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WHAT IS LILLY CARES
Helping patients with significant financial need receive their prescribed Lilly medications at no cost. Lilly Cares Foundation, Inc. (Lilly Cares) is a nonprofit charitable organization that provides prescribed Lilly medications for up to 12 months for free to qualifying U.S. patients. LILLY CARES APPLICATION If your job was affected by the COVID-19 crisis, you may qualify for the Lilly Cares PAP to receive your prescribed Lilly medication for free. Read eligibility details on this website and call us at 1-800-545-6962 with questions. Please include a brief letter with your application explaining your change in income. LILLY CARES FOUNDATION PATIENT ASSISTANCE PROGRAM APPLICATION Lilly Cares Foundation Patient Assistance Program | PO Box 13185 | La Jolla, CA 92039 Phone: 1-800-545-6962 | Fax: 1-844-431-6650 |www.lillycares.com
LILLY CARES FOUNDATION NOW DELIVERS MEDICATIONS DIRECTLY www.lillycares.com For Release: May 2020, 9:00 a.m. Eastern Time Refer to: Dan G. Collins, Lilly Cares Foundation; d.collins@lilly.com; 1 (317) 702-9965 Lilly Cares Foundation Now Delivers Medications Directly to Patients’ Homes Foundation’s changes help those affected by COVID-19 crisis INDIANAPOLIS, May 2020 – The Lilly Cares Foundation, Inc. announced it is now delivering LILLY CARES PATIENT ASSISTANCE PROGRAMFOUNDATION LILLY CARES® Patient Assistance ProgramFOUNDATION –Oncology Hours of Operation: Monday through Friday 8 AM to 6 PM ET Address: PO Box 13185 La Jolla, CA 92039 Phone: – – () ® THE LILLY CARES FOUNDATION PATIENT ASSISTANCE PROGRAM Lilly Cares Foundation Patient Assistance Program PO Box 13185 | La Jolla, CA 92039 | Phone: 1-800-545-6962 | Fax: 1-844-431-6650 |www.LillyCares.com
PATIENT NAME: DATE OF BIRTH: TODAY’S DATE: ADDRESS: The Lilly Cares®. Foundation Patient Assistance Program (“Lilly Cares”) Diabetes Prescription FAX Form. Rx: I authorize Lilly Cares to act on my behalf for the purpose of transmitting this prescription to the appropriate pharmacy. PP-AP-US-0396 HCP-LILLYCARES RX FAX FORM DEC19 Title: Microsoft Word - PP-AP-US-0396_HCP-LillyCares Rx Fax Form_Dec19.docx Author: EB35955 Created Date: 5/6/2020 3:27:42 PM LILLY CARES PRESCRIPTION FAX FORM FOR HUMATROPE IMPORTANT: This information is intended for the use of the person or entity to which it is addressed and may contain information that is confidential, the disclosure of which is governed by applicable law. LILLY CARES FOUNDATION POSTULACIÓN AL PROGRAMA DE Lilly Cares Foundation Patient Assistance Program | PO Box 13185 | La Jolla, CA 92039 Teléfono: 1-800-545-6962 | Fax: 1-844-431-6650 |www.lillycares.com
WHAT IS LILLY CARES
