Medicare Part D patients receiving self-administered medications can start reapplying for the upcoming year on October 15. Patients must meet eligibility requirements and are encouraged to reapply by December 31.

Available Medications and Eligibility

Available Medications

Check Your Eligibility

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, please see the Privacy Statement.

Applications

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

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!

Online Applications

Start Online Application

You can download a blank application, print it, and then fill in your information by hand.
You can download a blank application, fill in the application on your computer, then save and print the completed application.

Lilly Cares now has a single application! A separate application for oncology medications is no longer required.