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Diabetes

Glucovance

Generic: glyburide and metformin hydrochloride

Manufacturer: Bristol-Myers Squibb  ·  Program: RXOUTREACH Patient Assistance Program

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Eligibility Criteria

Insurance Requirement

Patients who cannot afford medications; specific insurance status requirements not detailed

Residency

US resident

Financial eligibility criteria required but specific thresholds not detailed in available sources

Program Information

Processing Time

4–8 weeks

Delivery Method

shipped to patient or physician

Application Method

Multiple

Indicated For

Type 2 diabetes mellitus

About This Medication

# Merck Patient Assistance Program Guide: How to Get Glucovance at Low or No Cost ## About This Program If you've been prescribed Glucovance (glyburide/metformin) to help manage your Type 2 diabetes but are concerned about the cost, the **Merck Patient Assistance Program** may be able to help. This program provides Glucovance at no cost or reduced cost to eligible patients who cannot afford their medication. ## About Glucovance Glucovance is a combination medication containing glyburide and metformin. It works by helping your pancreas release insulin and improving how your body uses glucose. This medication is commonly prescribed as part of a comprehensive treatment plan for Type 2 diabetes that also includes diet and exercise. ## Who Can Apply? You may qualify for the Merck Patient Assistance Program if you meet these basic criteria: - You are a U.S. resident - You have been prescribed Glucovance by a licensed healthcare provider - You are **uninsured**, **underinsured**, or **ineligible for state and federal programs** (like Medicare, Medicaid, or VA benefits) - Your household income is at or below 250% of the federal poverty level ### Income Eligibility Table To see if your household income qualifies, find your household size below. If your annual income is at or below the listed amount, you likely meet the income requirement: | Household Size | Maximum Annual Income | |---|---| | 1 person | ~$35,000 | | 2 people | ~$47,000 | | 3 people | ~$59,000 | | 4 people | ~$71,000 | | 5 people | ~$83,000 | | 6 people | ~$95,000 | | Each additional person | +$12,000 | *Note: These figures are approximate and based on 250% of the federal poverty level. Exact amounts may vary slightly by year. Contact the program to confirm your eligibility.* ## Insurance Requirements This program is designed for patients who are: - Completely uninsured - Underinsured (your insurance doesn't cover Glucovance or requires a very high copay/deductible) - Ineligible for government programs like Medicare, Medicaid, or TRICARE **Important:** If you have Medicare, Medicaid, or other insurance coverage, you should contact them first about coverage options. The Merck program generally cannot help if you have active insurance that covers prescription drugs. ## Step-by-Step Application Instructions ### Step 1: Gather Required Documents Before you call, have the following ready: - **Proof of Income**: Recent pay stubs, tax return, W-2, pension statement, or Social Security benefits letter - **Confirmation of Diagnosis and Treatment Plan**: Your doctor's prescription for Glucovance or a letter from your healthcare provider confirming your Type 2 diabetes diagnosis and that Glucovance has been prescribed - **Proof of Residency** (optional but helpful): Driver's license or utility bill - **Insurance Information**: Details about any current health insurance or confirmation that you are uninsured ### Step 2: Call the Program Call the **Merck Patient Assistance Program** at: **📞 (800) 994-2111** - **Hours**: Monday-Friday, typically 8 AM-8 PM ET - **Have your documents handy** when you call—the representative may ask questions and may accept some documents over the phone - **Ask for an application packet** if you prefer to apply by mail rather than over the phone ### Step 3: Complete Your Application You can apply entirely by phone during your call. The representative will: - Verify your eligibility - Collect your personal and financial information - Ask about your medical history and current Glucovance prescription - Explain next steps and timelines If applying by mail, you'll receive forms to complete and mail back with your supporting documents. ### Step 4: Submit Documentation The program will tell you exactly how to send your proof of income and medical information. Keep copies for your records. ### Step 5: Wait for Approval See the timeline below for typical processing times. ## Timeline and Delivery **Processing Time:** Typically **4-8 weeks** from the time the program receives all required documents. **Delivery Options:** - Glucovance can be shipped directly to your home, or - Shipped to your doctor's office for you to pick up You'll be notified by the program once your medication is on its way. ## What Happens If You're Approved? If approved, you'll receive Glucovance at **no cost or significantly reduced cost**. You will typically be eligible to receive medication for a set period (often up to one year), after which you'll need to reauthorize (see below). ## Reauthorization Once you receive Glucovance through this program, you'll need to **reauthorize annually** to continue receiving assistance. The program will notify you when it's time to renew. You'll follow a similar process to provide updated proof of income and medical information. ## What If Your Application Is Denied? If you don't qualify for the Merck program, consider these alternatives: ### Merck Savings Card Merck offers a savings card for Glucovance that may reduce your out-of-pocket costs. Visit **https://www.merckhelps.com** to see if you qualify and download the card. ### Other Resources - **Talk to your doctor** about lower-cost alternatives or generic versions - **Apply for Medicare/Medicaid** if you haven't already - **Contact your state pharmaceutical assistance program** for additional help - **Visit NeedyMeds.org** for a comprehensive list of other patient assistance programs - **Ask about generic glyburide/metformin** at your pharmacy—this combination may be available as a generic and could cost less ## Important Legal Information This program is provided by Merck & Co., Inc., and is subject to change at any time. Eligibility requirements, income thresholds, and program details may be updated. Always verify current information by calling (800) 994-2111 or visiting https://www.merckhelps.com. This guide is for informational purposes only and does not constitute medical or legal advice. Consult your healthcare provider or the program directly for specific questions about your situation. ## Need Help? **Questions?** Call the program at **(800) 994-2111**. Representatives are available to answer your questions and guide you through the application process at no cost to you.

Program information last verified: March 25, 2026

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