Helping patients with significant financial need receive their prescribed Lilly medications at no cost. Lilly Cares Foundation, Inc. (Lilly Cares) is a nonprofit charitable organization that provides prescribed Lilly medications for up to 12 months for free to qualifying U.S. patients. LILLY CARES APPLICATION If your job was affected by the COVID-19 crisis, you may qualify for the Lilly Cares PAP to receive your prescribed Lilly medication for free. Read eligibility details on this website and call us at 1-800-545-6962 with questions. Please include a brief letter with your application explaining your change in income. LILLY CARES FOUNDATION PATIENT ASSISTANCE PROGRAM APPLICATION Lilly Cares Foundation Patient Assistance Program | PO Box 13185 | La Jolla, CA 92039 Phone: 1-800-545-6962 | Fax: 1-844-431-6650 | www.lillycares.com : ®® ® ® ® LILLY CARES PATIENT ASSISTANCE PROGRAMFOUNDATION LILLY CARES® Patient Assistance ProgramFOUNDATION –Oncology Hours of Operation: Monday through Friday 8 AM to 6 PM ET Address: PO Box 13185 La Jolla, CA 92039 Phone: – – () ® LILLY CARES FOUNDATION NOW DELIVERS MEDICATIONS DIRECTLY www.lillycares.com For Release: May 2020, 9:00 a.m. Eastern Time Refer to: Dan G. Collins, Lilly Cares Foundation; d.collins@lilly.com; 1 (317) 702-9965 Lilly Cares Foundation Now Delivers Medications Directly to Patients’ Homes Foundation’s changes help those affected by COVID-19 crisis INDIANAPOLIS, May 2020 – The Lilly Cares Foundation, Inc. announced it is now delivering THE LILLY CARES FOUNDATION PATIENT ASSISTANCE PROGRAM Lilly Cares Foundation Patient Assistance Program PO Box 13185 | La Jolla, CA 92039 | Phone: 1-800-545-6962 | Fax: 1-844-431-6650 |www.LillyCares.com
PATIENT NAME: DATE OF BIRTH: TODAY’S DATE: ADDRESS: The Lilly Cares®. Foundation Patient Assistance Program (“Lilly Cares”) Diabetes Prescription FAX Form. Rx: I authorize Lilly Cares to act on my behalf for the purpose of transmitting this prescription to the appropriate pharmacy.LILLY CARES
Title: Microsoft Word - PAP - Emgality-HCP-Rx Template-June 2019_AFD.docx Author: EB35955 Created Date: 5/6/2020 3:28:21 PM PP-AP-US-0396 HCP-LILLYCARES RX FAX FORM DEC19 Title: Microsoft Word - PP-AP-US-0396_HCP-LillyCares Rx Fax Form_Dec19.docx Author: EB35955 Created Date: 5/6/2020 3:27:42 PM LILLY CARES PRESCRIPTION FAX FORM FOR HUMATROPE IMPORTANT: This information is intended for the use of the person or entity to which it is addressed and may contain information that is confidential, the disclosure of which is governed by applicable law. LILLY CARES APPLICATION If your job was affected by the COVID-19 crisis, you may qualify for the Lilly Cares PAP to receive your prescribed Lilly medication for free. Read eligibility details on this website and call us at 1-800-545-6962 with questions. Please include a brief letter with your application explaining your change in income.HOW TO APPLY
Use of Third Parties to Apply. The Lilly Cares Foundation does not charge patients a fee for help with enrollment, medication refills, or for participation in the program. Lilly Cares is not affiliated with third parties that charge for assistance that Lilly Cares provides to you at no cost. For support, please call Lilly Cares at1-800-545-6962.
