Synjardy

Indicated For

Type 2 diabetes

About This Medication

# Boehringer Cares Patient Assistance Program: How to Get Synjardy at Low or No Cost ## About This Program The **Boehringer Cares Patient Assistance Program** provides Synjardy (empagliflozin/metformin HCl) tablets **free of charge** to eligible US patients who cannot afford their medication.[1] Synjardy is a combination diabetes medication that helps control blood sugar levels in adults with type 2 diabetes.[2] If you're struggling to pay for this prescription, this program may be able to help. ## Who Qualifies? To be eligible for the Boehringer Cares Patient Assistance Program, you must meet **all** of the following criteria:[6] - Be a US resident with a physical address in the United States or a US Territory - Have **no health insurance** or **insufficient coverage** to obtain Synjardy - Not have access to other sources of coverage or funding for your medication - Meet the household income guidelines (see table below) ### Income Eligibility The program uses household income thresholds to determine eligibility. While exact guidelines can vary, here are the general income limits:[6] | Household Size | Maximum Annual Income | |---|---| | Individual | $50,000 | | Couple (2 people) | $70,000 | | Larger families | Up to $200,000 (varies by family size) | If your household income exceeds these thresholds, you may still qualify depending on your specific circumstances. Contact the program directly to discuss your situation. ## Insurance Requirements You are eligible if you:[6] - Have **no health insurance coverage**, or - Have insurance but it **does not adequately cover** Synjardy, or - Have **Medicare Part D** and face high out-of-pocket costs If you have private insurance or Medicare coverage, the program will verify whether your plan covers Synjardy and at what cost before determining your eligibility. ## About Synjardy Synjardy combines two active ingredients—empagliflozin and metformin HCl—to help manage type 2 diabetes by improving blood sugar control. The medication works through two different mechanisms to help your body use insulin more effectively and reduce glucose production. Your healthcare provider has determined that Synjardy is an appropriate treatment for your condition.[2] ## How to Apply The application process is straightforward and can be completed online:[3] **Step 1: Gather Required Information** - Your personal identification and contact information - Proof of household income (such as recent tax returns, pay stubs, or benefit statements) - Information about your current health insurance (if any) - Your healthcare provider's name and contact information **Step 2: Complete the Application** Visit the Boehringer Cares Patient Assistance Portal to access the application form.[1] You will need to complete Sections 1-4 of the application, including your signature. **Step 3: Healthcare Provider Verification** Your healthcare provider must complete Sections 5 & 6 of the application and provide their original signature. This confirms that Synjardy is medically appropriate for you and verifies your prescription. **Step 4: Submit Your Application** Follow the directions on the application form to submit all required documents. Make sure your healthcare provider's signature is included, as applications without provider verification will not be processed. **Step 5: Await Approval** The program will review your application and contact you with a decision. ## Timeline and Medication Delivery **Processing Time:** Applications are typically reviewed and processed within **2-4 weeks** of submission.[1] You will be notified by mail or phone if additional information is needed. **Delivery:** Once approved, your Synjardy will be **shipped directly to your home address**.[1] You do not need to pick it up at a pharmacy. Shipping is included at no cost to you. **What to Expect:** You should receive your first shipment within a few days of approval. The program will provide you with tracking information so you know when to expect your medication. ## What Happens If Your Application Is Denied? If you do not meet the program's eligibility criteria, you will be notified in writing with an explanation. Common reasons for denial include:[6] - Household income exceeding program limits - Having adequate insurance coverage for Synjardy - Not providing required documentation or healthcare provider verification - Having access to other patient assistance resources **If denied, you have options:** - Ask your healthcare provider about generic alternatives or other medications - Contact your insurance company to appeal coverage decisions - Ask your pharmacy about discount programs or manufacturer coupons - Speak with a patient advocate at your healthcare provider's office ## Reauthorization and Refills Once approved, you will receive your Synjardy shipments on a regular schedule. The program will contact you before your authorization expires to determine if you continue to meet eligibility requirements. You may need to provide updated income documentation or insurance information to continue receiving free medication. ## Important Disclaimer This guide provides general information about the Boehringer Cares Patient Assistance Program for Synjardy. Program eligibility, requirements, and benefits may change at any time. For the most current and complete information, visit the official Boehringer Cares Patient Assistance Portal or contact the program directly. This information is not a guarantee of eligibility or approval. All applications are reviewed individually based on program criteria and available documentation.

Program information last verified: March 30, 2026