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Patient Assistance Program Application. The Lilly Cares Foundation, Inc. (“Lilly Cares”) is a nonprofit organization that offers the Lilly Cares Patient Assistance Program (“Program”) to help qualifying patients obtain certain Eli Lilly and Company medications at no cost.
Learn more about applying to Lilly Cares including checking your eligibility, choosing an application, completing an application, and next steps.
First, click the button to complete our savings program enrollment form. Second, complete the 3 step process to determine eligibility. Third, if you're eligible for our savings program, we will generate a savings card and you can choose how you'd like to receive it.
Print Application. Ask to have an application mailed to you by calling 1-800-545-6962. Access the online and mail-in applications for the Lilly Cares Foundation to receive free Lilly medications for eligible patients.
Physician Information. Getting started with Mounjaro® and the mymounjaro Patient Support Program. mymounjaro, a Patient Support Program (PSP) where patients can get the support they need to start their treatment journey. Eligible patients can receive: Financial Assistance.
Eligible, commercially insured patients may pay as little as $25 for a 1-month, 2-month, or 3-month prescription with the Mounjaro Savings Card Program. Download this resource and instruct your patients to visit Mounjaro.lilly.com/savings-resources to download their activated savings card.
LILLY CARES® FOUNDATION Patient Assistance Program Application The Lilly Cares Foundation, Inc. (“Lilly Cares”) is a nonprofit organization that offers a patient assistance program (“Program”) to help qualifying patients obtain certain Eli Lilly and Company (“Lilly”) medications at no cost.