AVAILABLE MEDICATIONS We do not anticipate shortages of Eli Lilly and Company medications provided for those in our patient assistance program (PAP). If your job was affected by the COVID-19 crisis, you may qualify for the Lilly Cares PAP to receive your prescribed Lilly medication for free. Read eligibility details on this website and call us at 1-800-545-6962 with RESOURCES | LILLY CARES If your job was affected by the COVID-19 crisis, you may qualify for the Lilly Cares PAP to receive your prescribed Lilly medication for free. Read eligibility details on this website and call us at 1-800-545-6962 with questions. Please include a brief letter with your application explaining your change in income. SITEMAP | LILLY CARES How to Apply. Check Your Eligibility. Choose An Application. Complete the Application. Next Steps. Frequently Asked Questions (FAQ) Lilly Cares Applications. Resources. LILLY CARES FOUNDATION NOW DELIVERS MEDICATIONS DIRECTLY www.lillycares.com For Release: May 2020, 9:00 a.m. Eastern Time Refer to: Dan G. Collins, Lilly Cares Foundation; d.collins@lilly.com; 1 (317) 702-9965 Lilly Cares Foundation Now Delivers Medications Directly to Patients’ Homes Foundation’s changes help those affected by COVID-19 crisis INDIANAPOLIS, May 2020 – The Lilly Cares Foundation, Inc. announced it is now delivering LILLY CARES FOUNDATION PATIENT ASSISTANCE PROGRAM PO BOX Lilly Cares Foundation Patient Assistance Program PO Box 13185 La Jolla, CA 92039 Phone: 1-800-545-6962 Fax: 1-888-242-6230www.LillyCares.com
LILLY CARES® FOUNDATION 2019 STATE-LEVEL RESULTS PP-AP-US-0427 04/2020 ©Lilly USA, LLC 2020. All rights reserved. Lilly Cares® Foundation 2019 State-Level Results Page 2 of 4 MentalHealth Medications
Y,” SAID - WHAT IS LILLY CARES For Release: March 2019, 9:00 a.m. Eastern Time Refer to: Dan G. Collins, Lilly Cares Foundation; d.collins@lilly.com; 1-(317) 702-9965 Lilly Cares Foundation Expands Offerings and Updates Eligibility Requirements for Patients in Need INDIANAPOLIS, March 2019 – The Lilly Cares Foundation, Inc. (“Lilly Cares”) announced changes to its Patient Assistance Program offerings and eligibility PRESCRIPTION FAX FORM VERZENIO (ABEMACICLIB) AND RETEVMO IMPORTANT: This information is intended for the use of the person or entity to which it is addressed and may contain information that is confidential, the disclosure of which is governed by applicable law. If the reader of this information is not the intended recipient, orthe
WHAT IS LILLY CARES
Helping patients with significant financial need receive their prescribed Lilly medications at no cost. Lilly Cares Foundation, Inc. (Lilly Cares) is a nonprofit charitable organization that provides prescribed Lilly medications for up to 12 months for free to qualifying U.S. patients. LILLY CARES APPLICATION If your job was affected by the COVID-19 crisis, you may qualify for the Lilly Cares PAP to receive your prescribed Lilly medication for free. Read eligibility details on this website and call us at 1-800-545-6962 with questions. Please include a brief letter with your application explaining your change in income. LILLY CARES FOUNDATION PATIENT ASSISTANCE PROGRAM APPLICATION Lilly Cares Foundation Patient Assistance Program | PO Box 13185 | La Jolla, CA 92039 Phone: 1-800-545-6962 | Fax: 1-844-431-6650 | www.lillycares.com : ®® ® ® ® LILLY CARES FOUNDATION NOW DELIVERS MEDICATIONS DIRECTLY www.lillycares.com For Release: May 2020, 9:00 a.m. Eastern Time Refer to: Dan G. Collins, Lilly Cares Foundation; d.collins@lilly.com; 1 (317) 702-9965 Lilly Cares Foundation Now Delivers Medications Directly to Patients’ Homes Foundation’s changes help those affected by COVID-19 crisis INDIANAPOLIS, May 2020 – The Lilly Cares Foundation, Inc. announced it is now delivering LILLY CARES PATIENT ASSISTANCE PROGRAMFOUNDATION LILLY CARES® Patient Assistance ProgramFOUNDATION –Oncology Hours of Operation: Monday through Friday 8 AM to 6 PM ET Address: PO Box 13185 La Jolla, CA 92039 Phone: – – () ® THE LILLY CARES FOUNDATION PATIENT ASSISTANCE PROGRAM Lilly Cares Foundation Patient Assistance Program PO Box 13185 | La Jolla, CA 92039 | Phone: 1-800-545-6962 | Fax: 1-844-431-6650 |www.LillyCares.com
WHAT IS LILLY CARES
