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  • House What is Lilly Cares
    • Available Medications
    • How to Apply
      • Check Your Eligibility
      • Choose An Application
      • Complete the Application
      • Next Steps
      • Frequently Asked Questions (FAQ)
    • Lilly Cares Applications
    • Resources
Phone:
1-800-545-6962
Monday–Friday

Fax:
1-844-431-6650

Address:
PO Box 13185
La Jolla, CA 92039

For questions regarding your prescriptions or medication shipment, please contact Lilly Cares at 1-800-545-6962.

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Annual reenrollment for Medicare Part D patients is now open (early enrollment October 15 to December 31). To continue receiving medication through Lilly Cares, Medicare Part D patients must reapply and meet program eligibility requirements. Reenrollment notification letters are being sent to patients and Healthcare Providers. For questions about the Medicare Part D re-enrollment process, please contact Lilly Cares at 1-800-545-6962.

Warning Lilly Cares is currently not accepting new applications for Trulicity due to limited availability of this medication. Please contact your healthcare provider for assistance.
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Check Your Eligibility

You may be eligible for the Lilly Cares program if:

  • You are a permanent, legal resident of the United States, Puerto Rico, or U.S. Virgin Islands.
  • Your healthcare provider has prescribed a qualifying Lilly medication.
  • You have no insurance or you have Medicare Part D.
  • You are not enrolled in Medicaid, full Low Income Subsidy (LIS, “Extra Help”) or Veterans (VA) Benefits.
  • You meet the household income guidelines for the program.

See applications for additional program guidelines.

Household Income Guidelines

  • The total number of persons in the household (applicant and all family members).
  • Total annual (yearly) income including incomes from all earners in your household.
  • To qualify, your household annual income before taxes cannot be more than the values listed below.

Annual Adjusted Gross Income Limit

If you live in Alaska or Hawaii, please contact us for annual adjusted gross income limits.

Medication Groups
1 Person Household*
2 Person Household*
3 Person Household*
4 Person Household*
5 Person Household*
6 Person Household*
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

*Total Number of Persons in your Household (including applicant).
Note: These income limits are 300% (Group 1 Medications), 400% (Group 2 Medications), and 500% (Group 3 Medications) of 2023 Federal Poverty Guidelines. Visit www.aspe.hhs.gov/poverty for information on the Federal Poverty Level.

Group 1 Medications: For patients who have no insurance or have Medicare Part D and have a household annual adjusted gross income ≤300% Federal Poverty Level (FPL).

  • 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: For patients who have no insurance or have Medicare Part D and have a household annual adjusted gross income ≤400% FPL.

  • 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: For patients who have no insurance, or have Medicare Part D and have a household annual adjusted gross income ≤500% FPL.

  • Humatrope® (somatropin) for injection
  • Olumiant® (baricitinib) tablets
  • Taltz® (ixekizumab) injection

Oncology Medications

  • Alimta® (pemetrexed for injection)
  • Cyramza® (ramucirumab) injection
  • Erbitux® (cetuximab) injection
  • Jaypirca™ (pirtobrutinib) tablets
  • Portrazza® (necitumumab) injection
  • Retevmo® (selpercatinib) capsules
  • Verzenio® (abemaciclib) tablets

Use of Third Parties to Apply

The Lilly Cares Foundation does not charge patients a fee for help with enrollment, medication refills, or for participation in the program. Lilly Cares is not affiliated with third parties that charge for assistance that Lilly Cares provides to you at no cost. For support, please call Lilly Cares at 1-800-545-6962.

For more information about Lilly’s privacy practice (as followed by Lilly Cares Foundation), please see the Privacy Statement.

Application Options

You can choose to fill out your application in one of three ways:

  1. You can complete an online application. Choosing to use the online application reduces paperwork and potential for delays.
Program Notice
Newly recommended application processing option!
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Online Applications


Start Online Application
  1. You can download a blank application, print it, and then fill in your information by hand.
  2. You can download a blank application, fill in the application on your computer, then save and print the completed application.
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Lilly Cares Application


Print Application
Print Application sheet on clipboard

Lilly Cares Application (Spanish Version)


Print Application
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Lilly Cares Oncology Application

Print Application

Ask to have an application mailed to you by calling 1-800-545-6962.

Complete the Application

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Fill out and sign the patient sections on the application. Your healthcare provider will need to fill out the prescriber section and prescription.

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Submit your online application, or fax or mail the completed paper application to:

Lilly Cares Patient Assistance Program
P.O. Box 13185
La Jolla, CA 92039
Fax: 1-844-431-6650

Next Steps

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Lilly Cares will review your application and provide you and your healthcare provider with an enrollment decision. You will receive notification of the enrollment decision by mail and text message (if applicable). Your healthcare provider will receive a fax notification.

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If your application is approved, your enrollment notification letter will tell you when your enrollment expires (generally in 12 months or at the end of the calendar year for those with Medicare Part D).

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Medications will either be shipped to your home or to your healthcare provider’s office. Our pharmacy partner will call you to schedule delivery, if applicable.

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At the end of the enrollment period, you must reapply to remain eligible in the program.

Frequently Asked Questions (FAQ)

Eligibility Questions

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

  • 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.

  • 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

  • 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).

  • Applications are processed in the order they are received. If the application is complete, it will be processed in about three to five business days. If the application is missing information or if additional information is needed, this can delay processing time.

  • 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, and a new prescription for each of the medications you receive through Lilly Cares.

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

  • Patients enrolled in Lilly Cares will receive a 1-to-4-month supply of medication in each shipment unless a greater/lesser amount is requested by their healthcare provider or provided per program guidelines.

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

  • The Lilly Cares Pharmacy will send a text message (if applicable) letting you know your medication has shipped.

  • Temperature controlled medications will be delivered by the end of the following business day. Non-temperature controlled medications will be delivered within 3-5 business days.

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

  • No. Signatures are not required for Lilly Cares medication shipments, unless requested by the patient or HCP.

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

  • The patient, if enrolled in the auto-refill program, will receive a text message (if applicable) when eligible for a refill and when medication has shipped.

    If you are not enrolled in auto-refill, you must request a refill of your existing prescription by calling Lilly Cares at 1-800-545-6962 or by calling the Lilly Cares pharmacy listed on the medication label.

  • 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.

  • 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. Due to program guidelines, the last medication refill of the calendar year may be a lesser amount than typically provided.

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

  • Your healthcare provider will need to fax a new prescription to 1-844-431-6650 or your healthcare provider will need to call Lilly Cares at 1-800-545-6962 .

  • 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 contact Lilly Cares at 1-800-545-6962.

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You are encouraged to report negative side effects of prescription drugs to the FDA.
Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
You may also report negative side effects to The Lilly Answers Center (TLAC) at 1-800-LillyRx (1-800-545-5979).


This site is intended for U.S. residents age 18 and over only. Models used for illustrative purposes only. Not actual patients or healthcare providers.
PP-AP-US-0428 02/2023 ©Lilly USA, LLC 2023. All rights reserved.
All Lilly product names mentioned herein are either trademarks or registered trademarks owned or licensed by Eli Lilly and Company, its subsidiaries, or affiliates.

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