Jardiance (empagliflozin)
Patient Assistance Program Guide — BI Cares Patient Assistance Program
Current program eligibility
As stated by the BI Cares PAP guideline we work from. Programs change their rules without notice, so we confirm your eligibility before filing.
- Income limit
- 250% of the federal poverty level
- Employer or private insurance
- No
- Medicaid
- No
- Medicare A&B
- Yes
- Medicare A&B with Part D
- Yes
Do You Qualify?
Income
Up to $39,900 for a single person
Insurance
Available to uninsured patients or those with Medicare Part D who cannot afford their medication. Generally excludes patients with government-funded coverage like Medicaid or TRICARE unless specific criteria are met.
Residency
U.S. resident or resident of U.S. territories with a valid address
Income Limits (250% FPL)
The program guideline sets the limit at 250% of the federal poverty level. Figures use the 2026 HHS guidelines for the 48 contiguous states.
Based on 2026 HHS Federal Poverty Level guidelines.
Ready to Apply for Jardiance Assistance?
RX Advantages handles the entire BI Cares Patient Assistance Program application on your behalf — paperwork, physician coordination, and refill tracking. It takes about 15 minutes to get started.
No SSN required on the web form · From $49.95/month