Title: Microsoft Word - PAP - Emgality-HCP-Rx Template-June 2019_AFD.docx Author: EB35955 Created Date: 5/6/2020 3:28:21 PM PATIENT NAME: DATE OF BIRTH: TODAY’S DATE: ADDRESS: The Lilly Cares®. Foundation Patient Assistance Program (“Lilly Cares”) Diabetes Prescription FAX Form. Rx: I authorize Lilly Cares to act on my behalf for the purpose of transmitting this prescription to the appropriate pharmacy. PP-AP-US-0396 HCP-LILLYCARES RX FAX FORM DEC19 Title: Microsoft Word - PP-AP-US-0396_HCP-LillyCares Rx Fax Form_Dec19.docx Author: EB35955 Created Date: 5/6/2020 3:27:42 PM PRESCRIPTION FAX FORM VERZENIO (ABEMACICLIB) AND RETEVMO IMPORTANT: This information is intended for the use of the person or entity to which it is addressed and may contain information that is confidential, the disclosure of which is governed by applicable law. If the reader of this information is not the intended recipient, orthe
WHAT IS LILLY CARES
Helping patients with significant financial need receive their prescribed Lilly medications at no cost. Lilly Cares Foundation, Inc. (Lilly Cares) is a nonprofit charitable organization that provides prescribed Lilly medications for up to 12 months for free to qualifying U.S. patients. LILLY CARES APPLICATION If your job was affected by the COVID-19 crisis, you may qualify for the Lilly Cares PAP to receive your prescribed Lilly medication for free. Read eligibility details on this website and call us at 1-800-545-6962 with questions. Please include a brief letter with your application explaining your change in income. LILLY CARES FOUNDATION PATIENT ASSISTANCE PROGRAM APPLICATION Lilly Cares Foundation Patient Assistance Program | PO Box 13185 | La Jolla, CA 92039 Phone: 1-800-545-6962 | Fax: 1-844-431-6650 | www.lillycares.com : ®® ® ® ® LILLY CARES FOUNDATION NOW DELIVERS MEDICATIONS DIRECTLY www.lillycares.com For Release: May 2020, 9:00 a.m. Eastern Time Refer to: Dan G. Collins, Lilly Cares Foundation; d.collins@lilly.com; 1 (317) 702-9965 Lilly Cares Foundation Now Delivers Medications Directly to Patients’ Homes Foundation’s changes help those affected by COVID-19 crisis INDIANAPOLIS, May 2020 – The Lilly Cares Foundation, Inc. announced it is now delivering LILLY CARES PATIENT ASSISTANCE PROGRAMFOUNDATION LILLY CARES® Patient Assistance ProgramFOUNDATION –Oncology Hours of Operation: Monday through Friday 8 AM to 6 PM ET Address: PO Box 13185 La Jolla, CA 92039 Phone: – – () ® THE LILLY CARES FOUNDATION PATIENT ASSISTANCE PROGRAM Lilly Cares Foundation Patient Assistance Program PO Box 13185 | La Jolla, CA 92039 | Phone: 1-800-545-6962 | Fax: 1-844-431-6650 |www.LillyCares.com
WHAT IS LILLY CARES
Title: Microsoft Word - PAP - Emgality-HCP-Rx Template-June 2019_AFD.docx Author: EB35955 Created Date: 5/6/2020 3:28:21 PM PATIENT NAME: DATE OF BIRTH: TODAY’S DATE: ADDRESS: The Lilly Cares®. Foundation Patient Assistance Program (“Lilly Cares”) Diabetes Prescription FAX Form. Rx: I authorize Lilly Cares to act on my behalf for the purpose of transmitting this prescription to the appropriate pharmacy. PP-AP-US-0396 HCP-LILLYCARES RX FAX FORM DEC19 Title: Microsoft Word - PP-AP-US-0396_HCP-LillyCares Rx Fax Form_Dec19.docx Author: EB35955 Created Date: 5/6/2020 3:27:42 PM PRESCRIPTION FAX FORM VERZENIO (ABEMACICLIB) AND RETEVMO IMPORTANT: This information is intended for the use of the person or entity to which it is addressed and may contain information that is confidential, the disclosure of which is governed by applicable law. If the reader of this information is not the intended recipient, orthe
AVAILABLE MEDICATIONS We do not anticipate shortages of Eli Lilly and Company medications provided for those in our patient assistance program (PAP). If your job was affected by the COVID-19 crisis, you may qualify for the Lilly Cares PAP to receive your prescribed Lilly medication for free. Read eligibility details on this website and call us at 1-800-545-6962 withHOW TO APPLY
Use of Third Parties to Apply. The Lilly Cares Foundation does not charge patients a fee for help with enrollment, medication refills, or for participation in the program. Lilly Cares is not affiliated with third parties that charge for assistance that Lilly Cares provides to you at no cost. For support, please call Lilly Cares at1-800-545-6962.
