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Boehringer Ingelheim

Synjardy / Synjardy XR Copay Savings Card

Single card covering both Synjardy and Synjardy XR. Pay as little as $0/month. Max savings $100 per 30-day supply or $450 per 90-day supply. Commercial insurance only.

Instant cardCommercial insurance only

What you need to enroll

Instant card — no doctor needed to enroll

Sign up on the manufacturer's site in about 2 minutes. You don't need a doctor visit to get the card itself — just bring it to your pharmacy with your prescription at fill time.

Your estimated copay

$0per 30-day fill
Max savings / year: $1,200
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Covered medications

  • Synjardy (empagliflozin + metformin) 5 mg/500 mg·5 mg/1000 mg·12.5 mg/500 mg·12.5 mg/1000 mg
  • Synjardy XR (empagliflozin + metformin extended-release) 5 mg/1000 mg·10 mg/1000 mg·12.5 mg/1000 mg·25 mg/1000 mg

Am I eligible?

Need a prescription?
Yes — written by a licensed prescriber for the medications below.
Insurance required?
Commercial insurance only. Medicare, Medicaid, TRICARE, and VA are not eligible.
State restrictions?
Available nationwide.
Income limits?
No income test.

Accepted

  • Prescribed Synjardy or Synjardy XR (empagliflozin/metformin) for FDA-approved use
  • Commercial drug insurance plan that covers Synjardy or Synjardy XR
  • Meets product age requirement
  • Resident of the 50 US states, DC, US territories, or Puerto Rico
  • Not reimbursed for the entire cost of the prescription

Not accepted

  • No commercial insurance / uninsured / cash-pay (program is not available)
  • Enrolled in Medicaid, Medicare, Medigap, Retiree Drug Subsidy, VA, DoD, TRICARE, or any state Rx assistance program
  • Receiving Medicare Part A facility care (hospital, SNF, nursing home, hospice)
  • Plan uses accumulator-adjustment or copay-maximizer programs
  • Massachusetts / California — subject to state law restrictions

How to apply

  1. Visit patient.boehringer-ingelheim.com/us/products/synjardy/savings-and-support and activate the card
  2. Present the card at the pharmacy with your Synjardy or Synjardy XR Rx
  3. Phone CareConnect4Me at 1-866-279-8990 (M–F 8 AM–8 PM ET) for help

Using it at the pharmacy

Show the card before checkout. Submit to RxC Acquisition d/b/a RxCrossroads by McKesson using BIN #610524. If primary insurance exists, input the card as secondary coverage via COB. Subject to LoyaltyScript program T&C.

Terms & limits

Max savings per fill
Up to $100 per 30-day fill
Max savings per year
Up to $1,200 per year
Fills per year
12 fills per year, per covered drug
Renewal
Renew every year
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One card covers BOTH Synjardy (empagliflozin/metformin) and Synjardy XR (extended-release). Pay $0–$100 max savings per 30-day fill; $0–$450 max per 90-day fill. Benefits RESET each calendar year. BIN 610524 (RxC Acquisition / RxCrossroads by McKesson). One card per patient, not transferable. Cannot combine with other discounts. Disqualifies if your plan uses an "accumulator adjustment" or "copay maximizer" program. Also disqualifies if receiving Medicare Part A covered care in a facility. Not accepted at VA pharmacies. Document ID PC-US-145996 (10/25). Note: BI is now sole owner — the BI/Lilly diabetes alliance has dissolved.

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