Lilly Minnesota Insulin Safety Net Program

Pursuant to Minnesota law, a Minnesota resident is eligible to receive a 30-day urgent-need supply of insulin if an individual completes an application (accessible through the MNsure website), which requires the individual to attest to:
• being a resident of Minnesota
• not being enrolled in medical assistance or MinnesotaCare
• not being enrolled in prescription drug coverage that limits the total amount of cost-sharing that the enrollee is required to pay for a 30-day supply of insulin, including co-payments, deductibles, or coinsurance, to $75 or less, regardless of the type or amount of insulin prescribed
• not having received an urgent-need supply of insulin through this program within the previous 12 months
• being in urgent need of insulin ("urgent need of insulin" means having readily available for use less than a seven-day supply of insulin and in need of insulin in order to avoid the likelihood of suffering significant health consequences)

The individual must bring a completed, signed and dated application to a pharmacy. The individual must also provide a valid insulin prescription and valid identification to the pharmacy.

Learn more on the Minnesota Board of Pharmacy's Insulin Safety Net Program page.

If you are a pharmacist in the State of Minnesota dispensing Urgent Need product for MNHF3100, visit voucheraccess.com.

The Lilly Minnesota Patient Assistance Program (“Program”) provides insulin to qualifying individuals for 12 months during the patient’s enrollment in the Program. The individual’s pharmacy must order insulin from the Program. Insulin is shipped to the enrolled individual’s pharmacy upon receipt of the order.

Pursuant to Minnesota law, to be eligible to participate in the Lilly Minnesota Patient Assistance Program, the individual must:
• be a permanent, legal resident of the state of Minnesota with a valid Minnesota identification card.
• have a family income that is equal to or less than 400% of the federal poverty guidelines
• not be enrolled in medical assistance or MinnesotaCare
• not be eligible to receive health care through a federally-funded program or receive prescription drug benefits through the U.S. Department of Veterans Affairs (Note: Medicare Part D enrollees are eligible if they have spent $1,000 on prescription drugs in the current calendar year)
• not be enrolled in prescription drug coverage through an individual or group health plan that limits the total amount of cost-sharing that an enrollee is required to pay for a 30-day supply of insulin, including co-payments, deductibles, or coinsurance to $75 or less, regardless of the type or amount of insulin needed

For those interested in learning more about this program, please contact the Lilly Minnesota Patient Assistance Program at 855-447-8412 or learn more on the Minnesota Board of Pharmacy's Insulin Safety Net Program page.

To apply, please complete and submit the Lilly Minnesota Patient Assistance Program Application.