RESOURCES | LILLY CARES If your job was affected by the COVID-19 crisis, you may qualify for the Lilly Cares PAP to receive your prescribed Lilly medication for free. Read eligibility details on this website and call us at 1-800-545-6962 with questions. Please include a brief letter with your application explaining your change in income. SITEMAP | LILLY CARES How to Apply. Check Your Eligibility. Choose An Application. Complete the Application. Next Steps. Frequently Asked Questions (FAQ) Lilly Cares Applications. Resources. LILLY CARES FOUNDATION NOW DELIVERS MEDICATIONS DIRECTLY www.lillycares.com For Release: May 2020, 9:00 a.m. Eastern Time Refer to: Dan G. Collins, Lilly Cares Foundation; d.collins@lilly.com; 1 (317) 702-9965 Lilly Cares Foundation Now Delivers Medications Directly to Patients’ Homes Foundation’s changes help those affected by COVID-19 crisis INDIANAPOLIS, May 2020 – The Lilly Cares Foundation, Inc. announced it is now delivering LILLY CARES® FOUNDATION 2019 STATE-LEVEL RESULTS PP-AP-US-0427 04/2020 ©Lilly USA, LLC 2020. All rights reserved. Lilly Cares® Foundation 2019 State-Level Results Page 2 of 4 MentalHealth Medications
LILLY CARES FOUNDATION PATIENT ASSISTANCE PROGRAM PO BOX Lilly Cares Foundation Patient Assistance Program PO Box 13185 La Jolla, CA 92039 Phone: 1-800-545-6962 Fax: 1-888-242-6230www.LillyCares.com
WHAT IS LILLY CARES
What is Lilly Cares | Lilly Cares LILLY CARES PRESCRIPTION FAX FORM FOR HUMATROPE IMPORTANT: This information is intended for the use of the person or entity to which it is addressed and may contain information that is confidential, the disclosure of which is governed by applicable law. LILLY CARES FOUNDATION POSTULACIÓN AL PROGRAMA DE Lilly Cares Foundation Patient Assistance Program | PO Box 13185 | La Jolla, CA 92039 Teléfono: 1-800-545-6962 | Fax: 1-844-431-6650 |www.lillycares.com
WHAT IS LILLY CARES
Helping patients with significant financial need receive their prescribed Lilly medications at no cost. Lilly Cares Foundation, Inc. (Lilly Cares) is a nonprofit charitable organization that provides prescribed Lilly medications for up to 12 months for free to qualifying U.S. patients. LILLY CARES APPLICATION If your job was affected by the COVID-19 crisis, you may qualify for the Lilly Cares PAP to receive your prescribed Lilly medication for free. Read eligibility details on this website and call us at 1-800-545-6962 with questions. Please include a brief letter with your application explaining your change in income. LILLY CARES FOUNDATION PATIENT ASSISTANCE PROGRAM APPLICATION Lilly Cares Foundation Patient Assistance Program | PO Box 13185 | La Jolla, CA 92039 Phone: 1-800-545-6962 | Fax: 1-844-431-6650 | www.lillycares.com : ®® ® ® ® LILLY CARES FOUNDATION NOW DELIVERS MEDICATIONS DIRECTLY www.lillycares.com For Release: May 2020, 9:00 a.m. Eastern Time Refer to: Dan G. Collins, Lilly Cares Foundation; d.collins@lilly.com; 1 (317) 702-9965 Lilly Cares Foundation Now Delivers Medications Directly to Patients’ Homes Foundation’s changes help those affected by COVID-19 crisis INDIANAPOLIS, May 2020 – The Lilly Cares Foundation, Inc. announced it is now delivering LILLY CARES PATIENT ASSISTANCE PROGRAMFOUNDATION LILLY CARES® Patient Assistance ProgramFOUNDATION –Oncology Hours of Operation: Monday through Friday 8 AM to 6 PM ET Address: PO Box 13185 La Jolla, CA 92039 Phone: – – () ® THE LILLY CARES FOUNDATION PATIENT ASSISTANCE PROGRAM Lilly Cares Foundation Patient Assistance Program PO Box 13185 | La Jolla, CA 92039 | Phone: 1-800-545-6962 | Fax: 1-844-431-6650 |www.LillyCares.com
