Glyxambi

Indicated For

Type 2 Diabetes

About This Medication

# Boehringer Cares Patient Assistance Program Guide: How to Get Glyxambi at Low or No Cost ## About This Program The Boehringer Cares Patient Assistance Program is a free service offered by Boehringer Ingelheim, the manufacturer of Glyxambi (empagliflozin/linagliptin), to help patients who cannot afford their medication. If you qualify, you may receive Glyxambi at no cost or at a significantly reduced price. ## About Glyxambi Glyxambi is a prescription medication used to treat Type 2 diabetes. It combines two active ingredients: - **Empagliflozin**: An SGLT2 inhibitor that helps your kidneys remove excess sugar through urine - **Linagliptin**: A DPP-4 inhibitor that helps your pancreas produce more insulin when blood sugar is high Together, these medications help control blood sugar levels and reduce the risk of serious diabetes complications. ## Who Can Qualify? You may be eligible for the Boehringer Cares program if you meet ALL of these criteria: 1. **You live in the United States** 2. **You have a valid prescription for Glyxambi from your doctor** 3. **Your income falls at or below 400% of the Federal Poverty Level (FPL)** 4. **You are uninsured OR underinsured** (your insurance doesn't adequately cover Glyxambi) 5. **You are a U.S. citizen or permanent resident** Note: Medicare Part D patients may also be eligible, even if they have insurance coverage. ## Income Eligibility Table Use this table to see if your household income qualifies. These are approximate 2024 guidelines at 400% of the Federal Poverty Level: | Household Size | Maximum Annual Income | |---|---| | 1 person | $55,500 | | 2 people | $75,000 | | 3 people | $94,500 | | 4 people | $114,000 | | 5 people | $133,500 | | 6 people | $153,000 | | 7 people | $172,500 | | 8 people | $192,000 | *These figures are estimates. Income limits are updated annually. Your actual eligibility will be determined during the application process.* ## Insurance Requirements **Uninsured patients**: If you have no health insurance, you are likely eligible. **Underinsured patients**: If you have insurance but it doesn't cover Glyxambi well (high copayments, high deductibles, or the drug is not covered), you may qualify. **Medicare Part D patients**: You may be eligible even with insurance coverage. The program will review your specific situation. **Commercial insurance with coverage**: If your insurance covers Glyxambi with affordable copayments, you may not qualify. Consider asking about the manufacturer's savings card (see "Other Money-Saving Options" below) instead. ## Documents You'll Need Before you start your application, gather these documents: 1. **Proof of Income** (choose one): - Recent tax return (last 2 years) - Recent pay stubs (last 30 days) - Social Security benefits statement - Unemployment benefits paperwork - Bank statements showing regular deposits 2. **Proof of Residency** (choose one): - Driver's license - Utility bill - Lease agreement or mortgage statement - Government-issued ID 3. **Valid Prescription**: - Your doctor's prescription for Glyxambi - Your doctor's contact information ## How to Apply: Step-by-Step Instructions ### Step 1: Visit the Online Portal Go to https://www.boehringer-ingelheim.com/us/about-us/sustainable-development/our-commitment/boehringer-cares-patient-assistance-portal ### Step 2: Start Your Application Click "Apply Now" or "Start Application" and create an account using your email address. ### Step 3: Complete Your Personal Information Enter your: - Full name - Date of birth - Contact information (phone and email) - Address and proof of residency - Insurance status (uninsured, underinsured, Medicare Part D, etc.) ### Step 4: Report Your Income Provide your household's annual income and household size. You'll need to upload or attach proof of income documents. ### Step 5: Provide Prescription Information Enter details about your Glyxambi prescription: - Dosage (5/2.5 mg, 10/5 mg, 25/5 mg, or 5/5 mg) - Quantity per refill - Your doctor's name and contact information ### Step 6: Upload Supporting Documents Attach digital copies of your income and residency documents. Most programs accept PDF, JPG, or PNG files. ### Step 7: Review and Submit Carefully review all information for accuracy, then submit your application. ### Step 8: Confirmation You'll receive a confirmation email with your application reference number. Save this number for your records. ## Timeline and Medication Delivery **Typical Processing Time**: 4-8 weeks After your application is submitted: - The program will review your documents - You may receive a call or email if additional information is needed - Once approved, you'll receive notification by mail or email - Your medication will be shipped directly to you or to your doctor's office - If shipped to you, tracking information will be provided **Important**: Do not stop taking your current diabetes medication while waiting for your application to be processed. Stopping medication suddenly can be dangerous. Talk to your doctor if you need temporary medication. ## Annual Reauthorization Your assistance is not permanent. You will need to reauthorize your eligibility **annually**. The program will notify you when it's time to reapply. Plan ahead and submit your renewal application promptly to avoid interruption in medication delivery. ## What Happens If You're Denied? If your application is denied, you have several options: 1. **Ask why**: Contact the program to understand the specific reason for denial. It may be due to: - Income exceeding the limit - Missing or incomplete documents - Insurance coverage deemed adequate 2. **Appeal**: Many programs allow appeals if your situation changes or if you can provide additional documentation. 3. **Try a Savings Card**: Boehringer Ingelheim offers a manufacturer savings card that may reduce your copayment. Check the manufacturer's website for current offers. 4. **Explore Other Resources**: - State pharmaceutical assistance programs - 340B program pharmacies - Disease-specific nonprofits that help diabetes patients - NeedyMeds.org for comprehensive assistance resource listings 5. **Talk to Your Doctor**: Your healthcare team may have samples, resources, or alternative medication suggestions. ## Other Money-Saving Options **Manufacturer Savings Card**: Even if you don't qualify for patient assistance, Boehringer Ingelheim offers a savings card that can reduce copayments. Check the manufacturer website for current discounts—some patients pay as little as $0-$10 per prescription. **Generic Alternatives**: Ask your doctor if there are generic diabetes medications available that might be more affordable. ## Important Reminders - Never stop taking diabetes medication without talking to your doctor - Keep your contact information updated with the program - Respond promptly to any requests for additional information - Save your application confirmation number - Mark your calendar for annual reauthorization - Report any changes in income or insurance status to the program ## Need Help? If you have questions about the application process: - Visit the Boehringer Cares website - Check for a patient support hotline number on the program website - Ask your pharmacist or doctor's office staff—they often have experience with this program ## Legal Disclaimer This guide is for informational purposes only and does not constitute legal or medical advice. Eligibility requirements, income thresholds, and program details are subject to change. For the most current and accurate information about the Boehringer Cares Patient Assistance Program, visit the official program website or contact the program directly. Always consult with your healthcare provider about your medication and treatment plan.

Program information last verified: March 25, 2026