Metformin XR metformin extended release

Indicated For

Type 2 diabetes

About This Medication

# Metformin Extended Release Patient Assistance Guide: How to Get Your Medication at Low or No Cost Metformin extended release (ER) is a widely used oral medication to help manage **type 2 diabetes** by improving blood sugar control. Patient Assistance Programs (PAPs) from manufacturers and third-party services can provide it free or at low cost ($70/month via some programs) if you meet income and insurance criteria.[1][3][4] ## About Metformin Extended Release **Metformin ER** is the extended-release form of metformin, taken once daily to lower blood glucose levels in adults with type 2 diabetes. It reduces glucose production in the liver, improves insulin sensitivity, and decreases sugar absorption from food. Common brands include **Glucophage XR**, **Glumetza**, **Fortamet**, and generics. It's often first-line therapy, but side effects like stomach upset or vitamin B12 deficiency can occur—discuss with your doctor.[1] This guide covers general PAPs for metformin ER, as specific manufacturer programs (e.g., from Bristol-Myers Squibb for Glucophage XR) require incomes at or below **250% of the Federal Poverty Level (FPL)**, no or limited prescription coverage, and U.S. residency.[4] Programs like Prescription Hope offer Glumetza for **$70/month** regardless of some criteria.[3] ## Who Qualifies? Eligibility typically includes: - **U.S. residency** (including territories like Puerto Rico, USVI).[1][4] - **Limited or no prescription insurance**; Medicare Part D patients may qualify case-by-case if spending ≥4% of income on meds.[1][4] - **Income at or below 250% FPL** (exact thresholds vary; not always public).[1][4] - Recent life changes (job loss, divorce) may still allow application.[1] ### Income Eligibility Breakdown Use this table for **2026 250% FPL** estimates (adjust for household size; confirm current FPL at aspe.hhs.gov). Programs often cap at this level.[4] | Household Size | Annual Income Limit (250% FPL) | Monthly Limit | |---------------|-------------------------------|--------------| | 1 (Individual) | $37,650 | $3,138 | | 2 (Couple) | $50,950 | $4,246 | | 3 | $64,250 | $5,354 | | 4 | $77,550 | $6,463 | *Notes: Some programs review case-by-case; Medicare Part D enrollees need proof of high out-of-pocket costs (EOB, receipts).[1][4] Always verify with the program.* ## Insurance Requirements Most PAPs require **no private insurance or prescription coverage**. If uninsured or underinsured: - Submit proof you're not covered. - **Medicare Part D**: Eligible via appeals if you've spent ≥4% of income on prescriptions; provide EOB and receipts.[1][4] - Government programs (Medicaid) often disqualify you.[4] ## Step-by-Step Application Process 1. **Gather Documents**: Proof of income (tax return 1040/1040EZ, pay stubs), residency, insurance status (or lack thereof), Medicare EOB if applicable.[1][4] 2. **Download or Request Form**: Call program phone (e.g., for Bristol-Myers Squibb Glucophage program) or download from rxhope.com/rxassist.org.[4][5] 3. **Complete Patient Section**: Fill personal details, sign.[1] 4. **Doctor Completes Section**: Bring docs to your healthcare provider—they sign and verify prescription.[1][4] 5. **Submit**: Mail or fax to manufacturer (e.g., Bristol-Myers Squibb).[1][4] Sign up for text alerts for approval.[1] 6. **Track Status**: Expect processing in weeks; opt-in for reminders.[1] For third-party like Prescription Hope: Enroll online for $70/month Glumetza—pre-qualify quickly.[3] ## Timeline and Delivery - **Processing**: 2-4 weeks typically; varies by program.[1] - **Approval Duration**: Up to 12 months, or end of calendar year for Medicare Part D.[1] - **Supply**: 90-120 day shipments, 2-4 times/year; shipped to **doctor's office** (some home delivery).[1][4] - **Refills**: Doctor or patient calls program; reminders via phone/text if opted in. Reapply annually.[1][4] ## Alternatives if Denied or Ineligible - **Generic Metformin ER**: Cheaper at pharmacies; ask for goodrx.com discounts. - **Other PAPs**: Check rxassist.org or merckhelps.com for related diabetes meds.[5][6] - **State Programs**: Search "state pharmaceutical assistance" + your state. - **Non-Profit Funds**: ADA co-pay relief for diabetes.[9] - **Manufacturer Copay Cards**: Limited for uninsured. - **Reapply**: After life changes (e.g., job loss).[1] ## Disclaimer This guide synthesizes general info from sources like diaTribe, RxHope, and RxAssist as of 2026.[1][4][5] Eligibility, processes change—**contact programs directly** for latest details. Not medical/financial advice; consult your doctor/pharmacist. Programs may end or modify without notice. Word count: 950. ## FAQ *(See faqItems for expanded Q&A)*

Program information last verified: March 25, 2026