WHAT IS LILLY CARES
Title: Microsoft Word - PAP - Emgality-HCP-Rx Template-June 2019_AFD.docx Author: EB35955 Created Date: 5/6/2020 3:28:21 PM PATIENT NAME: DATE OF BIRTH: TODAY’S DATE: ADDRESS: The Lilly Cares®. Foundation Patient Assistance Program (“Lilly Cares”) Diabetes Prescription FAX Form. Rx: I authorize Lilly Cares to act on my behalf for the purpose of transmitting this prescription to the appropriate pharmacy. PP-AP-US-0396 HCP-LILLYCARES RX FAX FORM DEC19 Title: Microsoft Word - PP-AP-US-0396_HCP-LillyCares Rx Fax Form_Dec19.docx Author: EB35955 Created Date: 5/6/2020 3:27:42 PM PRESCRIPTION FAX FORM VERZENIO (ABEMACICLIB) AND RETEVMO IMPORTANT: This information is intended for the use of the person or entity to which it is addressed and may contain information that is confidential, the disclosure of which is governed by applicable law. If the reader of this information is not the intended recipient, orthe
WHAT IS LILLY CARES
Helping patients with significant financial need receive their prescribed Lilly medications at no cost. Lilly Cares Foundation, Inc. (Lilly Cares) is a nonprofit charitable organization that provides prescribed Lilly medications for up to 12 months for free to qualifying U.S. patients. LILLY CARES APPLICATION If your job was affected by the COVID-19 crisis, you may qualify for the Lilly Cares PAP to receive your prescribed Lilly medication for free. Read eligibility details on this website and call us at 1-800-545-6962 with questions. Please include a brief letter with your application explaining your change in income. LILLY CARES FOUNDATION PATIENT ASSISTANCE PROGRAM APPLICATION Lilly Cares Foundation Patient Assistance Program | PO Box 13185 | La Jolla, CA 92039 Phone: 1-800-545-6962 | Fax: 1-844-431-6650 | www.lillycares.com : ®® ® ® ® LILLY CARES FOUNDATION NOW DELIVERS MEDICATIONS DIRECTLY www.lillycares.com For Release: May 2020, 9:00 a.m. Eastern Time Refer to: Dan G. Collins, Lilly Cares Foundation; d.collins@lilly.com; 1 (317) 702-9965 Lilly Cares Foundation Now Delivers Medications Directly to Patients’ Homes Foundation’s changes help those affected by COVID-19 crisis INDIANAPOLIS, May 2020 – The Lilly Cares Foundation, Inc. announced it is now delivering LILLY CARES PATIENT ASSISTANCE PROGRAMFOUNDATION LILLY CARES® Patient Assistance ProgramFOUNDATION –Oncology Hours of Operation: Monday through Friday 8 AM to 6 PM ET Address: PO Box 13185 La Jolla, CA 92039 Phone: – – () ® THE LILLY CARES FOUNDATION PATIENT ASSISTANCE PROGRAM Lilly Cares Foundation Patient Assistance Program PO Box 13185 | La Jolla, CA 92039 | Phone: 1-800-545-6962 | Fax: 1-844-431-6650 |www.LillyCares.com
WHAT IS LILLY CARES
