Need a Refill?
If you are already enrolled in the BI Cares Patient Assistance Program, which includes the Boehringer Ingelheim medicines listed below, and need to order a refill of your medication, please enter the information required in the blue box below and click “Submit”. You will receive an instant response informing you whether we can complete your refill order.
Please be sure to complete this form 10 business days prior to your next refill date to allow for order processing and shipment.
The list of Boehringer Ingelheim medicines available for refill through this online tool is as follows:
| Aptivus® Capsules | Jardiance® | Spiriva® Respimat® | Synjardy® XR |
| Atrovent® HFA | Jentadueto® | Stiolto® Respimat® | Tradjenta® |
| Combivent® Respimat® | Jentadueto® XR | Striverdi® Respimat® | Trijardy® XR |
| Glyxambi® | Spiriva® HandiHaler® | Synjardy® |
Request a refill of your medication here:
*If you wish to ship to an alternative address from your last shipment you must speak with a Patient Care Specialist.
Need additional help? Call the toll-free number below.
BI Cares Patient Assistance Program
1-800-556-8317
Monday - Friday 8:30am - 6:00pm ET
For Ofev® and Gilotrif® refills, please call the toll-free number listed on your prescription bottle.