Cambrela orforglipron oral GLP-1 obesity investigational

Indicated For

obesity

About This Medication

# Lilly Cares Patient Guide: How to Get orforglipron at Low or No Cost Orforglipron is an investigational oral medication developed by **Eli Lilly and Company** for managing type 2 diabetes by helping control blood sugar levels. As of now, there is no specific patient assistance program named for orforglipron, but eligible patients can access it through the **Lilly Cares Foundation Patient Assistance Program**, which provides free Lilly medications to qualifying individuals who are uninsured or underinsured and meet income guidelines.[1][3][8] ## Who Qualifies for Lilly Cares? To qualify for **Lilly Cares** and potentially receive orforglipron at no cost, you must meet these key criteria: - Be a **permanent legal resident** of the United States, including Puerto Rico and the U.S. Virgin Islands.[1][8] - Have a valid prescription from your healthcare provider for a covered Lilly medication, such as orforglipron (confirm coverage by checking the latest Lilly Cares medication list).[1][4] - Meet specific **insurance requirements** (detailed below): not enrolled in Medicaid, full Low-Income Subsidy (LIS/Extra Help), VA benefits, or certain other government programs.[1][7] - Your household income must fall within program limits, typically up to **300%-500% of the Federal Poverty Level (FPL)** depending on the medication group.[4][8] **Lilly Cares** divides medications into groups with varying eligibility: - Group 1: Up to **300% FPL** - Group 2: Up to **400% FPL** - Group 3: Up to **500% FPL** (Orforglipron's group is not specified; contact Lilly Cares at 1-800-545-6962 to confirm.)[8] ## About Orforglipron **Orforglipron** is an oral, non-peptide GLP-1 receptor agonist in development by Eli Lilly for type 2 diabetes treatment. Unlike injectable GLP-1 drugs, it offers a once-daily pill form, potentially improving patient convenience for blood sugar control and weight management. It's not yet FDA-approved as of the latest data, so availability through Lilly Cares depends on its status and inclusion in the program. Always consult your doctor for personalized advice on its use.[1][8] ## Income Eligibility Breakdown Income limits are based on **Federal Poverty Level (FPL)** guidelines, which adjust annually. Here's a sample table for 2026 (use the current FPL chart from Lilly Cares for exact figures): | Household Size | 300% FPL (Group 1) | 400% FPL (Group 2) | 500% FPL (Group 3) | |----------------|--------------------|--------------------|--------------------| | 1 (Individual) | $45,180 | $60,240 | $75,300 | | 2 (Couple) | $61,320 | $81,760 | $102,200 | | 3 | $77,460 | $103,280 | $129,100 | | 4 | $93,600 | $124,800 | $156,000 | *Add ~$16,140 per additional person for 300% FPL. Verify with Lilly Cares as limits vary by medication group and year.*[4][8] ## Insurance Requirements **Lilly Cares** has strict rules: - You must be **uninsured** or **underinsured** (e.g., Medicare Part D patients may qualify if spending ≥4% of gross income on prescriptions).[1][4][8] - **Ineligible** if enrolled in: Medicaid, full LIS/Extra Help, VA Benefits, Medicare Advantage, Medigap, DoD/TRICARE, or state drug assistance programs.[1][7] - Some Medicare Part D enrollees can reapply October 15–December 31 annually.[3] Your doctor confirms insurance status on the application.[1] ## Step-by-Step Application Process 1. **Check Eligibility**: Use the Lilly Cares website or call 1-800-545-6962 to confirm orforglipron coverage and your qualification.[1][3] 2. **Get the Application**: Choose online (fastest), download/print, or fill digitally.[2][3] 3. **Complete Patient Section**: Provide name, address, income proof (tax returns, pay stubs), household size, and insurance details. Sign it.[1][4][6] 4. **Doctor's Role**: Your healthcare provider completes the prescriber section, signs consent, and attaches a prescription.[1][4] 5. **Gather Documents**: Proof of income, residency, insurance denial (if applicable). Upload online or include with paper form.[2][4][6] 6. **Submit**: Online upload, fax, or mail to Lilly Cares, PO Box 501847, San Diego, CA 92150.[1][2] Avoid third-party services charging fees—Lilly provides free help.[3] ## Timeline and Delivery - **Processing**: 2-4 weeks typically; call if no update after 14 business days.[1][4] - **Approval**: Medications shipped to your **home** or **doctor's office**. Pharmacy partner calls to schedule.[1] - **Duration**: Up to **12 months**; reapply at end (Medicare Part D: by Dec 31).[3][4][8] ## Alternatives if Denied - **Reapply** with updated info or new doctor/prescription.[1] - Contact Lilly Cares for guidance (1-800-545-6962).[1] - Explore other options: State programs, generic alternatives, or copay cards (if insured). Simplefill or similar services can help find matches.[8] - For biosimilars: None listed for orforglipron.[8] ## Disclaimer This guide is for informational purposes only and based on publicly available Lilly Cares details as of 2026. Eligibility, medication coverage (including orforglipron), and FPL limits can change—always verify directly with **Lilly Cares** at 1-800-545-6962 or lillycares.com. Not medical advice; consult your healthcare provider. Lilly Cares does not guarantee approval.[1][3][4]

Program information last verified: March 30, 2026