Savings Card Registration

If eligible, pay as little as $10 for each of your next 6 prescriptions for COMBIVENT RESPIMAT. There is a maximum benefit of $50 per monthly prescription. Eligible patients must pay for any costs beyond the $50 maximum savings for each monthly prescription.*

Step 1
Step 2

To see if you are eligible, check all that apply:

Unfortunately, you are not eligible for the COMBIVENT RESPIMAT Savings Card.

Here’s how the card works:

Example 1: As an eligible commercially insured patient:

  • If your monthly co-pay is $70, you will save the maximum of $50, and only pay $20
  • If your co-pay is $50 or less, you will only pay the minimum amount of $10

Example 2: As an eligible cash-paying patient:

  • If your monthly co-pay is $289, you will save the maximum of $50, and only pay $239

All fields are required unless otherwise noted.

*Please complete all required fields

  • You must be 18 years or older to enroll

    / /

Boehringer Ingelheim Pharmaceuticals, Inc. respects your privacy.

By downloading or activating a savings card, you allow Boehringer Ingelheim Pharmaceuticals, Inc. and companies working with us, to use your registration information to: (1) administer your benefits; (2) contact you about the savings program; and (3) evaluate the savings program in relation to your card usage received from the pharmacy.

View Privacy Policy

  • Get valuable offers and helpful information
  • Earn rewards for taking
    your medicine

Please complete the form before submitting

Savings Card*Terms & Conditions

Need some help?

If you'd like assistance enrolling in the COMBIVENT RESPIMAT Savings Card program, or if you have any questions, we're here for you.

Call 1-800-867-1052

Mon-Fri, 8 AM to 8 PM ET

Thank you for registering

Eligible patients can start saving on COMBIVENT RESPIMAT by following the steps below:*

  1. Download and print your COMBIVENT RESPIMAT Savings Card by clicking the button below
  2. By clicking the download button below, your card will be automatically activated. Take your activated card and your prescription for COMBIVENT RESPIMAT to your pharmacy

Download Your Savings Card

After you download your Savings Card, don't forget to join RespiPoints™. It's a free educational support program that can help you earn points daily for taking COMBIVENT RESPIMAT. Redeem your points for e-gift cards from top retailers like Amazon.com.

Savings Card*Terms & Conditions

Your information is already associated with an activated card

Please call 800-867-1052 to speak with a customer service representative.

Need some help?

If you'd like assistance enrolling in the COMBIVENT RESPIMAT Savings Card program, or if you have any questions, we're here for you.

Call 1-800-867-1052

Mon-Fri, 8 AM to 8 PM ET

This card number is not valid

Please check and try again, or call the number on your card.

Need some help?

If you'd like assistance enrolling in the COMBIVENT RESPIMAT Savings Card program, or if you have any questions, we're here for you.

Call 1-800-867-1052

Mon-Fri, 8 AM to 8 PM ET

SEE MORE

Indication for Use and Important Safety Information

COMBIVENT RESPIMAT (ipratropium bromide and albuterol) is indicated for use in patients with chronic obstructive pulmonary disease (COPD) on a regular aerosol bronchodilator who continue to have evidence of bronchospasm (airway narrowing) and who require a second bronchodilator.

Important Safety Information

Do not use COMBIVENT RESPIMAT if you are allergic to any of the ingredients in COMBIVENT RESPIMAT or to atropine or other similar drugs.

COMBIVENT RESPIMAT can cause the narrowing of the airways to get worse (paradoxical bronchospasm) which may be life threatening. If this happens, stop taking COMBIVENT RESPIMAT at once and call your doctor or get emergency help.

COMBIVENT RESPIMAT can cause serious heart-related side effects, such as palpitations, chest pain, rapid heart rate, high blood pressure, tremor, or nervousness. Call your doctor if you experience any of these symptoms.

Avoid spraying COMBIVENT RESPIMAT into your eyes. COMBIVENT RESPIMAT may increase eye pressure which may cause or worsen some types of glaucoma. If you have sudden vision changes, eye pain or visual halos, stop taking COMBIVENT RESPIMAT and call your doctor right away.

COMBIVENT RESPIMAT may cause difficulty with urination.

