The health care needs of people throughout the world are diverse from those of societies seeking to increase the effectiveness of health care through sophisticated, innovative technology to the needs of communities concerned with securing basic health care to help keep people alive.
On Aug. 1, 2009, in the midst of the down economy, we adjusted the income eligibility for our most widely used patient assistance programs to allow enrollment of eligible patients with incomes at or less than 300 percent of the U.S. Federal Poverty Level. Previously, the income eligibility was at 200 percent of the Federal Poverty Level. We adjusted the income eligibility in response to growing numbers of patients who are struggling financially.
In 2008, we donated nearly $300 million in products to patients and agencies throughout the world. We offer various kinds of assistance to help patients secure the medicines they need. We also partner with industry groups to deliver assistance. In the United States, some of the Lilly and industry programs include:
Lilly Cares™
Lilly Cares is a patient assistance program provided by Lilly Cares Foundation, Inc., a private operating foundation. Lilly Cares Foundation was created by and receives its financial and product support from Eli Lilly and Company. Lilly Cares Foundation and its patient assistance program is an outgrowth of Eli Lilly and Company´s ongoing efforts to provide eligible patients, who are US residents, with access to the Company´s medications.
Lilly Cares assists uninsured patients with incomes less than 300 percent of the Federal Poverty Level. In 2008, the Lilly Cares program assisted more than 142,000 patients, and distributed Lilly medications, valued at over $185 million, to eligible patients free of charge. Most Lilly products are available through the program. Applications are available to anyone and must be completed and signed by both the patient and the physician. Applications can be downloaded from the Lilly Cares website or faxed by calling Lilly Cares at 1-800-545-6962. The medication is shipped directly to the physician’s office.
Some of the key eligibility criteria for the program include:
- Patients must be U.S. residents
- Total yearly income at or below 300% of the Federal Poverty Level. For example: $44,000 or less for a family of two.
- No other prescription drug coverage. For example: private insurance, government: Medicaid, VA, Medicare Part D.
Enrollment in the Lilly Cares program is for 12 months. Patients must apply for enrollment annually.
LillyMedicareAnswers™ Program
Access to affordable medications is a top priority for Eli Lilly and Company. LillyMedicareAnswers is a patient assistance program that provides eligible Medicare recipients access to affordable medications outside of their Medicare Part D plan.
The LillyMedicareAnswers program provides assistance to eligible patients prescribed Forteo® (teriparatide [rDNA origin] injection), Zyprexa® (olanzapine), or Humatrope® (somatropin [rDNA origin] for injection).
Some of the key eligibility criteria for the program are:
- Enrollment in a Medicare Part D plan
- Not eligible for both Medicare and Medicaid (non-dual eligible people)
- Meet income eligibility criteria set by program
- Proof of low-income subsidy denial
- Signed certification that the patient will not claim or submit any cost incurred or associated with the medications provided under the LillyMedicareAnswers program towards their true-out-of-pocket-cost ("TROOP") calculation or submit any claim for reimbursement for the medications.
Once patients have enrolled in the LillyMedicareAnswers program, they are eligible to participate in the program for the rest of the calendar year, as long as they have a valid prescription for the medication. Patients must re-enroll in the program each year. A patient's medications will be shipped directly to the patient's home.
For further details about the program and application materials, visit the LillyMedicareAnswers website or call toll free 1-877-RX-LILLY (1-877-795-4559).
Lilly Oncology
For Gemzar® and Alimta®, Lilly provides assistance with obtaining reimbursement. If patients do not have insurance and are unable to obtain other financial assistance, they may be eligible to obtain Lilly oncology products through our patient assistance program. For information about obtaining reimbursement assistance and patient assistance, visit the Gemzar or Alimta websites, or www.lillypatientone.com or call 1-866-4PatOne (1-866-472-8663).
Xigris Treatment Support Program
The Xigris Treatment Support Program assists certain health care institutions that have provided urgent, potentially life-saving treatment to eligible patients who do not have medical insurance, other forms of reimbursement, or other means of financial support. Product usage, and individual patients, must meet certain eligibility requirements.Call 1-877-522-4357 for more information on this program.
-
Humatrope ACCESS
For eligible patients prescribed Humatrope who do not have insurance or do not have other financial assistance, Lilly may provide eligible patients with a full supply of Humatrope for a 12-month period. More information can be obtained by calling 1-800-847-6988 or logging on to Humatrope.com.
-
Partnership for Prescription Assistance, PPARx
The Partnership for Prescription Assistance helps qualifying patients get the medicines they need by offering a single point of access to more than 475 public and private programs, including nearly 200 offered by pharmaceutical companies.
April 5, 2009, marked the four-year anniversary of the PPA, and a successful outcome of connecting more than 5.7 million lower-income uninsured and underinsured people to one or more patient assistance programs. More information can be found at www.pparx.org, or www.helpingpatients.com,or by calling 1-888-4PPA-NOW (1-888-477-2669).
-
Lilly Camp Care Package Initiative
Lilly USA, LLC has provided insulin and glucagon products to diabetes camps across the country for many years. In 2008, Lilly developed the Lilly Camp Care Package Initiative program to provide diabetes camps across the United States with both insulin products and educational resources that help children learn to manage their diabetes while having fun at camp.
