Updated July-2026-25

Jardiance Patient Assistance Program: Eligibility, Income Limits & How to Apply

Evan Brown
Written by Evan Brown
Medical Content Researcher
Dr Megan Harris Medically Reviewed by Dr. Megan Harris, MD
Medical Review: This guide summarizes the Boehringer Ingelheim Cares Foundation's Patient Assistance Program (PAP) for Jardiance (empagliflozin), including income limits, Medicare rules, required documents, the savings card and appeals.
Quick Answer

The Jardiance Patient Assistance Program is run by the Boehringer Ingelheim Cares Foundation, not by an insurance company, and it can provide Jardiance at no cost to qualifying patients who are uninsured or whose coverage doesn't adequately pay for it. Eligibility generally requires U.S. residency and household income at or below the program's federal poverty level (FPL) threshold — commonly cited around 250% FPL, though some guides list higher figures for other Boehringer Ingelheim medications. Medicare Part D beneficiaries can qualify if they don't receive Extra Help (the Low-Income Subsidy) and meet the income limit. This is a completely separate program from the Jardiance savings card, which only helps commercially insured patients lower their copay — it does not provide free medication and Medicare patients cannot use it.

Key Takeaways

  • The Jardiance PAP is administered by the Boehringer Ingelheim Cares Foundation, separate from any insurance-based process.
  • Commonly cited income limits sit around 250% of the federal poverty level, though figures vary by source and may differ by drug.
  • Medicare Part D patients can qualify if they don't receive Extra Help and meet the income limit.
  • The savings card and the PAP solve different problems — one lowers a copay for insured patients, the other provides free medication for the uninsured.
  • Renewal is required annually, and income documentation must be current at reapplication.

Jardiance (empagliflozin) doesn't have a generic equivalent yet, and the cash price for a 30-day supply commonly runs several hundred dollars. For people without drug coverage — or with a plan that puts Jardiance on an expensive non-preferred tier — that price can mean skipping doses or going without.

The Boehringer Ingelheim Cares Foundation exists specifically for this gap. It's a separate charitable arm from Boehringer Ingelheim's insurance-facing savings card, and it works more like a need-based grant than a coupon: instead of shaving dollars off a copay, it can supply the medication completely free to patients who qualify.

This guide walks through who typically qualifies, what income limits look like heading into the back half of 2026, how Medicare patients are treated differently, and what a complete application actually requires.

Table of Contents

  1. What Is the Jardiance Patient Assistance Program?
  2. Jardiance PAP vs the Jardiance Savings Card
  3. Eligibility Requirements
  4. Income Limits by Household Size
  5. Medicare and Medicaid Patients
  6. Required Documents
  7. Decision Tree: Which Program Fits You?
  8. How to Apply — Step by Step
  9. Common Reasons Applications Are Denied
  10. What to Do If You're Denied
  11. Frequently Asked Questions

What Is the Jardiance Patient Assistance Program?

The Jardiance PAP is one of several medication programs run through the Boehringer Ingelheim Cares Foundation, a non-profit that also covers other Boehringer Ingelheim brands such as Ofev, Aptivus, Gilotrif, Spevigo and Cyltezo. Each medication is reviewed under the same general foundation framework, though specific income thresholds can vary by drug.

Unlike prior authorization, which is an insurance company deciding whether to pay for a prescription you already have coverage for, the PAP exists for people who don't have adequate coverage in the first place. If approved, the foundation ships the medication directly rather than reimbursing a pharmacy claim.

Feature Detail
Administered by Boehringer Ingelheim Cares Foundation
Cost to eligible patients $0 for approved medication
Application submitted by Patient + prescribing healthcare provider
Typical approval period Set period with required annual renewal
Delivery method Shipped directly to patient or provider, not filled at a retail pharmacy

Jardiance PAP vs the Jardiance Savings Card

These two programs get confused constantly because they're both run by the same manufacturer and both reduce what you pay for Jardiance. They are not interchangeable.

Feature Patient Assistance Program (BI Cares) Jardiance Savings Card
Who it's for Uninsured or underinsured, income-qualifying patients Commercially insured patients
Cost to patient $0 As low as $10 for a 1–3 month supply, per published card terms
Medicare eligible? Yes, under specific conditions No
Income requirement Yes — must be at or below FPL threshold No income requirement
Requires prescriber sign-off Yes No
Renewal Annual reapplication Automatic re-enrollment if still eligible

Applying to the wrong one wastes time. If you have commercial insurance and just want a lower copay, the savings card is faster and has no income review. If you're uninsured or your plan won't cover Jardiance at all, the savings card won't help — you need the PAP.

