated sites or apps based on my interest in MULTAQ. Full details on how Sanofi uses the information I provide as well as my rights and responsibilities with respect to such information can be found in Sanofi’s Global Privacy Policy located here. I can stop future contacts and use of my information as described in this paragraph by calling 1-800-633-1610 or by sending a letter to Sanofi US Customer Services, P.O. Box 5925 Mailstop 55A-220A5, Bridgewater, NJ 08807.

By clicking on SUBMIT, I confirm that I have read and agree with Sanofi’s policy and that the information I have provided is correct to the best of my knowledge.

UNDERSTANDING YOUR ROLE IN FILLING YOUR MULTAQ PRESCRIPTION

Set yourself up for success at the pharmacy by knowing the process.

Now that you’ve applied for your savings card, let’s make sure you get your prescription filled.

Step 1

Receive a written or electronic prescription for MULTAQ.

Step 2

Activate or apply for your savings card. See above. Activate or apply for your savings card.^* CLICK HERE.

Step 3

Take your MULTAQ prescription to the pharmacy, along with your savings card.

Step 4

Ask for MULTAQ by name when at your pharmacy.

Step 1

Take your activated savings card and your prescription to the pharmacy.
- If you don’t have a prescription for MULTAQ, speak with your doctor

Step 2

Ask for MULTAQ by name.
- Remind your pharmacist that there is no generic for MULTAQ

BE AWARE: Let your pharmacist know that there is no generic for MULTAQ. Be your own advocate and make sure you talk to your pharmacist to reduce your out-of-pocket costs.

TERMS AND CONDITIONS

*Offer only available to eligible patients with commercial insurance not funded through a government healthcare program or to patients paying cash. This offer is not valid for prescriptions covered by or submitted for reimbursement under Medicaid, Medicare, VA, DOD, TRICARE, or similar federal or state programs. Subject to an annual cap of $3,000 for commercially insured patients and an annual cap of $1,950 for patients paying cash. Sanofi U.S. reserves the right to rescind, revoke, or amend this offer without notice. Void where prohibited by law.

Multaq Savings Card Program

Welcome to the MULTAQ Savings Card Program

Select one of the options below to get started

Answer 3 quick questions to apply for your MULTAQ Savings Card*.

Apply for a MULTAQ Savings Card - Step 2

UNDERSTANDING YOUR ROLE IN FILLING YOUR MULTAQ PRESCRIPTION

Set yourself up for success at the pharmacy by knowing the process.

Now that you’ve applied for your savings card, let’s make sure you get your prescription filled.

Step 1

Step 2

Step 3

Step 4

Step 1

Step 2

TERMS AND CONDITIONS

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Multaq Savings
Card Program

Answer 3 quick questions to apply for your MULTAQ Savings Card^*.