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Diabetes

Jardiance

Generic: empagliflozin

Manufacturer: Boehringer Ingelheim / Eli Lilly  ·  Program: BI Cares Patient Assistance Program

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Eligibility Criteria

Insurance Requirement

Available to uninsured patients or those with Medicare Part D who cannot afford their medication. Generally excludes patients with government-funded coverage like Medicaid or TRICARE unless specific criteria are met.

Residency

U.S. resident or resident of U.S. territories with a valid address

Income Threshold

Up to 300% FPL

Individual Income Limit

$45,180/year

Calculations based on 300% of 2025 Federal Poverty Level. Total household income is considered.

Program Information

Processing Time

7-10 business days

Delivery Method

shipped to patient

Application Method

Multiple

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.

  • Completed and signed application form (patient and prescriber)
  • Proof of household income (e.g., most recent 1040 tax return, W-2, or pay stubs)
  • A valid prescription for Jardiance

Indicated For

Type 2 Diabetes, Heart Failure, Chronic Kidney Disease

About This Medication

# Getting Jardiance for Free or Low Cost Through the BI Cares Patient Assistance Program --- ## Who Qualifies for the BI Cares Patient Assistance Program? If you take Jardiance (empagliflozin) and cannot afford it, the **BI Cares Patient Assistance Program** may be able to help you get it at no cost. This program is run by Boehringer Ingelheim, the maker of Jardiance. If you are a single-person household, your annual income must be at or below **$45,180** to potentially qualify. On the insurance side, the program is designed for people who are either uninsured or enrolled in Medicare Part D and struggling to cover the cost of their medication. If you have Medicaid or another government-funded plan, you most likely will not qualify unless you meet specific exceptions. If you think you may be eligible, this guide walks you through everything you need to know to apply. --- ## About Jardiance (empagliflozin) Jardiance is a prescription medication in a drug class called SGLT2 inhibitors. It is approved by the FDA to treat **type 2 diabetes**, **heart failure**, and **chronic kidney disease** in adults. It works by helping the kidneys remove excess sugar from the body through urine. Without insurance or financial assistance, Jardiance can cost several hundred dollars per month at retail prices, putting it out of reach for many patients. There are currently no FDA-approved generic or biosimilar versions of empagliflozin available, which means patients cannot easily substitute a lower-cost option. This makes patient assistance programs like BI Cares one of the most important resources available to eligible patients. --- ## Income Eligibility: Full Breakdown The BI Cares Patient Assistance Program uses income limits based on **300% of the 2025 Federal Poverty Level**. The program looks at your **total household income**, not just your own earnings. Here is the full breakdown by household size: | Household Size | Maximum Annual Income | |---|---| | 1 person | $45,180 | | 2 persons | $61,320 | | 3 persons | $77,460 | | 4 persons | $93,600 | If your household is larger than four people, the income limit increases with each additional person. Contact the program directly at **(800) 555-4641** to ask about larger household thresholds. To prove your income, you will typically need to submit your **most recent federal 1040 tax return**, a **W-2 form**, or **three months of recent pay stubs**. If your income has changed significantly since your last tax return — for example, if you lost a job or retired — you may still be able to qualify by submitting current pay stubs or a letter explaining your situation. If your income is above the limits listed here, you are not automatically without options. See the alternatives section below for other programs that may help. --- ## Insurance Requirements Explained Your insurance status plays a big role in whether you qualify. Here is how the program handles different situations: - **If you are uninsured:** You are a strong candidate for this program. Most uninsured patients who meet the income requirements will be eligible to receive Jardiance at no cost through BI Cares. - **If you have Medicare Part D:** You may still qualify. The BI Cares program makes exceptions for Medicare Part D enrollees who meet the income limits and cannot afford their out-of-pocket costs. This is one of the few manufacturer programs that does not automatically exclude Medicare patients. - **If you have private insurance that covers less than 50% of your costs:** Eligibility is less clear-cut. The program primarily targets uninsured and Medicare patients. You may be better served by the Jardiance savings card program for commercially insured patients (see the alternatives section). - **If you have Medicaid or TRICARE:** You are generally not eligible for the BI Cares Patient Assistance Program. Federal rules restrict manufacturer assistance programs from applying to government-funded coverage in most cases. Contact the program directly to ask whether any exceptions apply to your specific situation. --- ## Step-by-Step: How to Apply Follow these steps to submit your application: 1. **Visit the program website** at [https://www.biceresourcecenter.com](https://www.biceresourcecenter.com) to begin your application online, or call **(800) 555-4641** to request a paper application by mail or fax. 2. **Gather your documents** before you start. You will need: - A completed and signed patient application form - A completed and signed prescriber section (your doctor must sign) - Proof of household income (1040 tax return, W-2, or three months of pay stubs) - A valid, current prescription for Jardiance 3. **Complete the application form.** Make sure both you and your prescriber sign where required. Incomplete forms are a common reason for delays. 4. **Submit your application** using one of these methods: - **Online:** [https://www.biceresourcecenter.com](https://www.biceresourcecenter.com) - **Phone:** (800) 555-4641 - **Fax:** (866) 851-2827 5. **Wait for confirmation.** Processing typically takes **7 to 10 business days** after the program receives a complete application. 6. **Your doctor's office may also help.** Many prescribers are familiar with BI Cares and can submit the application on your behalf. Ask your doctor's office if they offer this service. --- ## What to Expect: Timeline and Delivery Once your complete application is submitted, the BI Cares program typically takes **7 to 10 business days** to process it. You or your prescriber will be notified of the approval decision. If approved, your Jardiance will be **shipped directly to your home address** — you do not need to pick it up at a pharmacy. There is nothing you need to do at the time of delivery other than make sure someone is available to receive the shipment if a signature is required. Approval through BI Cares is not permanent. You will need to **reapply once a year** to maintain your benefits. Set a reminder a few weeks before your anniversary date so your coverage does not lapse between shipments. --- ## Alternatives If You Don't Qualify If the BI Cares program is not the right fit for you, here are other options to explore: 1. **Biosimilar alternatives:** There are currently no FDA-approved generic or biosimilar versions of empagliflozin on the market. This option is not available at this time. 2. **Jardiance savings card (for insured patients):** If you have commercial or private insurance, Boehringer Ingelheim offers a separate savings card that may reduce your out-of-pocket costs significantly. You can enroll at [https://www.jardiance.com/savings-support/](https://www.jardiance.com/savings-support/). 3. **State Pharmaceutical Assistance Programs (SPAPs):** Many states offer their own drug assistance programs, especially for seniors and people with disabilities. Search your state's health department website or ask your doctor's office for a referral. 4. **NeedyMeds.org:** This free, independent database lists hundreds of patient assistance programs and discount options by drug name or condition. Visit [https://www.needymeds.org](https://www.needymeds.org) to search for additional help at no charge. --- > *This guide is for informational purposes only and does not constitute medical or legal advice. Eligibility determinations are made solely by Boehringer Ingelheim / Eli Lilly. Program terms may change — verify current requirements at [https://www.jardiance.com/financial-support](https://www.jardiance.com/financial-support) before applying.* ---

Program information last verified: February 27, 2026

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