Prescription medicines can be a significant financial burden for many individuals, especially those without insurance or with limited coverage. Fortunately, there are assistance programs available that aim to alleviate out-of-pocket costs and ensure that patients have access to the medications they need. One such program is the Lilly Cares Program, The Lilly Insulin Value Program and the Savings card program. In this article, we will explore how both programs help reduce prescription costs for eligible patients, the eligibility criteria, and the application process.
What is the Lilly Cares Program?
The Lilly Cares Program is a charitable program initiated by the Lilly Cares Foundation. Its primary objective is to assist financially needy patients who require qualifying Lilly medications. The program offers these medications at no cost or a reduced cost, depending on the patient’s income and eligibility.
Eligibility criteria for the Lilly Cares Program
To be eligible for the Lilly Cares Program, patients must meet specific criteria. Here are the key eligibility requirements:
- Permanent, legal resident of the United States: Patients must be permanent, legal residents of the United States, including Puerto Rico and the U.S. Virgin Islands
- Prescribed qualifying Lilly medication: Patients must have a healthcare provider who has prescribed a qualifying medication manufactured by Eli Lilly and Company
- Insurance coverage: Patients should not be enrolled in Medicaid, full Low Income Subsidy (LIS, “Extra Help”), or Veterans (VA) Benefits. Additionally, they should not have insurance plans that require them to apply to the Lilly Cares Program as a condition for coverage
- Insurance status: Patients should fall into one of the following categories:
- No insurance
- Medicare Part D
- Medicare Part B with no supplemental or secondary insurance for oncology products
- Household income guidelines: Patients must meet the household income guidelines based on the total number of persons in the household
Household income guidelines
The household income guidelines set by the Lilly Cares Program determine the eligibility of patients based on their annual adjusted gross income. The income limits vary depending on the medication group and the number of persons in the household. Here are the income limits for each group:
Group 1 medications
- 1 Person Household: $43,740
- 2 Person Household: $59,160
- 3 Person Household: $74,580
- 4 Person Household: $90,000
- 5 Person Household: $105,420
- 6 Person Household: $120,840
Group 2 medications
- 1 Person Household: $58,320
- 2 Person Household: $78,880
- 3 Person Household: $99,440
- 4 Person Household: $120,000
- 5 Person Household: $140,560
- 6 Person Household: $161,120
Group 3 medications
- 1 Person Household: $72,900
- 2 Person Household: $98,600
- 3 Person Household: $124,300
- 4 Person Household: $150,000
- 5 Person Household: $175,700
- 6 Person Household: $201,400
These income limits are set at 300%, 400%, and 500% of the 2023 Federal Poverty Guidelines, respectively.
Medications covered by the Lilly Cares Program
The Lilly Cares Program covers a wide range of medications manufactured by Eli Lilly and Company. These medications are divided into three groups based on eligibility and income level. Here are some of the medications included in each group:
Group 1 medications
- Cialis® (tadalafil) tablets
- Cymbalta® (duloxetine delayed-release capsules)
- Evista® (raloxifene hydrochloride) tablet
- Forteo® (teriparatide injection)
- Prozac® (fluoxetine capsules)
- Symbyax® (olanzapine and fluoxetine) capsules
- Zyprexa® (olanzapine)
Group 2 medications
- Baqsimi® (glucagon) nasal powder
- Basaglar® (insulin glargine injection)
- Emgality® (galcanezumab-gnlm) injection
- Humalog® (insulin lispro injection)
- Humulin® (insulin human injection)
- Lyumjev® (insulin lispro-aabc) injection
- Reyvow® (lasmiditan) tablets C-V
- Trulicity® (dulaglutide) injection
Group 3 medications
- Humatrope® (somatropin) for injection
- Olumiant® (baricitinib) tablets
- Taltz® (ixekizumab) injection
In addition to these medications, the program also covers various oncology medications such as Alimta®, Cyramza®, Erbitux®, and more.
To apply for the Lilly Cares Program, patients have three options:
- Online Application: Patients can choose to complete an online application, which reduces paperwork and potential delays
- Paper Application: Patients can download a blank application, print it, and fill in the required information by hand. Alternatively, they can fill in the application on their computer, save it, and print the completed application
- Application Submission: Once the patient has filled out the patient sections of the application, their healthcare provider needs to complete the prescriber section and prescription. The completed application can be submitted online, faxed, or mailed to the Lilly Cares Patient Assistance Program
Next steps after application submission
After applying, the Lilly Cares Program will review it and provide an enrollment decision. The patient will receive notification of the decision by mail and text message (if applicable), while their healthcare provider will receive a fax notification. If the application is approved, the patient will receive information about the duration of enrollment and the delivery of medications.
