Segluromet

Indicated For

Type 2 diabetes

About This Medication

# Finding Affordable Access to SEGLUROMET (Ertugliflozin and Metformin HCl) ## Important Notice: No Active Manufacturer Assistance Program Pfizer does not currently have an active prescription assistance program (PAP) for SEGLUROMET. However, there are several resources and strategies available to help you afford this medication for managing type 2 diabetes. ## About SEGLUROMET SEGLUROMET is a combination medication containing two active ingredients: ertugliflozin (an SGLT2 inhibitor) and metformin hydrochloride (a biguanide). This combination works through two different mechanisms to help control blood sugar levels in patients with type 2 diabetes. The medication helps your kidneys eliminate excess glucose through urine while also improving your body's ability to use insulin effectively. ## Alternative Resources to Reduce Your Medication Costs ### 1. Manufacturer Savings Cards While Pfizer doesn't have a full PAP, check if a savings card becomes available by: - Visiting Pfizer's official website (pfizer.com) - Asking your pharmacist about current offers - Contacting Pfizer directly at 1-800-438-1985 Savings cards can reduce out-of-pocket costs for insured patients, potentially saving $0-$50 per prescription. ### 2. State Pharmaceutical Assistance Programs Most states offer programs to help uninsured and underinsured residents access medications: - **NeedyMeds.org** - Search by state and medication to find programs you may qualify for - **PharmAssist.com** - Database of state programs with eligibility requirements - **Rxassist.org** - Free pharmaceutical assistance directory - Contact your state's health department directly ### 3. Patient Advocacy Organizations Non-profit organizations supporting diabetes patients may offer assistance: - **Patient Advocate Foundation** (800-532-5274) - Copay assistance and program navigation - **American Diabetes Association** (1-800-DIABETES) - Resources and local support - **Chronic Disease Fund** - Copay assistance for chronic conditions - **HealthWell Foundation** - Grant programs for uninsured patients ### 4. Generic or Alternative Medications Discuss with your doctor whether: - Generic metformin alone might be appropriate (significantly less expensive) - Alternative diabetes medications with manufacturer PAPs are suitable - Splitting the combination dose with separate generics is an option ### 5. Community Health Centers Federal Qualified Health Centers (FQHCs) offer: - Discounted medications based on sliding-scale fees - Patient assistance navigation - Access through uninsured patient programs - Find centers at findahealthcenter.hrsa.gov ### 6. Prescription Discount Programs Third-party discount programs may offer savings: - **GoodRx** - Often provides significant discounts on SEGLUROMET - **SingleCare** - Competitive pricing on brand-name medications - **Walmart/Target Prescription Programs** - May offer SEGLUROMET at reduced prices - **Kroger Pharmacy** - Sometimes has discounted pricing *Note: Always verify current pricing and coverage with your specific pharmacy, as prices vary by location and change frequently.* ## Income Eligibility Information While Pfizer doesn't have an active PAP for SEGLUROMET, state programs and non-profit assistance typically use income thresholds. Here's a general reference guide: | Household Size | Typical Maximum Income Limit | |---|---| | 1 | $18,000 - $32,000 | | 2 | $24,000 - $43,000 | | 3 | $30,000 - $54,000 | | 4 | $36,000 - $65,000 | | 5 | $42,000 - $76,000 | | 6 | $48,000 - $87,000 | | 7 | $54,000 - $98,000 | | 8 | $60,000 - $109,000 | *Note: Income limits vary significantly by program. Some programs serve patients with incomes up to 200-300% of the federal poverty line.* ## Insurance Considerations ### For Insured Patients: - Check if your insurance plan covers SEGLUROMET - Review your formulary (medication list) at your insurer's website - Contact your insurance company about any coverage restrictions, prior authorization requirements, or step therapy - Ask about your copay amount and whether there's a brand-name vs. generic cost difference ### For Uninsured Patients: - You may be ineligible for manufacturer PAPs but qualify for state programs or non-profit assistance - Apply through multiple channels simultaneously to maximize your chances - Bring documentation of income (pay stubs, tax returns, or benefit statements) ## How to Get Help: Step-by-Step Instructions ### Step 1: Gather Your Documentation Before applying to any assistance program, collect: - A valid prescription for SEGLUROMET from your doctor - Proof of income (recent pay stubs, tax return, or benefit statements) - Insurance information (if applicable) or proof of no insurance - Proof of citizenship or legal residency (state programs may require) - Government-issued ID ### Step 2: Identify Programs You Qualify For - Visit **NeedyMeds.org** and select your state - Check eligibility based on income and insurance status - Compile a list of 3-5 programs to apply for - Note each program's specific requirements and income limits ### Step 3: Apply to State Programs - Complete applications online, by phone, or by mail - Provide all requested documentation - Keep copies for your records - Note the processing timeline for each program (typically 4-8 weeks) ### Step 4: Contact Patient Advocacy Organizations - Call the Patient Advocate Foundation (800-532-5274) - Ask specifically about SEGLUROMET copay assistance - Provide income information and insurance details - Request guidance on the fastest programs to access ### Step 5: Use Savings Cards (if available) - Visit Pfizer.com or call 1-800-438-1985 to inquire - Ask your pharmacist to check for current offers - Present the card at the pharmacy with your prescription ### Step 6: Explore Discount Programs - Use GoodRx.com to compare prices at local pharmacies - Show prices to your pharmacist—they may match or beat them - Ask about generic alternatives or coupon programs ## Timeline and Medication Delivery **Processing Times:** Most assistance programs take 4-8 weeks to process your application. Some faster options: - **Discount programs (GoodRx, SingleCare)**: Immediate savings at checkout - **Pharmacy discount programs**: Often available same visit - **State programs**: 4-8 weeks typical - **Patient advocacy organizations**: 2-6 weeks typical **Delivery Methods:** - Direct mail from program provider - Pickup at participating pharmacies - Pharmacy coordination (provider contacts pharmacy directly) - Digital coupons/cards for immediate use ## What If Your Application Is Denied? 1. **Ask why**: Request a specific reason for denial 2. **Appeal**: Many programs have appeal processes—ask about this option 3. **Try alternative programs**: Apply through different organizations 4. **Contact your doctor**: Discuss whether alternative medications might be more affordable 5. **Reach out to patient advocates**: The Patient Advocate Foundation can help navigate denials 6. **Explore partial assistance**: Some programs offer reduced rather than free medications ## Reauthorization and Refills Program requirements vary: - Annual reauthorization is common for state programs - Some copay assistance provides year-long coverage - You may need to reapply each calendar year - Keep documentation to speed up reauthorization - Pharmacies can often help coordinate reauthorization ## Important Reminders - **Don't delay treatment** while seeking assistance—work with your doctor and pharmacist on temporary solutions - **Apply to multiple programs**—increases your chances of assistance - **Keep copies** of all applications and approvals - **Update programs** if your income or insurance changes - **Ask your pharmacist** about in-house discount programs you may not know about ## Legal Disclaimer This guide is for informational purposes only and does not constitute medical or financial advice. Program availability, eligibility requirements, and income limits change frequently. Always verify current information directly with programs before applying. SEGLUROMET is a prescription medication and should only be used under the direction of a healthcare provider. This guide does not replace professional medical or financial counsel. Contact your healthcare provider or a certified patient advocate for personalized assistance navigating medication access programs.

Program information last verified: March 25, 2026