Synjardy

Indicated For

type 2 diabetes

About This Medication

# Boehringer Cares Patient Assistance Program Guide: How to Get Synjardy at Low or No Cost ## About This Program The Boehringer Cares Patient Assistance Program helps uninsured and underinsured patients access Synjardy (empagliflozin/metformin) for type 2 diabetes management at little to no cost. This program is sponsored by Boehringer Ingelheim, the manufacturer of Synjardy, and can be a valuable resource if you're struggling to afford your diabetes medication. ## About Synjardy Synjardy is a combination medication used to treat type 2 diabetes. It contains two active ingredients: - **Empagliflozin**: An SGLT2 inhibitor that helps your kidneys remove excess sugar through urine - **Metformin**: A biguanide that helps your body use insulin more effectively Taken together, these medications help lower blood sugar levels and reduce your risk of heart disease and kidney problems related to diabetes. ## Who Can Qualify? You may be eligible for the Boehringer Cares Program if you meet ALL of these criteria: 1. **Uninsured or Underinsured**: You don't have insurance coverage for Synjardy, or your current insurance requires you to pay more than you can afford 2. **U.S. Citizen or Legal Resident**: You must be a U.S. citizen or permanently authorized to reside in the United States 3. **Income Within Guidelines**: Your household income falls at or below 400% of the Federal Poverty Level (see income table below) 4. **Medical Need**: You have a valid prescription from a licensed healthcare provider ### Income Eligibility Table To qualify, your household income must not exceed the amounts listed below (400% of Federal Poverty Level): | Household Size | Maximum Annual Income | |---|---| | 1 person | $50,000 | | 2 people | $67,600 | | 3 people | $85,200 | | 4 people | $102,800 | | 5 people | $120,400 | | 6 people | $138,000 | | 7 people | $155,600 | | 8+ people | Add $17,600 for each additional person | **Note**: These income limits are based on 2024 guidelines. Contact the program to confirm current limits. ## Insurance Requirements This program is designed for patients who are: - **Completely uninsured** (no health insurance at all) - **Underinsured** (having insurance but facing high copayments, deductibles, or medications not covered) If you have Medicare or Medicaid, you may still qualify if your out-of-pocket costs are too high. However, you should first explore options available through your insurance plan. ## Step-by-Step Application Instructions ### Step 1: Gather Your Documents Before you apply, collect the following: - **Proof of Income**: Recent tax return, pay stubs, Social Security statement, or benefit award letter - **Proof of Residency**: Utility bill, lease agreement, or mortgage statement (dated within the last 60 days) - **Valid Prescription**: A prescription for Synjardy written by your doctor - **Identification**: Driver's license or other government-issued ID - **Insurance Information**: Details about any current insurance (or confirmation you're uninsured) ### Step 2: Choose Your Application Method You can apply in multiple ways: **Online Application** (Fastest Option) - Visit the Boehringer Cares Patient Assistance Portal: https://www.boehringer-ingelheim.com/us/about-us/sustainable-development/our-commitment/boehringer-cares-patient-assistance-portal - Complete the online form with your information - Upload your supporting documents - You'll receive a confirmation number immediately **Paper Application** - Request a paper form from your doctor's office, local pharmacy, or by visiting the website - Fill out the form completely and legibly - Attach copies of all required documents - Mail the completed application (instructions will be provided) **Through Your Healthcare Provider** - Ask your doctor's office to submit an application on your behalf - They may have established relationships with the program for faster processing ### Step 3: Submit Your Application Make sure to: - Fill out every required field - Include clear, readable copies of all documents (not originals) - Double-check that your information is accurate - Keep a copy for your records - Note any confirmation number provided ### Step 4: Wait for Approval The program typically processes applications within **2-4 weeks**. You may receive status updates via email or phone, depending on your contact preferences. ## Timeline and Medication Delivery - **Processing Time**: 2-4 weeks from submission - **Delivery Method**: Synjardy is shipped directly to your home or to a pharmacy of your choice - **Notification**: You'll be contacted once approved - **When You'll Receive It**: Usually within 5-10 business days after approval ## What If You're Denied? If your application is denied, you have options: 1. **Request an Appeal**: Contact the program to understand why you were denied and request reconsideration 2. **Try the Synjardy Savings Card**: Even if denied PAP, you may qualify for the manufacturer's savings card at https://patient.boehringer-ingelheim.com/us/products/synjardy/savings-and-support, which can reduce your copay 3. **Contact Patient Advocacy Organizations**: Groups like the American Diabetes Association or JDRF may have additional resources 4. **Speak with Your Doctor**: Ask if there are alternative medications covered by your insurance or covered by state programs ## Reauthorization If you're approved, you'll need to **reauthorize your eligibility annually**. The program will contact you when it's time to renew. Be prepared to provide updated income and residency documentation. ## Additional Resources **Synjardy Savings Card**: If you have insurance or don't qualify for PAP, the manufacturer offers a savings card that may reduce your copayment. Visit https://patient.boehringer-ingelheim.com/us/products/synjardy/savings-and-support **State Pharmaceutical Assistance Programs**: Many states have programs to help low-income residents access medications. Search online for "[your state] pharmaceutical assistance program." **NeedyMeds.org**: This free website lists hundreds of patient assistance programs, including programs for diabetes medications. **Hospital Financial Assistance**: If you receive care at a hospital, ask about their financial assistance programs for medications. ## Legal Disclaimer This guide is for informational purposes only and does not constitute medical advice or legal advice. All eligibility requirements, income limits, and program details are subject to change. For the most current and complete information, visit the official Boehringer Cares website or contact your healthcare provider. While we strive for accuracy, always verify information directly with the program before applying. Your healthcare provider should be involved in all medication decisions.

Program information last verified: March 25, 2026