Dizziness and blurred vision may occur with COMBIVENT RESPIMAT. Should you experience these symptoms, use caution when engaging in activities such as driving a car or operating appliances or other machines.

Do not use COMBIVENT RESPIMAT more often than your doctor has directed. Deaths have been reported with similar inhaled medicines in asthma patients who use the medicine too much. Seek medical attention if your treatment with COMBIVENT RESPIMAT becomes less effective for symptomatic relief, your symptoms become worse, and/or you need to use the product more frequently than usual.

Allergic reactions may occur, including itching, swelling of the face, lips, tongue, or throat (involving difficulty in breathing or swallowing), rash, hives, bronchospasm (airway narrowing), or anaphylaxis. Some of these may be serious. If you experience any of these symptoms, stop taking COMBIVENT RESPIMAT at once and call your doctor or get emergency help.

Tell your doctor about all your medical conditions, especially if you have narrow-angle glaucoma, prostate or urinary problems, a history of heart conditions (such as irregular heartbeat, high blood pressure), thyroid disorder, or diabetes. Also tell your doctor if you are pregnant or nursing. Tell your doctor about all medicines you are taking, especially heart medications or drugs to treat depression.

The most common side effects reported with use of COMBIVENT RESPIMAT include infection of the ears, nose, and throat, runny nose, cough, bronchitis, headache, and shortness of breath.

Click here for full Prescribing Information and Patient Instructions for Use.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

CL-CBR-100003

Are you new to COMBIVENT RESPIMAT?

SEE MORE

Indication for Use and Important Safety Information

COMBIVENT RESPIMAT (ipratropium bromide and albuterol) is indicated for use in patients with chronic obstructive pulmonary disease (COPD) on a regular aerosol bronchodilator who continue to have evidence of bronchospasm (airway narrowing) and who require a second bronchodilator.

Important Safety Information

Do not use COMBIVENT RESPIMAT if you are allergic to any of the ingredients in COMBIVENT RESPIMAT or to atropine or other similar drugs.

COMBIVENT RESPIMAT can cause the narrowing of the airways to get worse (paradoxical bronchospasm) which may be life threatening. If this happens, stop taking COMBIVENT RESPIMAT at once and call your doctor or get emergency help.

COMBIVENT RESPIMAT can cause serious heart-related side effects, such as palpitations, chest pain, rapid heart rate, high blood pressure, tremor, or nervousness. Call your doctor if you experience any of these symptoms.

Avoid spraying COMBIVENT RESPIMAT into your eyes. COMBIVENT RESPIMAT may increase eye pressure which may cause or worsen some types of glaucoma. If you have sudden vision changes, eye pain or visual halos, stop taking COMBIVENT RESPIMAT and call your doctor right away.

COMBIVENT RESPIMAT may cause difficulty with urination.

Dizziness and blurred vision may occur with COMBIVENT RESPIMAT. Should you experience these symptoms, use caution when engaging in activities such as driving a car or operating appliances or other machines.

Do not use COMBIVENT RESPIMAT more often than your doctor has directed. Deaths have been reported with similar inhaled medicines in asthma patients who use the medicine too much. Seek medical attention if your treatment with COMBIVENT RESPIMAT becomes less effective for symptomatic relief, your symptoms become worse, and/or you need to use the product more frequently than usual.

Allergic reactions may occur, including itching, swelling of the face, lips, tongue, or throat (involving difficulty in breathing or swallowing), rash, hives, bronchospasm (airway narrowing), or anaphylaxis. Some of these may be serious. If you experience any of these symptoms, stop taking COMBIVENT RESPIMAT at once and call your doctor or get emergency help.

Tell your doctor about all your medical conditions, especially if you have narrow-angle glaucoma, prostate or urinary problems, a history of heart conditions (such as irregular heartbeat, high blood pressure), thyroid disorder, or diabetes. Also tell your doctor if you are pregnant or nursing. Tell your doctor about all medicines you are taking, especially heart medications or drugs to treat depression.

The most common side effects reported with use of COMBIVENT RESPIMAT include infection of the ears, nose, and throat, runny nose, cough, bronchitis, headache, and shortness of breath.

Click here for full Prescribing Information and Patient Instructions for Use.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
CL-CBR-100003