Eligibility Requirements

Program pages and third-party guides describe eligibility slightly differently, but the following criteria show up consistently across current 2026 sources.

  • U.S. resident or resident of a U.S. territory
  • Uninsured, or insured with coverage that doesn't adequately pay for Jardiance
  • Household income at or below the program's income threshold
  • Valid, active prescription from a licensed U.S. prescriber
  • Not already receiving full Medicaid drug coverage for Jardiance

Income verification: Some applications allow income to be verified electronically using the last four digits of a Social Security number, which can be faster than mailing paycheck stubs or a tax return. If electronic verification isn't available, a copy of a 1040 tax return is typically accepted instead.

Income Limits by Household Size

Reported income thresholds for Jardiance vary between sources — some cite roughly 250% of the federal poverty level, others describe a higher 300–400% range that may apply to different Boehringer Ingelheim medications or program tiers. The table below uses the more commonly cited figure, but you should confirm the exact number for your household size directly with the foundation before applying.

Household Size Approximate 250% FPL Threshold (Lower 48 States)
1 person ~$39,900 / year
2 people Higher — verify current figure
3 people Higher — verify current figure
4 people Higher — verify current figure

Why we're not filling in every row: Federal poverty guidelines update annually and Alaska and Hawaii use different figures entirely. Rather than publish numbers that could be stale by the time you read this, check the current household-size table on the Boehringer Ingelheim Cares application or NeedyMeds.org, which tracks current FPL guidelines.

Medicare and Medicaid Patients

Jardiance's PAP treats government coverage differently than most commercial-only assistance programs, which is worth understanding before you assume you're excluded.

Coverage Situation PAP Eligibility
Medicare Part D, no Extra Help May qualify if income limit is met
Medicare Part D with Extra Help (LIS) Generally not eligible
Full Medicaid drug coverage Generally not eligible
Commercial insurance excluding Jardiance Case-by-case — documentation of the exclusion required
Completely uninsured Eligible if income limit is met

This is one of the more patient-friendly design choices in the Jardiance PAP: many manufacturer programs cut off Medicare patients entirely, but this one specifically builds a path for Part D beneficiaries who fall through the cracks of Extra Help eligibility.

Required Documents

Document Usually Required
Completed application, patient section Yes
Completed application, prescriber section Yes
Proof of income (or electronic verification) Yes
Proof of insurance status or denial letter Yes
Active prescription details Yes
Proof of Extra Help denial (Medicare applicants) If applicable

Decision Tree: Which Program Fits You?

Do you have commercial insurance?

Start here — this decides which program applies

Yes, Commercially Insured

Copay too high?

No income review needed

Use the Savings Card

Apply through the Jardiance website

Uninsured or Medicare

Income at or below limit?

Check current FPL threshold for your household size

Apply to the BI Cares PAP

Prescriber must complete their section

Denied or over the limit?

Look at independent copay foundations next

How to Apply — Step by Step

1

Confirm you have the right program

Check whether you're uninsured, underinsured or on Medicare without Extra Help — the PAP is built for these situations, not for commercially insured patients looking for a lower copay.

2

Gather income documentation

Have a recent tax return or pay stubs ready in case electronic income verification using your Social Security number isn't available or doesn't clear automatically.

3

Get your prescriber's section completed

The application requires your prescribing healthcare provider to confirm the prescription and sign their portion. Ask your provider's office if they have a staff member who regularly handles PAP paperwork.

4

Submit by mail, fax or online

The Boehringer Ingelheim Cares Foundation accepts applications online, by mail and by fax. Keep a copy of everything you submit, including the date.

5

Track your status and plan for renewal

If approved, mark your renewal date. Reapplication typically requires refreshed income and insurance documentation, so don't wait until the last week of your approval window to start gathering paperwork again.

Common Reasons Applications Are Denied

Reason What It Usually Means
Income above threshold Household income exceeds the current FPL limit for your household size
Existing adequate coverage Insurance, Medicaid, or Medicare Extra Help already covers Jardiance
Missing prescriber signature Application is treated as incomplete until the provider section is finished
Income verification failed Electronic check didn't clear; a 1040 or pay stubs may be required instead
Expired documentation Income or insurance proof too old to be accepted at renewal

What to Do If You're Denied

1. Ask for the specific denial reason. Many denials are administrative — a missing signature or an income-verification hiccup — rather than a final no.