Title: Microsoft Word - PAP - Emgality-HCP-Rx Template-June 2019_AFD.docx Author: EB35955 Created Date: 5/6/2020 3:28:21 PM PATIENT NAME: DATE OF BIRTH: TODAY’S DATE: ADDRESS: The Lilly Cares®. Foundation Patient Assistance Program (“Lilly Cares”) Diabetes Prescription FAX Form. Rx: I authorize Lilly Cares to act on my behalf for the purpose of transmitting this prescription to the appropriate pharmacy. PP-AP-US-0396 HCP-LILLYCARES RX FAX FORM DEC19 Title: Microsoft Word - PP-AP-US-0396_HCP-LillyCares Rx Fax Form_Dec19.docx Author: EB35955 Created Date: 5/6/2020 3:27:42 PM PRESCRIPTION FAX FORM VERZENIO (ABEMACICLIB) AND RETEVMO IMPORTANT: This information is intended for the use of the person or entity to which it is addressed and may contain information that is confidential, the disclosure of which is governed by applicable law. If the reader of this information is not the intended recipient, orthe
AVAILABLE MEDICATIONS We do not anticipate shortages of Eli Lilly and Company medications provided for those in our patient assistance program (PAP). If your job was affected by the COVID-19 crisis, you may qualify for the Lilly Cares PAP to receive your prescribed Lilly medication for free. Read eligibility details on this website and call us at 1-800-545-6962 withHOW TO APPLY
Use of Third Parties to Apply. The Lilly Cares Foundation does not charge patients a fee for help with enrollment, medication refills, or for participation in the program. Lilly Cares is not affiliated with third parties that charge for assistance that Lilly Cares provides to you at no cost. For support, please call Lilly Cares at1-800-545-6962.
RESOURCES | LILLY CARES If your job was affected by the COVID-19 crisis, you may qualify for the Lilly Cares PAP to receive your prescribed Lilly medication for free. Read eligibility details on this website and call us at 1-800-545-6962 with questions. Please include a brief letter with your application explaining your change in income. SITEMAP | LILLY CARES How to Apply. Check Your Eligibility. Choose An Application. Complete the Application. Next Steps. Frequently Asked Questions (FAQ) Lilly Cares Applications. Resources. LILLY CARES FOUNDATION NOW DELIVERS MEDICATIONS DIRECTLY www.lillycares.com For Release: May 2020, 9:00 a.m. Eastern Time Refer to: Dan G. Collins, Lilly Cares Foundation; d.collins@lilly.com; 1 (317) 702-9965 Lilly Cares Foundation Now Delivers Medications Directly to Patients’ Homes Foundation’s changes help those affected by COVID-19 crisis INDIANAPOLIS, May 2020 – The Lilly Cares Foundation, Inc. announced it is now delivering LILLY CARES® FOUNDATION 2019 STATE-LEVEL RESULTS PP-AP-US-0427 04/2020 ©Lilly USA, LLC 2020. All rights reserved. Lilly Cares® Foundation 2019 State-Level Results Page 2 of 4 MentalHealth Medications
LILLY CARES FOUNDATION PATIENT ASSISTANCE PROGRAM PO BOX Lilly Cares Foundation Patient Assistance Program PO Box 13185 La Jolla, CA 92039 Phone: 1-800-545-6962 Fax: 1-888-242-6230www.LillyCares.com
WHAT IS LILLY CARES
What is Lilly Cares | Lilly Cares LILLY CARES PRESCRIPTION FAX FORM FOR HUMATROPE IMPORTANT: This information is intended for the use of the person or entity to which it is addressed and may contain information that is confidential, the disclosure of which is governed by applicable law. LILLY CARES FOUNDATION POSTULACIÓN AL PROGRAMA DE Lilly Cares Foundation Patient Assistance Program | PO Box 13185 | La Jolla, CA 92039 Teléfono: 1-800-545-6962 | Fax: 1-844-431-6650 |www.lillycares.com
COVID-19 UPDATE FROM LILLY CARES FOUNDATION READ MESSAGE >> Lilly Cares Foundation is closely monitoring the coronavirus (COVID-19) pandemic. We do not anticipate shortages of Eli Lilly and Company medications provided for those in our patient assistanceprogram (PAP).
