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Glyxambi

Patient Assistance Program Guide — Bi Care/ Boehringer

Eligibility synced: 8/1/2026, 3:00:13 AM
Bi Care/ Boehringer
Distributor / program
Confirmed after application review
Processing time
Confirmed with the assistance program
Medication delivery
< $39,900
1-person income limit

Do You Qualify?

Current program rules — Bi Care/ Boehringer

Income (FPL) requirement:
<250%
Medicare A&B:
Yes
Medicare A&B with Part D:
Yes
Employer / private insurance:
No
Medicaid:
No

Sourced from the RX Advantages enrollment guide and refreshed automatically · Last synced 8/1/2026, 3:00:13 AM.

Income

<250% · Below $39,900 for one person

Insurance

Medicare A&B: Yes · with Part D: Yes · employer/private: No · Medicaid: No

Residency

Not specified in the current enrollment guide

Apply Through RX Advantages

Income Limits (< 250% FPL)

Household SizeMax Annual Income
1 person$39,900
2 persons$54,100
3 persons$68,300
4 persons$82,500
5 persons$96,700
6 persons$110,900
7 persons$125,100
8 persons$139,300

Pulled from the 2026 Poverty Guidelines tab in the RX Advantages enrollment guide. The source uses a strict less-than threshold.

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Ready to Apply for Glyxambi Assistance?

RX Advantages handles the entire Bi Care/ Boehringer application on your behalf — paperwork, physician coordination, and refill tracking. It takes about 15 minutes to get started.

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No SSN required on the web form · From $49.95/month