MICARDIS MyCARD™ - Pharmacist eLink

Pharmacists can call 1-866-492-0053 for adjudication questions
MICARDIS MyCARD
Lower Your BP. Lower Your Cost.
• Patients never pay more than $20 for
a 30-day prescription of MICARDIS or
MICARDIS HCT, whether paying with
cash or using insurance
• No forms, rebates, or coupons
• Works at all retail pharmacies
for 12 months
• Program works regardless of
insurance, excluding Medicare,
Medicaid, and other federal- or state-funded programs
• Patients are not eligible to participate in this program if they
live in Massachusetts or in those states where prohibited by law
MICARDIS and MICARDIS HCT are indicated for the treatment of hypertension.
MICARDIS HCT is not indicated for initial therapy.
MICARDIS and MICARDIS HCT are contraindicated in patients who are hypersensitive to any of
their components. MICARDIS HCT is contraindicated in patients with anuria or hypersensitivity to
other sulfonamide-derived drugs.
USE IN PREGNANCY
When used in pregnancy during the second and third trimesters, drugs that act directly
on the renin-angiotensin system can cause injury and even death to the developing
fetus. When pregnancy is detected, MICARDIS and MICARDIS HCT Tablets should be
discontinued as soon as possible (see WARNINGS, Fetal/Neonatal Morbidity and Mortality).
Thiazides cross the placental barrier and appear in cord blood. There is a risk of fetal or
neonatal jaundice, thrombocytopenia, and possibly other adverse reactions that have occurred
in adults.
With MICARDIS monotherapy and other
angiotensin II receptor blockers and ACE inhibitors
in general, BP response in Blacks is noticeably
less than in Caucasians.

Pharmacists can call 1-866-492-0053 for adjudication questions
As a pharmacist, what do I need to know?
• Easy to process
— Enter the patient’s primary
insurance information as usual,
and the MICARDIS MyCARD
as a secondary benefit
• Activation
— This card will be ready to process
15 minutes after activation
• No installations
RxBIN: 610524
RxPCN: Loyalty
RxGRP: 50775109
ISSUER: (80840)
ID: XXXXX
Please see accompanying full Prescribing Information, including boxed WARNING, for MICARDIS and MICARDIS HCT.
McKESSON
— The MICARDIS MyCARD uses the NCPDP 5.1 transaction set for benefits
coordination or primary claims
• Unique revenue opportunity
— You’ll collect a fee for every transaction
• Reliable customer service
— If you have any questions, you’ll receive prompt assistance by calling
your dedicated MICARDIS MyCARD Customer Service Representative
at 1-866-492-0053
• Improved patient loyalty and adherence
— Your patients may receive discounts and other services to educate them
and motivate them to continue with their prescribed therapy
• Protect your patients’ privacy
— Your patients’information is always
protected from unauthorized use
and will never be shared
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Before prescribing, please see accompanying full Prescribing Information, including boxed WARNING,
for MICARDIS and MICARDIS HCT.
Empowering Healthcare
Copyright © 2006, Boehringer Ingelheim Pharmaceuticals, Inc. All rights reserved. Printed in U.S.A. (08/06) MC12098E
MC12098