Virginia Alexandria Lilly Cares - Eli Lilly and Company

Lilly Cares - Eli Lilly and Company

P.O. Box 25768
Alexandria, VA - 22313
(800) 545-6962

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About Lilly Cares - Eli Lilly and Company

Patient assistance program for the diabetes medications Glucagon for Injection and Insulin (Lilly brand only).

Patients must be US residents. Eligibility is determined on a case-by-case basis.

Eligibility is based on the patient's inability to pay and lack of third-party drug payment assistance, including insurance, Medicaid, government-subsidized clinics, and other government, community, or private programs.

Medications are provided directly to the physician.

Quantity of supply is dependent upon type of product being prescribed.

Forms to qualify will be provided to the physician.

The physician is requested to provide prescription information, including signature and DEA number on the form, and to confirm the patient's ineligibility for other forms of outpatient drug coverage.

The patient is requested to provide pertinent information and state financial need.

Physician requests should be sent attention: Lilly Cares Program Administrator at Eli Lilly and Company.



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