Eli Lilly

Lilly Cares Foundation Patient Assistance Program

Free Lilly meds for uninsured or Medicare Part D patients. Diabetes products covered: Trulicity (≤300% FPL), Humalog/Lyumjev/Basaglar/Humulin (≤400% FPL). 2026 income limits: $47,880 / $63,840 / $79,800 single by tier.

Doctor signature neededUninsured only

What you need to enroll

Your doctor needs to sign part of the application

This program requires a prescriber signature. The easiest path: download the application, bring it to your next appointment, and have the office fax it in for you.

Your copay

Free

Eligible patients pay $0. See the eligibility checklist below to confirm you qualify.

Download form for your doctor

Covered medications

  • Trulicity (dulaglutide) Group 1 — household income ≤ $47,880 (1-person, 300% FPL); new applications reopened May 2026
  • Humalog (insulin lispro) Group 2 — household income ≤ $63,840 (1-person, 400% FPL)
  • Lyumjev (insulin lispro-aabc) Group 2 — ≤ $63,840 single, 400% FPL
  • Basaglar (insulin glargine) Group 2 — ≤ $63,840 single, 400% FPL
  • Humulin (human insulin) Group 2 — ≤ $63,840 single, 400% FPL
  • NOT in Lilly Cares formulary (2026): Mounjaro, Zepbound, Rezvoglar

Am I eligible?

Need a prescription?
Yes — written by a licensed prescriber for the medications below.
Insurance required?
Uninsured patients only — not for anyone with insurance.
State restrictions?
Available nationwide.
Income limits?
Yes — household income limits apply. Verify with the program.

Who qualifies

  • Permanent US resident
  • HCP-prescribed a Lilly Cares–covered medication
  • Not on Medicaid, full LIS, or VA Benefits
  • Not directed to Lilly Cares by an Alternative Funding Program (AFP)
  • Household annual gross income within the Group 1/2/3/4 limit for your Rx

Accepted

  • US resident (incl. Puerto Rico and US Virgin Islands), age 18+
  • Has an Rx for a Lilly Cares–covered medication
  • Insurance status: uninsured OR Medicare Part D (some products also accept Medicare Part B without supplemental)
  • Household income within the limit for your medication group (see notes for exact 2026 dollar amounts)

Not accepted

  • Commercial drug insurance with adequate Lilly product coverage
  • Enrolled in Medicaid, full Low Income Subsidy (LIS, "Extra Help"), or VA Benefits
  • Income above the household FPL limit for your prescribed Lilly product
  • Insurance plan or third party that requires you to apply to Lilly Cares as a coverage condition (AFP exclusion)
  • Mounjaro, Zepbound, and Rezvoglar (not on the Lilly Cares 2026 formulary)

How to apply

  1. Apply online at lillycares.com/how-to-apply (or download paper application, or call 1-800-545-6962 for mailed packet)
  2. Patient fills out + signs the patient sections
  3. Healthcare provider completes prescriber section and submits prescription
  4. Submit online, OR fax to 1-844-431-6650, OR mail to: Lilly Cares Patient Assistance Program, PO Box 501847, San Diego, CA 92150
  5. You and your prescriber receive notification by mail/text/fax; if approved, medications ship to your home or prescriber office

Using it at the pharmacy

This is patient assistance — Lilly Cares ships your medication directly to you or to your prescriber's office. No pharmacy handoff once you're approved.

Terms & limits

Fills per year
4 fills per year, per covered drug
Renewal
Renew every year
Download form for your doctor

2026 income limits (single-person household): Group 1 ≤ $47,880 (300% FPL — Trulicity, Cialis, Emgality, Forteo, Reyvow); Group 2 ≤ $63,840 (400% FPL — all Lilly insulins: Humalog, Lyumjev, Basaglar, Humulin); Groups 3–4 ≤ $79,800 (500% FPL — non-diabetes products). Higher household sizes scale up. Alaska/Hawaii — call for limits. Enrollment duration: uninsured = 12 months; Medicare Part D = expires at calendar year-end. Trulicity is once again accepting new applications (May 2026 — no longer requires medical exception). Mounjaro, Zepbound, and Rezvoglar are NOT in the Lilly Cares formulary as of 2026.

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