Qternmet

Indicated For

Type 2 diabetes mellitus

About This Medication

# Pfizer Patient Assistance Program Guide: How to Get Qternmet (ertugliflozin/sitagliptin/metformin) at Low or No Cost Qternmet is a combination prescription medication used to help manage **type 2 diabetes** in adults, containing **ertugliflozin** (an SGLT2 inhibitor that helps the kidneys remove sugar from the blood), **sitagliptin** (a DPP-4 inhibitor that increases insulin production and decreases sugar production in the liver), and **metformin** (which improves insulin sensitivity and reduces glucose production). This patient-friendly guide explains how to access **Pfizer's Patient Assistance Program (PAP)**, which may provide Qternmet at no cost if you meet eligibility criteria, as Pfizer manufactures certain diabetes medications and offers support through their PAP.[5] ## Who Qualifies for the Program? Pfizer's PAP is designed for **uninsured or underinsured patients** facing financial hardship who cannot afford their medications. Typical eligibility includes: - **Household income** at or below 400-500% of the Federal Poverty Level (FPL), depending on household size (exact thresholds vary; check current guidelines). - **No prescription insurance** or proof that insurance denies coverage for Qternmet. - **U.S. residency** (or legal status) and a valid prescription from a licensed healthcare provider. Patients with Medicare, Medicaid, or other government insurance may have limited eligibility, as PAPs often exclude those programs to comply with federal anti-kickback laws. Always verify your status.[5] ## About Qternmet Qternmet is taken orally once daily to improve blood sugar control as an adjunct to diet and exercise. It's not for type 1 diabetes or diabetic ketoacidosis. Common side effects include urinary tract infections, dehydration, and low blood sugar (especially with other diabetes meds). Serious risks: ketoacidosis, kidney issues, or heart failure—discuss with your doctor. No dose adjustment needed for mild kidney impairment (eGFR ≥45 mL/min), but contraindicated if lower.[3] ## Income Eligibility Breakdown Eligibility hinges on annual household income relative to FPL. Here's a sample table based on standard PAP guidelines (confirm with Pfizer for 2026 updates): | Household Size | 400% FPL | 500% FPL | |---------------|----------|----------| | 1 | $60,240 | $75,300 | | 2 | $81,760 | $102,200| | 3 | $103,280| $129,100| | 4 | $124,800| $156,000| | +1 person | +$21,520| +$26,900| Provide recent tax returns, pay stubs, or benefit statements. Assets may be considered.[5] ## Insurance Requirements - **Uninsured patients** qualify most easily. - **Privately insured**: Submit denial letter showing Qternmet not covered or unaffordable copay. - **Medicare Part D**: Often ineligible for PAPs; use Extra Help or manufacturer copay cards instead. - **Medicaid/State programs**: Typically excluded. SoonerCare (Oklahoma Medicaid) notes Medicare members don't need prior auth for some drugs, but PAP is separate.[1] ## Step-by-Step Application Process 1. **Get a prescription**: Ask your doctor for Qternmet and discuss alternatives if needed. 2. **Gather documents**: - Proof of income (W-2, 1040, pay stubs). - Proof of residency/ID. - Insurance denial (if applicable). - Doctor's prescription and patient profile.[5] 3. **Apply online or by phone**: Visit Pfizer's PAP website or call 1-844-989-7283 (general Pfizer RxAssist).[5] 4. **Submit**: Doctor/pharmacy may assist; applications are free. 5. **Wait for approval**: Track status online. ## Timeline and Delivery - **Processing**: 2-4 weeks typically. - **Delivery**: Free medication shipped to your doctor's office or pharmacy for pickup (30-day supply, up to 12 months).[5] - Refills require reapplication or auto-renewal if eligible. ## Alternatives if Denied - **Manufacturer copay card**: Reduces out-of-pocket to $0-$25 (commercial insurance only).[2] - **Generic options**: Metformin, sitagliptin, or ertugliflozin separately if available. - **Other PAPs**: NeedyMeds, RxAssist, or state programs. - **Patient Access Network (PAN) Foundation**: Grants for copays. - **GoodRx/discount cards**: Up to 80% off cash price. - Appeal denial with more docs or try competitors like Trijardy XR PAP.[6] ## Disclaimer This guide is for informational purposes only and not medical/financial advice. Eligibility, terms, and availability change; contact Pfizer directly for latest details. Consult your healthcare provider before starting Qternmet. Pfizer PAP details may vary; program name/details not specified here—verify via official channels.[5] (Word count: 912)

Program information last verified: March 25, 2026