It is important to note that at the end of the enrollment period, patients must reapply to remain eligible for the program.
Frequently Asked Questions (FAQ)
Here are some common questions and answers related to the Lilly Cares Program:
- Q: Who is eligible for the Lilly Cares Program? A: To be eligible, patients must be permanent, legal residents of the United States, have a healthcare provider who has prescribed a qualifying Lilly medication, meet the household income guidelines, and fulfill the specified insurance criteria
Next steps questions
- Q: What happens after I submit my application? A: The Lilly Cares Program will review your application and notify you and your healthcare provider of the enrollment decision. If approved, you will receive information about the duration of enrollment and medication delivery
The Lilly Insulin Value Program
This program ensures that all Lilly insulins are available for just $35 a month, irrespective of whether you have commercial insurance or no insurance at all. Regardless of your insurance coverage, you can benefit from this program and obtain Lilly insulins for just $35 per month. This initiative aims to alleviate the burden of high insulin costs and ensure that individuals can effectively manage their diabetes without financial constraints.
Eligibility and terms
To participate in the Lilly Insulin Value Program, there are certain eligibility criteria and terms that need to be considered. While the program is available at retail pharmacies, it is important to note that government restrictions may exclude individuals enrolled in federal government insurance programs from accessing the $35 solutions. However, Medicare Part D beneficiaries are protected by federal law and are only required to pay a maximum of $35 per month for insulin.
To take advantage of the program, you can download the $35/month Insulin Savings Card. However, it is essential to carefully review the terms, conditions, and limitations associated with the Savings Card to ensure compliance. It is important to note that the Savings Card is applicable for up to 12 calendar months, and patients must have commercial drug insurance to pay as little as $35 per prescription per month for a 30-day supply of Covered Insulin.
Understanding the Eli Lilly Savings Card
The Eli Lilly Savings Card is a valuable resource that can help patients save money on their prescription medications. Before you can start enjoying the benefits, you need to activate your card. To do so, you will need your Savings Card handy, as it contains important information required for the activation process.
Step 1: Check your eligibility
Before activating your savings card, it is essential to determine if you meet the eligibility criteria. Answer the following questions to assess your eligibility:
- Are you currently a resident of the United States or Puerto Rico?
- Are you a patient or caregiver who is 18 years of age or older?
- Is your prescription eligible to be paid in part or full by any government-funded program?
If you answered “yes” to all three questions, you are likely eligible to activate your savings card. However, if you answered “no” to any of these questions, it is advisable to contact Customer Service to clarify your eligibility status.
Step 2: Gather required information
To complete the activation process, you will need to provide specific information from your Savings Card. Make sure you have the card in front of you and locate the RxGroup and RxID numbers printed on the front. These numbers are crucial for activating your card successfully.
Step 3: Activate your Savings Card
Once you have gathered the necessary information, you can proceed with the activation process. Follow these steps to activate your savings card:
- Visit the Eli Lilly website or call the toll-free number provided on your Savings Card
- Enter the required information, including your RxGroup and RxID numbers
- Follow the prompts to complete the activation process
Step 4: Enjoy prescription drug savings
Congratulations! You have successfully activated your Eli Lilly Savings Card. Now, you can start enjoying the benefits of the program. Present your activated card at participating pharmacies when filling your prescription, and the savings will be applied to your purchase.
Frequently Asked Questions
To provide you with a comprehensive understanding of the Eli Lilly Savings Card program, we have compiled a list of frequently asked questions:
What medications are covered by the program?
The specific medications covered by the program may vary. It is advisable to check the Eli Lilly website or contact Customer Service for a list of eligible medications.
Can I use the savings card with my insurance?
Yes, in many cases, the savings card can be used in conjunction with your insurance. However, it is essential to check the program’s terms and conditions to ensure compatibility with your insurance coverage.
Can I transfer my savings card to someone else?
No, the savings card is non-transferable and can only be used by the eligible patient or caregiver.
How long is the savings card valid?
The validity period of the savings card may vary. It is crucial to check the expiration date printed on the card or contact Customer Service for more information.
The Lilly Cares Program, The Lilly Insulin Value Program and the Savings Card program play a crucial role in reducing prescription costs for eligible patients in need of qualifying Lilly medications. By offering assistance based on income and other eligibility criteria, the program aims to ensure that patients have access to the medications they require. If you meet the eligibility criteria, consider applying for the Lilly Cares Program to alleviate the financial burden associated with prescription medications. For more information and to check your eligibility, visit the Lilly Cares website.
NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information in this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.
The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.
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