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Lilly Cares Program Information
What is Lilly Cares?
Lilly Cares is a patient assistance program administered by Lilly Cares Foundation, Inc., a private operating foundation. Lilly Cares Foundation was created by and receives its financial and product support from Eli Lilly and Company. Lilly Cares Foundation and its patient assistance program is an outgrowth of Eli Lilly and Company´s ongoing efforts to provide ill and needy individuals and infants, who are US residents, with access to the Company´s medications.

Lilly Cares assists uninsured patients with incomes less than 300 percent of the federal poverty level (see examples below). In 2008, the Lilly Cares program assisted more than 142,000 patients, and distributed Lilly medications, valued at over $185 million, to eligible patients free of charge.

What Lilly medications are available?
Most Lilly products are available through the program. See product listing on the right.

How does the program work?
  • The Lilly Cares program has a 12-month enrollment period for eligible patients.
  • Lilly Cares generally ships a 4-month supply of medication unless a lesser amount is requested by the prescriber.
  • After the process of reviewing your complete application, your physician will receive your medications in approximately 3-4 weeks. Your prescriber will dispense your medication to you.
  • The prescriber must request refills for you by using the Fax Refill Request Form, which is enclosed with each medication order.
Am I eligible?
Eligibility is based on your inability to pay and the lack of third-party prescription payment assistance, such as insurance, Medicare, Medicaid, government, or community program. Basic eligibility requirements are as follows:
  • You must be a U.S. resident
  • Your income must be below certain levels, based on the number of people in the household (for example: $33,000 or less for one person, $44,000 for a family of two, or $67,000 for a family of four). Income limits depend on family size, and may be higher in Alaska and Hawaii.
  • You must not have any other prescription drug coverage (private insurance, Medicaid, VA, Medicare Part D, etc.)
If you do not have the listed income documentation (see below) or your financial situation has changed from your last tax filing and you believe that you may currently qualify for Lilly Cares, please contact the Lilly Cares program.

How do I get an application?
Blank applications may be downloaded from this web site, or arrangements to receive an application by mail or fax may be made by calling 1–800–545–6962.

How do I apply?
  • Applications have both a patient section and a physician section, and both you and your physician must complete and sign your individual sections.
  • You must supply current proof of income
  • Mail application to:

    • Lilly Cares
    PO Box 230999
    Centreville, VA 20120
What is Acceptable Proof of Income?
  • First page of your federal tax return for prior tax year. (1040 or 1040EZ tax form)
  • Any other source of income(examples include: Social Security income, pensions, unemployment, alimony, food stamps)
Additional questions?
If you have additional questions, please contact Lilly Cares at 1-800-545-6962
Contact Lilly Cares
 


If questions:

Call 1-800-545-6962

 
Lilly Cares Products
 For full prescribing information, please click
 the web link to the left of each product name.
Cialis Prescribing Information   Cialis®
Cialis Patient Prescribing Information(tadalafil)
Cymbalta Prescribing Information    Cymbalta®
Cymbalta Medication Guide(duloxetine HCl)
Effient Prescribing Information    Effient®
Effient Medication Guide(prasugrel)
Evista Prescribing Information    Evista®
Evista Medication Guide(raloxifene HCl)
Glucagon Prescribing Information    Glucagon Glucagon Patient Prescribing Informationfor Injection
Humalog Prescribing Information    Humalog®
Humalog Patient Prescribing Information(insulin lispro injection, [rDNA origin])
Humalog 50/50 Prescribing Information
Humalog 50/50 Patient Prescribing Information    Humalog® Mix50/50™
  (50% insulin lispro protamine suspension, 50% insulin lispro injection [rDNA origin])
Humalog 75/25 Prescribing Information
Humalog 75/25 Patient Prescribing Information    Humalog® Mix75/25™
  (75% insulin lispro protamine suspension, 25% insulin lispro injection [rDNA origin])
Humulin 50/50 Prescribing Information    Humulin® 50/50
(50% human insulin isophane suspension, 50% human insulin injection [rDNA origin])
Humulin 70/30 Patient Prescribing Information    Humulin® 70/30
(70% human insulin isophane suspension, 30% human insulin injection [rDNA origin])
     Humulin N®
(nph human insulin [rDNA origin] isophane suspension)
     Humulin R®
(regular insulin human injection, USP [rDNA Origin])
Prozac Prescribing Information    Prozac®
Prozac Medication Guide(fluoxetine HCl)
Prozac Prescribing Information    Prozac® Weekly™
Prozac Weekly Medication Guide(fluoxetine HCl)
Qunidine Prescribing Information   Quinidine Gluconate, Injection, USP
Reopro Prescribing Information    ReoPro®
(abciximab)
Strattera Prescribing Information    Strattera®
Strattera Medication Guide(atomoxetine HCl)
Symbyax Prescribing Information    Symbyax®
Symbyax Medication Guide(olanzapine and fluoxetine HCl capsules)
Zyprexa Prescribing Information    Zyprexa®
Zyprexa Medication Guide(olanzapine)
Zyprexa Prescribing Information    Zyprexa® Zydis®
Zyprexa Zydis Medication Guide(olanzapine orally disintegrating tablets)