If your job was affected by the COVID-19 crisis you may qualify for the Lilly Cares PAP to receive your prescribed Lilly medication for free. Read eligibility details on this website and call us at 1-800-545-6962 with questions. If your proof-of-income document does not reflect your recent change of income, please include a brief letter with your application explaining your situation. At this time, only submit your application using our online submission process or via fax using the fax number located on the bottom of the application form. Please DO NOT MAIL your application.Close
* Contact us at 1-800-545-6962 Mon-Fri 8am-6pm EST ELI LILLY AND COMPANY* Home
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* Contact us at 1-800-545-6962 Mon-Fri 8am-6pm ESTLILLY CARES
LILLY UNITES CARING WITH DISCOVERY TO MAKE LIFE BETTER FOR PEOPLEAROUND THE WORLD.
The Lilly Cares Foundation, Inc. ("Lilly Cares") is a nonprofit organization that offers a patient assistance program to help qualifying patients receive Lilly medications at no cost. Lilly Cares has helped millions of patients in the United States obtain Lilly medications in the areas of mental health, diabetes, growth hormone disorders, men's health, osteoporosis, cancer, psoriasis, arthritis, and migraine through our patient assistance program. It's important to Lilly Cares to make sure that those who can benefit from these medicines have access to them. Lilly Cares offers assistance to help people obtain the Lilly medicines they need. This site provides program details and resources. The Lilly Cares Foundation does not charge a fee for participation in Lilly Cares. The Lilly Cares Foundation is not affiliated with third parties who charge a fee for help with enrollment or medication refills. These third parties may reference Lilly Cares without permission. Patients are not required to use a third party who charges a fee to help with enrollment or medication refills. If you use a third party who charges a fee to help with your enrollment or refill of your medication, this money is not paid to The Lilly CaresFoundation.
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Finding a program that offers Lilly medicines for free to qualifying patients is easy with our Program Finder Tool .PROGRAM DESCRIPTION
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of the program to determine if you'd like to apply to the Lilly Cares Foundation Patient Assistance Program.NEWS
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch , or call 1-800-FDA-1088. You may also report negative side effects of prescription drugs to The Lilly Answers Center (TLAC) at 1-800-LillyRx (1-800-545-5979). Lilly USA, LLC 2020. All rights reserved. This site is intended for U.S. residents age 18 and over only. Models used for illustrative purposes only. Not actual patients or healthcareproviders.
PP-AP-US-0442 05/2020 Home | Privacy Statement | Terms of Use YOU ARE OPENING A THIRD-PARTY WEBSITE IN A NEW BROWSER WINDOW. The content of the linked site is the sole responsibility of the site provider. Lilly USA, LLC does not control or endorse this third-partywebsite.
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