Eli Lilly Patient Assistance Programs

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Table of Contents

Eli Lilly manufactures the following diabetes medications:

  • Basaglar®
  • Humalog®
  • Humulin®
  • Humulin N®
  • Humulin R®
  • Lyumjev®
  • Trulicity®
  • Baqsimi®
  • Glucagon® 

Lilly Insulin Value Program

Eli Lilly is currently offering a $35 savings card for the following medications in response to the COVID19 pandemic:

  • Humalog®
  • Insulin lispro
  • Humulin R®
  • Humulin N®
  • Lyumjev®
  • Basaglar®

Eligibility

  • You must be a US resident.
  • You must either be uninsured or have commercial insurance. Those using Medicare, Medicaid, and any other state funded health programs are not eligible to use this program.
  •  Certain patients in Massachusetts and California may not be eligible. 

How to Apply

Visit this webpage, scroll down, and indicate whether you use commercial insurance or pay cash (uninsured). Click Download and your savings card will be generated. Present this card when you pick up your prescription at the pharmacy. The card is limited to one refill of your prescription per month and has an annual cap of $7500. The card currently expires on 12/31/2021 and it is unclear whether Eli Lilly will continue to offer this program after that date.

LillyCares Patient Assistance Program

Eli Lilly currently offers the Lilly Cares patient assistance program which provides the following medications at no cost to qualifying customers:

  • Basaglar®
  • Humalog®
  • Humulin®
  • Humulin N®
  • Humulin R®
  • Lyumjev®
  • Trulicity®
  • Baqsimi®
  • Glucagon® 

Eligibility

  • You are a US citizen or legal resident.
  • You have a prescription for an Eli Lilly medication.
  • You must have a current healthcare provider.
  • You are uninsured or enrolled in Medicare Part D.
  • If you are eligible for Medicaid, you must have proof of denial. 
  • You meet the household income guidelines as listed here.

How to Apply

  • Visit this webpage and choose your preferred method of application.
  • Complete page 2 (Patient Section) of the application. Sign the Patient Certification agreement on page 4.
  • Have your healthcare provider complete page 5 (Healthcare Provider/Prescriber Section) and sign page 6. 
  • Submit the completed application and a copy of an additional document proving your income level (last year’s federal income tax record, wage statement (W2), Social Security benefits statement, etc.). If not applying online, you may submit by fax (1-844-431-6650) or mail (Lilly Cares Patient Assistance Program, P.O. Box 13185, La Jolla, CA 92039)

There are no fees to apply or participate in this program. Processing and medication delivery times are unclear. If your application is approved, both you and your healthcare provider will receive a letter of approval. Eli Lilly will contact you to arrange a shipment of medication to your home or your healthcare provider’s office. Once approved, you will be enrolled for 12 months from the approval of your application. Medicare Part D patients will be enrolled through the end of the current calendar year. You must reapply annually.

Eli Lilly Savings Cards

Eli Lilly currently offers co-pay savings cards for the following medications:

  • Basaglar® 
  • Humalog®  U-200 Kwikpen
  • Humulin R®  U-500
  • Lyumjev®

Eligibility

  • You must be a US resident.
  • You must have commercial insurance. Those using Medicare, Medicaid, and any other state funded health programs are not eligible to use this program.
  •  Certain patients in Massachusetts and California may not be eligible. 

How to Apply

Visit this webpage and click on your medication. A new window will open. Find the “Get Savings Card” button (you may need to scroll down) and a savings card will be generated. Download or print the card and present it when you pick up your prescription at the pharmacy. Each card has a varied monthly and annual cap, so be sure to read the terms and conditions. Each card comes with a stated expiration date after which you would need to obtain a new card by reapplying. 

 
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If you are completely out of insulin or in DKA please seek emergency help.

We know that the costs of emergency care are outrageously expensive. Your life is worth it. We care about you and will do our best to help you with fundraising resources to cover the costs.

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