Copay savings card
Source confirmed July 2026Glyxambi Savings Card
Boehringer Ingelheim / Eli Lilly · Glyxambi
Patient pays: as little as $10 per month for 1-3 month supply
commercial insurance
How to apply: online or phone
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Free help paying for Glyxambi.
Every Glyxambi assistance program you may qualify for - manufacturer and foundation programs, not a discount card. About a minute, no login.
Glyxambi help that still works on Medicare or Medicaid - the programs copay cards leave out.
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Glyxambi (empagliflozin / linagliptin) is a sglt2 inhibitor + dpp-4 inhibitor combination made by Boehringer Ingelheim / Eli Lilly. It is commonly prescribed for: Type 2 diabetes mellitus. Without financial assistance, Glyxambi typically costs around $700 per month.
Income limits
Glyxambi income limits in dollars (2026)
1 of the 2 active Glyxambi assistance programs we track caps household income. The lowest cutoff is $39,900 a year for a single person. Most programs publish their cutoff as a percent of the federal poverty level - here is what that means in dollars.
BI Cares Foundation - Glyxambi PAP
Household income at or below 250% of the federal poverty level:
| Household size | Annual income limit |
|---|---|
| 1 person | $39,900 |
| 2 people | $54,100 |
| 3 people | $68,300 |
| 4 people | $82,500 |
| Each additional person | + $14,200 |
Dollar amounts for percent-of-poverty caps are computed from the 2026 federal poverty guidelines for the 48 contiguous states and Washington, DC ($15,960 for one person, plus $5,680 for each additional household member). Alaska and Hawaii use higher figures. Each program makes the final eligibility decision - confirm on the official application linked above.
Not sure which kind of help you qualify for?
Glyxambi offers more than one kind of program, and they have opposite rules:
- Have private insurance? The copay card can cut your monthly cost - but it can’t be used with Medicare, Medicaid, the VA, or Tricare.
- Uninsured or low-income? The patient assistance program may give you Glyxambi free or nearly free, if your income is under its limit.
- On Medicare? The copay card won’t work, but Glyxambi’s patient assistance program still does - plus federal Extra Help.
We show both programs, and the real income limits, below. Or read the full copay card vs patient assistance guide
All Glyxambi programs we know about
This is the full list before we filter by your situation. Use the calculator above to see only the ones you may qualify for.
Manufacturer assistance
Source confirmed August 2026BI Cares Foundation - Glyxambi PAP
Boehringer Ingelheim Cares Foundation · Glyxambi
uninsured · Medicare Part D
How to apply: online or phone
Your prescriber signs part of the form.
Glyxambi assistance, answered plainly
Is there a Glyxambi patient assistance program?
Yes. Boehringer Ingelheim Cares Foundation runs the BI Cares Foundation - Glyxambi PAP, which provides Glyxambi free of charge to eligible patients. Household income generally needs to be at or below 250% of the federal poverty level. The full rules and the official application link are in the program list above.
Does Medicare cover Glyxambi?
Medicare coverage for Glyxambi depends on your own plan: depending on how it is given, a drug can fall under Part B (administered in a clinic) or Part D (filled at a pharmacy), and each plan decides what it covers. Your plan's documents or Medicare's plan finder are the only reliable check. Separate from coverage, BI Cares Foundation - Glyxambi PAP is open to some Medicare patients when out-of-pocket costs stay high - details above.
Is there a Glyxambi copay card or coupon, and who can use it?
Yes - the Glyxambi Savings Card from Boehringer Ingelheim / Eli Lilly. Eligible patients pay as little as $10 per month for 1-3 month supply. It works for patients with commercial (private) insurance. Patients on Medicare or Medicaid cannot use the card itself, but other Glyxambi programs above do work with government insurance. If you searched for a Glyxambi coupon, this manufacturer card is the official version of it.
How much does Glyxambi cost without insurance?
Without insurance or assistance, Glyxambi typically costs around $700 per month in the US. The BI Cares Foundation - Glyxambi PAP above can bring that down substantially for eligible patients - use the calculator to check your situation.
Where do I find the Glyxambi patient assistance application form?
The official application form for the BI Cares Foundation - Glyxambi PAP is on bicaresfoundation.com - the application links on this page go straight to the program's own form. Some programs call it an enrollment form; it is the same document. Applying is always free; never pay a third-party service to file a patient assistance form for you.
Does Glyxambi assistance work if I am on Medicare or Medicaid?
Yes. BI Cares Foundation - Glyxambi PAP is open to some patients on Medicare - each program's exact rules are listed above, and the calculator checks the income limits against your household.
Is the Glyxambi patient support program the same thing as patient assistance?
Manufacturers like Boehringer Ingelheim / Eli Lilly use "patient support program" as an umbrella term for nurse lines, insurance navigation, and financial help. The financial help is what we track here - for Glyxambi that is the BI Cares Foundation - Glyxambi PAP. The support phone line is listed on the official program site linked above.