2. Resubmit with corrected documentation. If the issue was a missing document or an income mismatch, a corrected resubmission is often faster than starting over.

3. Look at independent copay foundations. Organizations such as NeedyMeds, RxAssist and the HealthWell Foundation sometimes fund diabetes medications when manufacturer programs don't apply to your situation.

4. Ask your pharmacy about discount cards. Independent prescription discount programs can lower the cash price of Jardiance even without a formal assistance program, though savings are typically smaller than a PAP approval.

5. Talk to your prescriber about alternatives. If Jardiance genuinely isn't affordable and no assistance program applies, your provider may have other treatment options with lower out-of-pocket costs on your specific formulary.


Frequently Asked Questions

Generally, U.S. residents who are uninsured or whose insurance doesn't adequately cover Jardiance, and whose household income falls at or below the program's income threshold.

Medicare Part D beneficiaries who don't qualify for Extra Help (the Low-Income Subsidy) may still qualify for the PAP if their income meets the program's limit.

No. The savings card lowers copays for commercially insured patients only. The Patient Assistance Program provides free medication to qualifying uninsured or underinsured patients, and Medicare beneficiaries cannot use the savings card.

Sources differ, with figures ranging from around 250% to 400% of the federal poverty level depending on the source and possibly the specific Boehringer Ingelheim medication. Confirm the current threshold for your household size directly with the Boehringer Ingelheim Cares Foundation before applying.

Approval periods vary, and patients generally need to reapply annually with updated income and insurance documentation.

Yes. The application requires a section completed and signed by your prescribing healthcare provider confirming the prescription and medical need.

Generally, no, if Medicaid already provides full drug coverage for Jardiance in your state. Medicaid formulary gaps may be reviewed case by case with supporting documentation.

You can ask for the specific denial reason, resubmit with corrected documentation, or explore independent copay foundations and prescription discount programs while you wait.

Yes. The Boehringer Ingelheim Cares Foundation also covers other brands including Ofev, Aptivus, Gilotrif, Spevigo and Cyltezo, though income thresholds may differ by medication.

Not currently. Empagliflozin remains under patent protection, which is a major reason the cash price stays high for uninsured patients.


How We Researched This Guide

This guide was prepared by the Refill Relay Editorial Team using publicly available Boehringer Ingelheim Cares Foundation program information, Federal Poverty Level guidance, and current third-party reporting on 2026 patient assistance program terms. Where reported income thresholds varied between sources, we flagged the discrepancy rather than presenting a single number as certain, and we recommend confirming the exact figure directly with the foundation before applying.


References

  1. Boehringer Ingelheim — Patient Assistance Program information
  2. NeedyMeds — current Federal Poverty Level guidelines
  3. RxAssist — independent patient assistance program directory
  4. HealthWell Foundation — independent copay assistance
  5. Medicare.gov — Extra Help / Low-Income Subsidy information

About Refill Relay

Refill Relay publishes evidence-based educational resources that help patients understand prescription insurance, patient assistance programs, prior authorization requirements and medication access. Our editorial team combines manufacturer program research with practical guidance to make complex healthcare topics easier to navigate.

Editorial Standards

  • Sourced from manufacturer program pages and current documentation
  • Clinical review before publication
  • Regular updates when eligibility rules change
  • Clear distinction between educational content and medical or financial advice

Related Resources

Editorial Policy: Refill Relay medical content is researched using manufacturer patient assistance program pages, Federal Poverty Level guidance, and current third-party reporting on 2026 program changes. Because manufacturer PAP rules and income thresholds can change without notice, always confirm current figures directly with the Boehringer Ingelheim Cares Foundation before submitting an application.

Evan Brown
About the Author
Evan Brown — Medical Content Researcher

Evan Brown is a medical content researcher who specializes in translating complex healthcare policy — including manufacturer assistance programs — into clear, actionable guidance for patients.

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Dr. Megan Harris, MD
Medical Review
Dr. Megan Harris, MD

Dr. Megan Harris, MD reviews health content for medical accuracy, checking clinical eligibility criteria and drug information against current manufacturer and CMS guidance.

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