Boehringer Cares Patient Assistance Program
Run by Boehringer Ingelheim Pharmaceuticals, Inc.
Boehringer Cares Patient Assistance Program, run by Boehringer Ingelheim Pharmaceuticals, Inc., provides the medication at no cost if you qualify. One eligibility path: "You don't have health insurance."
At a glance
- Run by
- Boehringer Ingelheim Pharmaceuticals, Inc.
- Status
- Verified
- Last verified
- 08/19/26
- Medicare
- Has a Medicare eligibility path.
- Confirmed medications
- 13
- Coverage unconfirmed
- 0
Phone 1-800-556-8317
Income limits and eligibility paths
Review each published path and its conditions. A path may apply only to certain medications or insurance coverage.
You don't have health insurance
Based on Federal Poverty Guidelines, but the application form publishes no numeric threshold; current requirements live at bipatientassistance.com.
Income basis
Published household amounts
Confirm the table’s geographic applicability and larger-household rules with the program.
You have Medicare
Same undisclosed Federal Poverty Guidelines basis as the uninsured track.
Income basis
Published household amounts
Confirm the table’s geographic applicability and larger-household rules with the program.
You have insurance but can't afford the medicine
Same undisclosed Federal Poverty Guidelines basis as the other tracks.
Income basis
Published household amounts
Confirm the table’s geographic applicability and larger-household rules with the program.
Insurance and other requirements
Each path has its own conditions. Read the complete requirements and confirm which path applies to you.
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Path 1
You don't have health insurance
Insurance category: no-insurance
- ·Based on Federal Poverty Guidelines, but the application form publishes no numeric threshold; current requirements live at bipatientassistance.com.
- ·"I do not currently have health insurance" is an explicit checkbox in the Insurance Information section.
- ·Must attest that you cannot afford the medication requested.
- ·A prescription is required, and a prescriber must sign the attestation.
- ·You will not seek reimbursement from any insurer or government program for medication dispensed from the Program.
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Path 2
You have Medicare
Insurance category: medicare
- ·Same undisclosed Federal Poverty Guidelines basis as the uninsured track.
- ·Part D, Part B, Part D with supplemental insurance, and Medicare Advantage Plan are all checkboxes on the form.
- ·The form asks whether you have received a denial letter from the Medicare Low Income Subsidy (Extra Help); if yes, a recent copy must be attached to the application.
- ·Proof of denial for the Medicare Part D LIS/Extra Help is named among the documents BICF may request.
- ·Section 9 asks whether a formulary exception, prior authorization, or prior-authorization appeal was submitted and denied.
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Path 3
You have insurance but can't afford the medicine
Insurance category: commercial-underinsured
- ·Same undisclosed Federal Poverty Guidelines basis as the other tracks.
- ·Covers both having no coverage for the specific medication and having coverage with an unaffordable out-of-pocket expense.
- ·Medicaid, Veterans Affairs or Military, and Private Insurance (not Medicare Part D) are all checkboxes on the form.
- ·Section 9 asks whether a formulary exception, prior authorization, or prior-authorization appeal was submitted and denied.
What this program covers
13 confirmed covered, 12 documented exclusions and 0 unconfirmed associations. Check the category before relying on a medication link.
Covered medications
- Combivent Covered · 08/19/26
- Gilotrif Covered · 08/19/26
- Glyxambi Covered · 08/19/26
- Jardiance Covered · 08/19/26
- Jentadueto Covered · 08/19/26
- Ofev Covered · 08/19/26
- Spiriva Covered · 08/19/26
- Stiolto Respimat Covered · 08/19/26
- Tradjenta Covered · 08/19/26
- Synjardy Covered · 08/19/26
- Trijardy XR Covered · 08/19/26
- Hernexeos Covered · 08/19/26
- Jascayd Covered · 08/19/26
Confirmed covered associations. The program’s eligibility rules still apply.
Not on this program's current list
- Aggrenox Not covered · 08/19/26
- Aptivus Not covered · 08/19/26
- Atrovent Not covered · 08/19/26
- Mirapex Not covered · 08/19/26
- Mirapex ER Not covered · 08/19/26
- Pradaxa Not covered · 08/19/26
- Striverdi Not covered · 08/19/26
- Viramune XR Not covered · 08/19/26
- Cyltezo Not covered · 08/19/26
- Micardis Not covered · 08/19/26
- Praxbind Not covered · 08/19/26
- Spevigo Not covered · 08/19/26
These exclusions refer to this program only. They do not prove that all other help is unavailable.
Coverage unconfirmed
- No medications are documented in this category.
Our records link these medications to this program, but we do not have enough evidence to confirm coverage. Contact the program before relying on this association.
How to apply
Continue to the official program website ↗
Use the program’s official application. Required documents, approval periods and renewal rules vary.
Keep your approval notice. It explains when assistance ends and what to do if renewal is required.
-
1
Check the official application
Confirm medication coverage and the eligibility path that fits your situation.
-
2
Gather the required documents
Use the income and insurance documents requested by the current form.
-
3
Coordinate with your prescriber
Ask whether clinical information, a prescription or a signature is required.
-
4
Submit and follow up
Confirm receipt and ask about the decision, approval period and renewal rules.
If this is more than you want to take on
Help with the application paperwork
You can follow the official application instructions yourself. If you choose paid help, ask which documents and follow-up tasks the fee includes.
Compare current pricing, cancellation terms and available reviews. Paying for paperwork does not establish eligibility or guarantee approval.
- Ask which forms the service prepares and submits
- Ask how the service works with your prescriber
- Check whether renewal assistance is included
Paid paperwork help is optional. Confirm the official program’s requirements first.
What changed
No rule changes recorded since we began tracking this program on 08/19/26.
Documents we track
Program document
Available on the program’s official website, last checked 08/19/26. Confirm current requirements at: https://www.bipatientassistance.com.
This link points to the program’s own document. Check the record’s verification status and confirm current terms.
What changed on this record
Boehringer Cares Patient Assistance Program requirements read and verified; tracking began.