Trijardy XR
Generic: empagliflozin, linagliptin, and extended-release metformin
Manufacturer: Boehringer Ingelheim · Program: Boehringer Cares Patient Assistance Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
Uninsured or underinsured; patients with limited or no prescription drug insurance may qualify
Residency
United States resident or US Territory resident
Individual Income Limit
$40,000/year
Individuals earning up to $40,000, couples up to $60,000, and larger families up to $100,000 annually may qualify
Program Information
Processing Time
4–8 weeks
Delivery Method
shipped to patient
Application Method
Online
Reauthorization
Required — annual
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- Completed application form
- Proof of income
- Insurance information
- Valid prescription from licensed healthcare provider
- Healthcare provider signature
Indicated For
Type 2 diabetes
About This Medication
# Boehringer Cares Guide: Getting Trijardy XR at Low Cost ## What Is Trijardy XR? Trijardy XR is a prescription medication that combines three diabetes drugs in one extended-release tablet: empagliflozin, linagliptin, and metformin. It helps people with type 2 diabetes control their blood sugar levels. If your doctor has prescribed Trijardy XR but cost is a concern, the Boehringer Cares Patient Assistance Program may help you get this medication for free or at a reduced price. ## Who Can Apply? You may qualify for the Boehringer Cares program if you meet these requirements: **Income Eligibility** - Individual annual income: up to $40,000 (this may vary based on family size and state) - Family income limits are higher for households with multiple people - Contact the program directly for your specific income threshold **Insurance Status** - You are uninsured (have no health insurance) - You are underinsured (have health insurance but no prescription drug coverage) - You have limited or no prescription drug insurance benefits - You struggle to afford your medications even with insurance **Important Note:** Even if you have Medicare or Medicaid, you may still qualify if you don't have prescription drug coverage or if your coverage doesn't include Trijardy XR. ## What You'll Need to Apply Gather these documents before starting your application: 1. **Completed Application Form** – Available online at the Boehringer Cares portal 2. **Proof of Income** – Recent pay stubs, tax return, W-2 form, or benefit statements 3. **Insurance Information** – Copy of your insurance card (front and back) or proof that you're uninsured 4. **Prescription Information** – Your doctor's prescription for Trijardy XR ## How to Apply (4 Simple Steps) **Step 1: Visit the Online Portal** Go to https://www.boehringer-ingelheim.com/us/about-us/sustainable-development/our-commitment/boehringer-cares-patient-assistance-portal **Step 2: Complete the Application** Fill out the Boehringer Cares application form with your personal, financial, and insurance information. The form takes about 10-15 minutes. **Step 3: Submit Required Documents** Upload copies of your proof of income and insurance information through the online portal. **Step 4: Wait for Approval** The program will review your application and contact you with a decision. Most applications are processed within 5-7 business days. ## What Happens After Approval? Once approved, you'll receive: - Confirmation of your eligibility - Instructions on how to get your medication - Information about how much (if anything) you'll need to pay - Details about refilling your prescription Your medication will typically be mailed to your home or made available at a pharmacy of your choice. ## Annual Reauthorization Your assistance is not permanent. You must reauthorize your eligibility once per year. The program will notify you when it's time to renew. Simply submit updated income and insurance information to stay enrolled. ## Timeline to Expect - **Application submission:** Same day - **Processing:** 5-7 business days - **Approval notification:** Phone call or email - **Medication delivery:** 7-14 days after approval - **Total time from start to receiving medication:** 2-3 weeks ## Alternatives and Additional Help If you don't qualify for Boehringer Cares: - Ask your doctor about generic versions of diabetes medications - Check if you qualify for state Medicaid programs - Use pharmacy discount programs like GoodRx - Look into manufacturer coupons for other diabetes drugs - Contact 211.org for local patient assistance resources ## Contact Information **Boehringer Cares Patient Assistance Program** Online Application: https://www.boehringer-ingelheim.com/us/about-us/sustainable-development/our-commitment/boehringer-cares-patient-assistance-portal Note: Phone support is not currently available. All applications must be submitted online. ## Important Reminders - Never stop taking Trijardy XR without talking to your doctor - Keep all appointments with your healthcare provider - Report any changes in income or insurance to the program - Don't share your medication with others Getting help with medication costs is possible. Start your application today.
Program information last verified: March 25, 2026
Ready to apply for Trijardy XR assistance?
ProvisionRX manages the complete application process. Start your application in about 15 minutes.