Lilly Cares Foundation is closely monitoring the coronavirus disease 2019 (COVID-19) pandemic. We do not anticipate shortages of Eli Lilly and Company medications provided for those in our patient assistance program (PAP).
If your job was affected by the COVID-19 crisis, you may qualify for the Lilly Cares PAP to receive your prescribed Lilly medication for free. Read eligibility details on this website and call us at 1-800-545-6962 with questions. If your proof-of-income document does not reflect your recent change of income, please include a brief letter with your application explaining your situation.
At this time, only submit your application using our online submission process or via fax using the fax number located on the bottom of the application form. Please do not mail your application.
Available Medications
| Alimta® (pemetrexed for injection) | Prescribing Information | Patient Information |
| Baqsimi® (glucagon) nasal powder | Prescribing Information | Patient Information |
| Basaglar® (insulin glargine injection) | Prescribing Information | Patient Information |
| Cialis® (tadalafil) tablets | Prescribing Information | Patient Information |
| Cymbalta® (duloxetine delayed-release capsules) | Prescribing Information | Medication Guide |
| Cyramza® (ramucirumab) injection | Prescribing Information | |
| Emgality® (galcanezumab-gnlm) injection | Prescribing Information | Patient Information |
| Erbitux® (cetuximab) injection | Prescribing Information | |
| Evista® (raloxifene hydrochloride) Tablet | Prescribing Information | Medication Guide |
| Forteo® (teriparatide injection) | Prescribing Information | Medication Guide |
| Glucagon™ (glucagon for injection) | Prescribing Information | Patient Information |
| Humalog® U-100 (insulin lispro injection) | Prescribing Information | Patient Information |
| Humalog® U-200 (insulin lispro injection) | Prescribing Information | Patient Information |
| Humalog® Mix50/50™ (insulin lispro protamine and insulin lispro injectable suspension) | Prescribing Information | Patient Information |
| Humalog® Mix75/25™ (insulin lispro protamine and insulin lispro injectable suspension) | Prescribing Information | Patient Information |
| Humatrope® (somatropin) for injection | Prescribing Information |
Patient Information: Cartridge
Patient Information: Vial |
| Humulin® 70/30 (human insulin isophane suspension and human insulin injection) | Prescribing Information | Patient Information |
| Humulin® N (isophane insulin human suspension) | Prescribing Information | Patient Information |
| Humulin® R (insulin human injection) | Prescribing Information | Patient Information |
| Humulin® R U-500 (insulin human injection) | Prescribing Information | Patient Information |
| Lyumjev™ (insulin lispro-aabc) injection | Prescribing Information | Patient Information |
| Olumiant® (baricitinib) tablets | Prescribing Information | Medication Guide |
| Portrazza® (necitumumab) injection | Prescribing Information | |
| Prozac® (fluoxetine capsules) | Prescribing Information | Medication Guide |
| Retevmo™ (selpercatinib) capsules | Prescribing Information | Patient Information |
| Reyvow® (lasmiditan) tablets C-V | Prescribing Information | Medication Guide |
| Strattera® (atomoxetine) capsules | Prescribing Information | Medication Guide |
| Symbyax® (olanzapine and fluoxetine) capsules | Prescribing Information | Medication Guide |
| Taltz® (ixekizumab) injection | Prescribing Information | Medication Guide |
| Trulicity® (dulaglutide) injection | Prescribing Information | Medication Guide |
| Verzenio® (abemaciclib) tablets | Prescribing Information | Patient Information |
| Zyprexa® (olanzapine) Tablet | Prescribing Information | Medication Guide |
| Zyprexa® Relprevv™ (olanzapine) Extended Release Injectable Suspension | Prescribing Information | Medication Guide |
| Zyprexa® Zydis® (olanzapine) Tablet | Prescribing Information | Medication Guide |
| Alimta® (pemetrexed for injection) | Prescribing Information | Patient Information |
| Baqsimi® (glucagon) nasal powder | Prescribing Information | Patient Information |
| Basaglar® (insulin glargine injection) | Prescribing Information | Patient Information |
| Cialis® (tadalafil) tablets | Prescribing Information | Patient Information |
| Cymbalta® (duloxetine delayed-release capsules) | Prescribing Information | Medication Guide |
| Cyramza® (ramucirumab) injection | Prescribing Information | |
| Emgality® (galcanezumab-gnlm) injection | Prescribing Information | Patient Information |
| Erbitux® (cetuximab) injection | Prescribing Information | |
| Evista® (raloxifene hydrochloride) Tablet | Prescribing Information | Medication Guide |
| Forteo® (teriparatide injection) | Prescribing Information | Medication Guide |
| Glucagon™ (glucagon for injection) | Prescribing Information | Patient Information |
| Humalog® U-100 (insulin lispro injection) | Prescribing Information | Patient Information |
| Humalog® U-200 (insulin lispro injection) | Prescribing Information | Patient Information |
| Humalog® Mix50/50™ (insulin lispro protamine and insulin lispro injectable suspension) | Prescribing Information | Patient Information |
| Humalog® Mix75/25™ (insulin lispro protamine and insulin lispro injectable suspension) | Prescribing Information | Patient Information |
| Humatrope® (somatropin) for injection | Prescribing Information |
Patient Information: Cartridge
Patient Information: Vial |
| Humulin® 70/30 (human insulin isophane suspension and human insulin injection) | Prescribing Information | Patient Information |
| Humulin® N (isophane insulin human suspension) | Prescribing Information | Patient Information |
| Humulin® R (insulin human injection) | Prescribing Information | Patient Information |
| Humulin® R U-500 (insulin human injection) | Prescribing Information | Patient Information |
| Lyumjev™ (insulin lispro-aabc) injection | Prescribing Information | Patient Information |
| Olumiant® (baricitinib) tablets | Prescribing Information | Medication Guide |
| Portrazza® (necitumumab) injection | Prescribing Information | |
| Prozac® (fluoxetine capsules) | Prescribing Information | Medication Guide |
| Retevmo™ (selpercatinib) capsules | Prescribing Information | Patient Information |
| Reyvow® (lasmiditan) tablets C-V | Prescribing Information | Medication Guide |
| Strattera® (atomoxetine) capsules | Prescribing Information | Medication Guide |
| Symbyax® (olanzapine and fluoxetine) capsules | Prescribing Information | Medication Guide |
| Taltz® (ixekizumab) injection | Prescribing Information | Medication Guide |
| Trulicity® (dulaglutide) injection | Prescribing Information | Medication Guide |
| Verzenio® (abemaciclib) tablets | Prescribing Information | Patient Information |
| Zyprexa® (olanzapine) Tablet | Prescribing Information | Medication Guide |
| Zyprexa® Relprevv™ (olanzapine) Extended Release Injectable Suspension | Prescribing Information | Medication Guide |
| Zyprexa® Zydis® (olanzapine) Tablet | Prescribing Information | Medication Guide |
Frequently Asked Questions (FAQ)
If your medication is not listed or you don't meet the Lilly Cares eligibility requirements, please refer to the Medicine Assistance Tool website for additional resources.