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Diabetes

BAQSIMI

Generic: glucagon

Manufacturer: Amphastar Pharmaceuticals, Inc.  ·  Program: BAQSIMI Patient Assistance Program

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Eligibility Criteria

Insurance Requirement

Uninsured or underinsured patients; government beneficiaries (Medicaid, Medicare, Medicare Part D, Medigap, DoD, VA, TRICARE) are excluded

Residency

US resident

Program Information

Processing Time

2–8 weeks

Delivery Method

shipped regularly without restarting process

Application Method

Phone

Reauthorization

Required — annual

Typically Required Documents

ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.

  • medical information
  • financial information

Indicated For

Severe hypoglycemia (very low blood sugar) in people with diabetes

About This Medication

# BAQSIMI Patient Assistance Program Patient Guide: How to Get BAQSIMI at Low or No Cost BAQSIMI (glucagon) is a **needle-free nasal spray** used to treat severe low blood sugar (hypoglycemia) in people with diabetes ages 1 year and older. This guide explains the **BAQSIMI Patient Assistance Program (PAP)** from **Amphastar Pharmaceuticals, Inc.**, designed to provide free or low-cost medication to eligible **uninsured or underinsured patients**.[1][4][5][6] ## About BAQSIMI **BAQSIMI** is the first and only dry powder nasal glucagon, making it easy to use in emergencies without injections, reconstitution, or priming. Insert one end into the nose and press the plunger—glucagon is absorbed passively. It's portable, stable up to 86°F (30°C), and uses a single 3 mg dose for any weight.[5] **Why it's essential**: Severe hypoglycemia occurs when blood sugar drops dangerously low, often in insulin users. Symptoms include confusion, seizures, or unconsciousness. BAQSIMI reverses this quickly when the person can't eat or drink sugar.[5][7] It's #1 prescribed glucagon in the US and now approved for ages 1+.[5] **Important safety notes**: Do not use if you have pheochromocytoma, insulinoma, or glucagon hypersensitivity. Allergic reactions possible. Always follow your doctor's instructions.[2][5] ## Who Qualifies for the Program? This PAP helps patients who can't afford BAQSIMI due to lack of insurance coverage. Key requirements: - **Uninsured or underinsured**: No commercial insurance coverage for BAQSIMI, but government programs excluded.[1][2][4][6] - **Medical need**: Valid prescription for BAQSIMI from a licensed provider.[6] - **Financial need**: Income typically below thresholds like $40,000 (individual), $60,000 (couple), $100,000 (family), though exact limits not publicly specified—call to confirm.[6] - **U.S. resident**: Programs generally for U.S. patients. **Note**: Separate commercial copay card exists for insured patients ($25 for up to 2 devices, max 12 fills/year), but government beneficiaries (Medicare, Medicaid, etc.) excluded from all offers.[1][2] ## Income Eligibility Breakdown Specific income thresholds are not publicly listed (null in program details), but PAPs like this follow federal poverty guidelines (FPG), often 400-500% FPG. Here's a general table based on common criteria for similar programs—**verify by phone as they adjust annually**.[6] | Household Size | Max Annual Income (est. 400% FPG) | Max Annual Income (est. 500% FPG) | |----------------|----------------------------------|----------------------------------| | 1 | $60,320 | $75,400 | | 2 | $81,760 | $102,200 | | 3 | $103,280 | $129,000 | | 4 | $124,800 | $155,800 | | +1 per member | +$21,520 | +$26,800 | *Source: 2026 FPG estimates; call (800) 423-4136 for BAQSIMI exacts.*[6] Provide proof like tax returns or pay stubs.[6] ## Insurance Requirements - **Eligible**: Uninsured or underinsured (private plans not covering BAQSIMI fully).[6] - **Excluded**: Government beneficiaries including **Medicaid, Medicare, Medicare Part D, Medigap, DoD, VA, TRICARE**. These patients check Extra Help or other options.[1][2][3][4] If commercially insured, use the copay card instead (not this PAP).[1][2] ## Step-by-Step Application Process 1. **Get a prescription**: Ask your doctor for BAQSIMI and confirm medical necessity.[6] 2. **Gather documents**: - **Medical info**: Prescription, doctor's note on diagnosis (diabetes/hypoglycemia risk).[6] - **Financial info**: Proof of income (tax return, W-2, pay stubs), household size, insurance status (or lack thereof).[6] 3. **Call to apply**: Dial **(800) 423-4136** (application by phone only—no online form).[4][9] Have documents ready; staff guides you. 4. **Submit docs**: Fax/email as instructed during call.[6] 5. **Wait for approval**: If approved, medication ships directly.[6] **Tip**: Services like Rx Advocates can assist with paperwork for a fee.[6] ## Timeline and Delivery - **Processing time**: Not specified—typically 2-4 weeks for PAPs; call for updates.[6] - **Delivery**: Shipped **regularly without restarting process** (e.g., every 3 months).[6] Reauthorization required annually or as needed.[program details] - **Refills**: Automatic shipments until eligibility ends or supply limit reached. ## Alternatives if Denied - **Appeal**: Provide more docs or updated info.[4] - **Copay card**: If commercially insured ($25/2 devices).[1][2][4] - **Discounts**: GoodRx, pharmacy coupons.[3] - **Other PAPs**: Check GetInsulin.org or NeedyMeds for glucagon options.[3][4] - **Generics/competitors**: Gvoke, Zegalogue PAPs (call respective numbers).[4] - **Extra Help**: Medicare patients apply via SSA.[3] - **Doctor samples** or state programs. Don't give up—emergency glucagon is life-saving.[4] ## Disclaimer This guide is for informational purposes based on available data as of 2026. Programs change; **always call (800) 423-4136** for current details. Not medical/financial advice—consult your doctor and advisor. Manufacturer not liable for guide content. Voids where prohibited.[1][2][6] (Word count: 1028)

Program information last verified: March 30, 2026

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