LillyCares Patient Assistance Program

Lilly Cares is a patient assistance program operated and administered by Lilly Cares Foundation, Inc., an operating foundation created, funded, and supplied by Eli Lilly and Company. The Lilly Cares 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 regardless of their ability to pay. The program was created to offer free medication, dispensed by physicians, to eligible patients.

Patients can download a blank application from the Lilly Cares web site or make arrangements by calling 1–800–545–6962 to receive applications by fax. Applications must be completed and signed by the patient and the physician.

Product will generally arrive at the physicians office 4 weeks after we receive a completed application and the patient is accepted into the program.