UPDATE (June 17, 2026): Four additional settlements have been reached totaling $180 million. Documents related to these settlements are located on the Court Documents page under 2026 Settlements. You may review the notice by clicking here.
Third-Party Payor (“TPP”) Class Member, or an authorized agent can complete this Claim Form. Individual consumers are not part of this lawsuit.
Third-party payor (“TPP”) class member are entities that purchased, paid, and/or provided reimbursement for a metformin-containing drug for consumption by their members, employees, insureds, participants, or beneficiaries. They include entities such as health insurance companies and self-insured health and welfare plans.
If you are a member of the TPP Class and want to participate in the distribution of the Settlement Funds, you need to complete and return a Claim Form. Claim Forms must be postmarked (if mailed) or received (if submitted online) on or before December 1, 2026.
If you previously submitted a claim in the prior TPP class settlement in MDL 2804 with Settling Distributors, then you may choose to rely on your previously submitted claim form.
If you are unable to break down the number of covered lives by state, please complete the chart on the Claim Form with the number of covered lives by year. If you do not have enrollment data for a particular year or years you may leave the entry for that year blank. The TPP filing templates and a list of applicable NDC Numbers can be downloaded using the links below:
To file your claim online, use the link below:
To file your claim by mail, download a copy of the claim form below:
Note: These documents are in PDF format. To view the
documents, you will need Adobe Acrobat Reader on your computer or other internet-enabled device.
