Calling the Lilly Diabetes Solution Center? Here’s What to Expect
Eli Lilly and Company | April 9, 2020
Recently, Lilly announced anyone who has commercial insurance, or no insurance, can purchase their monthly prescription of most Lilly insulins for $35 through the Lilly Insulin Value Program.
People can get a co-pay card by calling the Lilly Diabetes Solution Center at 833-808-1234. The Solution Center is available Monday through Friday, 8 a.m. to 8 p.m. Eastern time.
Here’s what to expect when you call the Solution Center:
Typically, it only takes a few minutes to find the affordability option that’s right for you. When you call, you’ll speak with a live, U.S.-based health care professional, answer a few questions, and receive the solution best fit for your needs.
Our representatives will take a minimal amount of personal information – only enough to get our solutions to you.
We may ask you to provide the following information:
Basic contact information (to provide you with the co-pay card)
Date of birth
If you have an active prescription at a pharmacy
Income, to determine what level of assistance you qualify for; we have support for all levels of income
Whether you are a U.S. resident, as our program is available only to people who live in the United States)
Here are some other frequently asked questions about our Lilly Insulin Value Program:
Who is eligible?
Anyone on commercial insurance and the uninsured is eligible. Due to federal guidelines, those in Medicare, Medicaid and Medicare Part D are not but should call the Solution Center at 833-808-1234 to see if another option is available. This program – and our other affordability solutions – are available to people in the U.S. and any U.S. territories, including Puerto Rico.
Will the savings be automatic at the pharmacy?
The Lilly Insulin Value Program card will not be automatic at the pharmacy. Please call the Lilly Diabetes Solution Center at 833-808-1234 to get the co-pay card. The Solution Center is open 8 a.m. to 8 p.m. (Eastern time), Monday through Friday. When you receive your card, it will be activated. No additional steps are necessary.
If you already have a co-pay card from the Solution Center for an amount higher than $35, no action is necessary. Active co-pay cards have been reset to a $35 co-pay.
How long does it take to get the card?
The Lilly Insulin Value Program card can typically be received within 24 hours by email. It’s also available through U.S. mail.
What Lilly insulins are included in the $35 co-pay card?
Most Lilly insulins are included, including all formulations of Humalog® (insulin lispro injection 100 units/mL and 200 units/mL), Basaglar® (insulin glargine injection 100 units/mL), and Lilly’s non-branded versions of HumalogU-100, Humalog Mix75/25™ KwikPen® (insulin lispro protamine and insulin lispro injectable suspension, 100 units/mL) and Humalog Junior KwikPen® (insulin lispro injection, 100 units/mL). Anyone using Insulin Lispro Injection (100 units/mL) can use the co-pay card without transitioning back to branded Humalog.
The only insulin not included is Humulin® R U-500 (insulin human injection, 500 units/mL). A separate co-pay card for Humulin® R U-500 allows for monthly prescription fills for as little as $25 for people with commercial insurance and can be accessed at Humulin.com .
Are there financial limits to the program?
There is a $7,500 annual cap on the amount Lilly will pay under this program. The amount is not a lifetime limit. This annual cap is not based on a medicine’s list price, but rather on the amount Lilly pays to bring the out-of-pocket cost down to $35/month. If someone has a high deductible plan, the monthly amount Lilly pays is higher before the deductible is met. After the deductible is met, the amount Lilly pays is based on the individual’s co-pay obligation.
We’ve had the same limit in place for co-pay cards for years – and with the automatic discount at retail pharmacies. Very few people reach the $7,500 cap in a year. And for those who do, their pharmacist will be triggered to call Lilly, and we will work to adjust the limit assuming their prescription has not changed.
Will this apply to my deductible?
Yes. Insulin purchased with the Lilly Insulin Value Program card – like all of our insulin affordability solutions – will be applied to insurance deductibles if included on the formulary, and the insurance company hasn’t taken steps to prevent Lilly’s co-pay support from applying to their deductible.
How many pens/vials does the $35 co-pay card cover?
Our affordability solutions are not limited. All the solutions we have introduced over the past few years – including the Lilly Insulin Value Program – are designed to ensure that you can pick up the amount of insulin your doctor prescribes.
How long are the cards active? Will I need a new card for each fill?
People will need one card for 2020. All of our co-pay cards must be renewed on an annual basis on January 1. To receive a card this year, or an updated card next year, contact the Lilly Diabetes Solution Center at 833-808-1234, Monday through Friday, 8 a.m.–8 p.m. ET.
Is the program permanent?
Given the dynamic nature of the U.S. health care system we must continually assess all programs, ensuring our solutions remain relevant and helpful. We have no current plans to stop this program.
Will this affect the lower priced insulins you currently offer?
This co-pay card includes Lilly’s non-branded insulins for the commercially insured and uninsured. Lilly’s non-branded insulins will continue to be available at a 50% lower list price for people with Medicare Part D insurance.
Because most insurance plans provide affordable co-pays for chronic medicines that are much lower than the list price, people should ask their pharmacist whether these options reduce their out-of-pocket cost.
Will other diabetes medications be included in the program?
This program applies only to Lilly insulin products. There are co-pay cards available for other non-insulins. Please visit the Lilly Diabetes website for more information.