Synjardy XR

Indicated For

type 2 diabetes

About This Medication

# Boehringer Cares Patient Assistance Program Patient Guide: How to Get Synjardy XR (empagliflozin metformin ER) at Low or No Cost Synjardy XR (empagliflozin/metformin extended-release) is a prescription medication used to help manage **type 2 diabetes** in adults, combining two active ingredients to improve blood sugar control alongside diet and exercise. The **Boehringer Cares Patient Assistance Program** offers this medicine **free of charge** to eligible US patients who cannot afford it due to financial or insurance limitations.[1][6][7] ## About Synjardy XR Synjardy XR belongs to a class of drugs called **SGLT2 inhibitors** (empagliflozin) combined with **metformin extended-release**, which works by helping the kidneys remove excess sugar from the blood through urine and reducing glucose production in the liver. It's typically taken once daily with a meal to lower the risk of stomach upset. Common uses include controlling blood sugar levels when diet, exercise, and other medications alone aren't enough. Always follow your doctor's instructions, as it may cause side effects like urinary tract infections, dehydration, or low blood sugar (hypoglycemia) when combined with other diabetes treatments. Do not use it if you have severe kidney problems, metabolic acidosis, or are on dialysis. This guide focuses on accessing it affordably through the assistance program.[6] ## Who Qualifies for the Program? The Boehringer Cares Patient Assistance Program is designed for **US residents** (including territories) facing financial hardship with Boehringer Ingelheim medications like Synjardy XR. Key eligibility criteria include:[6] - **Residency**: Must have a physical address in the US or US territories. - **Insurance Circumstances**: - No health coverage at all. - Coverage that doesn't fully cover the medication (e.g., high copays or denials). - No access to other funding sources for the medicine. - **Income Guidelines**: Household income must meet **BI Cares-established thresholds**, typically based on **Federal Poverty Level (FPL)** percentages (often up to 400-500% FPL, though exact figures require checking the latest application as specifics vary).[6] - **Other**: Prescription from a licensed US healthcare provider; medication must be for an approved use. **Synjardy XR is explicitly listed as eligible**.[6] ## Income Eligibility Breakdown Exact income thresholds aren't publicly detailed in all sources but are based on household size and FPL guidelines set by the program. Applicants must provide proof of income if requested. Here's a general table based on common patient assistance structures (confirm current limits via application):[6] | Household Size | Estimated Max Annual Income (e.g., 400% FPL)* | |----------------|---------------------------------------------| | 1 (Individual) | ~$58,320 | | 2 (Couple) | ~$78,880 | | 3 | ~$99,440 | | 4 | ~$120,000 | *Estimates for 2026 continental US FPL; Puerto Rico and territories may differ. Actual program thresholds may be higher or lower—**always verify on the official application**. Notes: Income includes all household sources; deductions may apply for medical expenses.[6] ## Insurance Requirements The program targets patients who **otherwise cannot afford their medications**. You qualify if:[6][1] - Uninsured. - Insured but coverage is insufficient (e.g., Medicare Part D with high copays, commercial plans denying coverage). - No other assistance available. **Medicare patients** may be eligible if they fall into the "coverage gap" (donut hole) or have high out-of-pocket costs, but the program verifies insurance benefits. It's **not for those with adequate coverage**.[6] ## Step-by-Step Application Process Applying is straightforward with **multiple methods** available. Follow these steps:[4][6] 1. **Discuss with Your Doctor**: Confirm Synjardy XR is appropriate and have them complete application sections. 2. **Download or Request Form**: Get the application from the Boehringer Cares portal (online PDF).[2][4] 3. **Complete Sections 1-4**: Patient info, income, household details, signature. 4. **Healthcare Provider Fills Sections 5-6**: Doctor verifies diagnosis, prescription, signature (must be original). 5. **Gather Proof of Income** (if required): Recent tax returns, pay stubs, W-2s, or benefit statements.[6] 6. **Submit**: Mail or fax per form instructions (details on application). No phone number listed; use portal for updates.[4] 7. **Wait for Review**: Program verifies eligibility, insurance, and income. **Tip**: Submit everything complete to avoid delays. Your doctor can help.[6] ## Timeline and Delivery Processing time isn't specified but typically takes **2-4 weeks** for review, based on standard PAP timelines. Once approved, medication is **shipped directly to your home** free of charge. Expect 90-day supplies; refills require reapplication or reauthorization.[1][6] ## Alternatives if Denied or Ineligible - **Savings Cards**: Check My SYNJARDY Support for copay cards reducing costs to $10/month for commercially insured (not for government insurance).[3] - **Other PAPs**: RxAssist.org lists additional programs.[5] - **State Programs**: Medicaid, state pharmaceutical aid, or 340B clinics. - **Generic Options**: Discuss empagliflozin/metformin alternatives with your doctor. - **Reapply**: If circumstances change (e.g., income drops), submit a new application. No biosimilars for Synjardy XR currently.[6] ## Important Disclaimer This guide is for informational purposes only and based on available program details as of general knowledge. **Eligibility, terms, and income limits can change**—always refer to the official Boehringer Cares website or application for the latest info. Not medical advice; consult your healthcare provider. Boehringer Ingelheim reserves the right to modify or end the program. Participation may involve data sharing for verification.[6][1] (Word count: 1028)

Program information last verified: March 30, 2026