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Summary
Eli Lilly & Company was established in 1876 by Colonel Eli Lilly, a pharmaceutical chemist and veteran of the U.S. Civil War. In the 130 years since the founding of this company, Eli Lilly & Company have launched over 15 different medications to 143 different countries. The state of the art technology that they utilize, along with the various experts involved in their research and development, has provided Eli Lilly & Company an impressive portfolio of first class pharmaceutical products.
Eligibility
Lilly Cares, a patient assistance program provided by Eli Lilly & Company, offers an 120 day supply for the medicines listed to the right at no cost to those who are eligible for the program. Eligibility is based off of the following requirements:
SOURCE: 2008 Poverty Chart
| Family Size | 100% | 133% | 150% | 200% | 250% | 300% |
| 1 | $10,830 | $14,404 | $16,245 | $21,660 | $27,075 | $32,490 |
| 2 | $14,570 | $19,378 | $21,855 | $29,140 | $36,425 | $43,710 |
| 3 | $18,310 | $24,352 | $27,465 | $36,620 | $45,775 | $54,930 |
| 4 | $22,050 | $29,327 | $33,075 | $44,100 | $55,125 | $66,150 |
| 5 | $25,790 | $34,301 | $38,685 | $51,580 | $64,475 | $77,370 |
| 6 | $29,530 | $39,275 | $44,295 | $59,060 | $73,825 | $88,590 |
| 7 | $33,270 | $44,249 | $49,905 | $66,540 | $83,175 | $99,810 |
| 8 | $37,010 | $49,223 | $55,515 | $74,020 | $92,525 | $111,030 |
| For each additional family member | $3,740 | $4,974 | $5,610 | $7,480 | $9,350 | $11,220 |
What´s Next?
Fill out the program enrollment form located to your right. If you don’t see an enrollment form available please call Eli Lilly & Company program directly. After filling out the enrollment form please bring the form to your doctor for proper signatures and procedures. Do not forget a self stamped envelope for them to mail in your application to the program.
Other Tips
- If you have any questions please call the Eli Lilly & Company program directly
- Fill out as much of the information on the enrollment form as possible. The more information you have pre-filled the easier the progrm is to enroll in
- Write down the refill dates for your program and set a reminder here on PatientAssistance.com so that you don’t run out of medication.
- Do not write messy on your forms as this will delay any response
- Call and write thank you notes to Eli Lilly & Company program. Without their help millions of people will be without medication.
- PAP Links:
- Website:
- Address:
- Phone:
- Fax:
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List of Medications
Cialis Tablet 5mg, 10mg, 20mg (tadalafil), Cymbalta Capsules 20mg, 30mg, 60mg (duloxetine), Evista Tablets 60mg (raloxifene), Glucagon Emergency Kit Injection (glucagon), Humalog Injection 1000vial (insulin Lispro), Humalog 50/50 Injection (insulin Lispro), Humalog 75/25 Injection 300pen (insulin Lispro), Humalog 75/25 Injection 1000vial (insulin Lispro), Humulin (all Types) Injection (insulin Human), Prozac Oral Solution 20mg/5ml (fluoxetine), Prozac Tablets 10mg, 20mg, 40mg (fluoxetine), Prozac Weekly Capsules 90mg (fluoxetine), Quinidine Gluconate Injection 80mg (quinidine Glucomate), ReoPro Injection 10mg/iv (abciximab), Strattera Capsules 10mg, 18mg, 25mg, 40mg, 60mg (atomoxetine), Symbyax Capsules 3/25mg, 6/25mg, 6/50mg, 12/25mg, 12/50mg (olonzapine/fluoxetine), Zyprexa Injection (olanzapine), Zyprexa Tablets 2.5mg, 5mg, 7.5mg, 10mg, 15mg, 20mg (olanzapine), Zyprexa Zydis Orally Disintegrating Tablets (olanzapine)
Forms and other information are Copyright © Lilly Cares Foundation Patient Assistance Program
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