Check Your Eligibility

Eligibility Questions

• How can I tell if my insurance is Medicare?

• When looking at your insurance card, words like “Medicare”, “Medicare Advantage”, “Medicare Replacement”, or “Medicare Rx” would indicate Medicare insurance.

• Are healthcare cost sharing plans eligible for assistance?

• Patients with healthcare cost sharing plans are eligible for assistance as these are not health insurance plans, but are voluntary sharing among members for eligible health expenses.

• What if my medication is not listed or I don't qualify for Lilly Cares?

• 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.

Next Steps Questions

• Do I have to reapply to the program at the end of my enrollment period?

• Yes. To remain in the program, you must reapply at the end of your enrollment period. You can reapply up to 60 days before your current enrollment end date. When applying for re-enrollment, please use the newest version of the application (available online).

• How long does it take for applications to be processed?

• Applications are processed in the order they are received. If the application is complete and contains all required documentation, it will be processed in about three to five business days. If the application is missing information, this can delay the processing time.

• If I change healthcare providers, what do I need to do to stay enrolled?

• If your healthcare provider has changed, your new healthcare provider will need to submit the "Healthcare Provider" section of the application, including the signed consent, for each of the medications you receive through Lilly Cares.

• If my address or phone number changes, who do I notify?

• Please call Lilly Cares Patient Assistance Program at 1-800-545-6962.

• How much of my medication will I receive?

• Patients enrolled in Lilly Cares receive a 120-day supply of medication in each shipment unless a greater/lesser amount is requested by their healthcare provider or provided per program guidelines.

• Can I pick up my medication at my local pharmacy?

• No. Medications from the Lilly Cares Foundation Patient Assistance Program are shipped directly to patients or healthcare providers by contracted pharmacies.

• How will I know if my medication has shipped?

• If medication is being delivered to your home, a Lilly Cares Pharmacy agent will call to schedule your first shipment. If it's being delivered to your healthcare provider, please coordinate with your healthcare provider's office on pickup instructions. If you've opted-in to text messages, the Lilly Cares Pharmacy will send a text message letting you know your medication has shipped.

• How long will it take for my medication to be delivered?

• The Lilly Cares Pharmacy will call you to schedule medication shipment. If your medication is not temperature controlled, it will be delivered by ground within three to five business days once shipment is scheduled for delivery. If your medication is temperature controlled, it will be delivered by Next Day Air once the shipment is scheduled for delivery.

• Will I have to pay shipping costs?

• No. Lilly Cares provides free Lilly medications, including shipping, for patients who meet program eligibility requirements.

• Will my medication shipment require a signature?

• If you are receiving a temperature controlled medication, then an adult signature will be required.

• When am I eligible for my next refill?

• Medication refills can be provided approximately 30 days before you have used your current medication supply.

• How do I get medication refills?

• The patient is responsible for ensuring medication refills, though Lilly Cares has tools in place to make it easier. Patients have the option of signing up for our auto-refill program, which will automatically fill most medications when due for a refill. If you've opted-in to text messages, a text message will be sent when your medication has shipped. When there are zero refills remaining, your healthcare provider will be contacted for a prescription renewal before your next refill due date. Auto-refills will stop at the end of your program enrollment period. If you no longer need the medication, contact Lilly Cares at 1-800-545-6962.

• Does Lilly Cares Patient Assistance Program offer automatic prescription refills?

• Lilly Cares offers automatic refills for most medications. Patients have the option of signing up for our auto-refill program, which will automatically fill medication when it's due for a refill. When there are zero refills remaining, the healthcare provider will be contacted for a prescription renewal before the next refill due date. Auto-refills will stop at the end of the patient's program enrollment period. If the medication is no longer needed, contact Lilly Cares at 1-800-545-6962.

• Why did I get less than a 4-month supply (towards end of year)?

• Uninsured patients will receive medication through the duration of their enrollment period. Medicare Part D patients enrollment period expires at the end of the calendar year. These patients will receive a year-end refill with a quantity sufficient to complete the remainder of their enrollment. Because of this, the year-end refill quantity may be less than the usual amount received.

• Where do I get needles for my injectable medication?

• If your medication doesn't come with a needle, you will need to get the needles at your local pharmacy.

• What do I do if my prescription has changed?

• Your healthcare provider will need to submit a new prescription noting the prescription change to the Lilly Cares Patient Assistance Program.
  Fax: 1-844-431-6650

• Which Lilly Cares pharmacy partner do I contact regarding my prescription or medication shipment?

• If it's been longer than 14 business days since your application was approved and you haven't received your medication or have questions about your prescription:

  Please call RxCrossroads Pharmacy at 1-855-735-4486 for Alimta^®, Baqsimi^®, Basaglar^®, Cialis^®, Cymbalta^®, Cyramza^®, Emgality^®, Erbitux^®, Evista^®, Glucagon^™, Humalog^®, Humulin^®, Lyumjev^™, Portrazza^®, Prozac^®, Strattera^®, Trulicity^®, Zyprexa^®, or Zyprexa^® Zydis^®.

  Please call Covance Specialty Pharmacy at 1-866-842-2147 for Forteo^®, Humatrope^®, Olumiant^®, Retevmo^®, Reyvow^®, Taltz^®, or Verzenio^®.