Ebglyss
Generic: lebrikizumab
Manufacturer: Eli Lilly · Program: Lilly Cares Foundation Patient Assistance Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
Must be uninsured, or have Medicare Part D and meet specific out-of-pocket criteria. Not available for patients with Medicaid or commercial insurance (commercial patients should use the savings card).
Residency
U.S. resident with a valid address in the United States, Puerto Rico, or U.S. Virgin Islands
Income Threshold
Up to 500% FPL
Individual Income Limit
$75,300/year
Income threshold for specialty biologics like Ebglyss is set at 500% of the Federal Poverty Level.
Program Information
Processing Time
2-5 business days
Delivery Method
shipped to patient
Application Method
Multiple
Reauthorization
Required — annual
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- Completed application form with physician signature
- Proof of income (e.g., most recent tax return, W-2, or pay stubs)
- Valid prescription
Indicated For
Moderate-to-severe atopic dermatitis
About This Medication
# Getting Ebglyss (lebrikizumab) at No Cost Through the Lilly Cares Foundation Patient Assistance Program --- ## Who Qualifies for the Lilly Cares Foundation Patient Assistance Program? If you need Ebglyss (lebrikizumab) but cannot afford it, the **Lilly Cares Foundation Patient Assistance Program** may be able to provide it to you at no cost. This program is run directly by Eli Lilly, the maker of Ebglyss. To qualify, you generally need to meet income guidelines — for a single person, your annual household income must be **$75,300 or less**. You must also meet specific insurance requirements: this program is designed for people who are **uninsured or have Medicare Part D**, not for people who have Medicaid or active commercial insurance coverage. If you meet these basic criteria, you may be eligible to receive Ebglyss at no charge through this program. --- ## About Ebglyss (lebrikizumab) Ebglyss (lebrikizumab) is a prescription biologic medication approved by the FDA to treat **moderate-to-severe atopic dermatitis** (eczema) in adults and adolescents 12 years and older whose condition is not well controlled with other therapies. It belongs to a drug class called IL-13 inhibitors, which are monoclonal antibodies given by injection. As a specialty biologic, Ebglyss carries a high list price that can reach tens of thousands of dollars per year without insurance or assistance. This cost makes it out of reach for many patients, which is why patient assistance programs like Lilly Cares exist. The program does not change how the medication works — it simply helps cover the cost. --- ## Income Eligibility: Full Breakdown The Lilly Cares Foundation sets its income limits at **500% of the Federal Poverty Level (FPL)**, which is a standard threshold commonly used for specialty biologic medications. Here is how those limits break down by household size: | Household Size | Maximum Annual Income | |---|---| | 1 person | $75,300 | | 2 persons | $102,200 | | 3 persons | $129,100 | | 4 persons | $156,000 | Your income is typically verified using your **most recent federal tax return, W-2 forms, or three months of recent pay stubs**. The program looks at total household income, not just your personal earnings, so be prepared to account for income from a spouse or other household members if applicable. If your income is above these limits, you will likely not qualify for this program. However, do not give up — see the "Alternatives If You Don't Qualify" section below for other options that may help. Income limits can also vary slightly year to year as the Federal Poverty Level is updated, so it is worth checking the current guidelines at [https://www.ebglyss.com/support](https://www.ebglyss.com/support) before assuming you are ineligible. --- ## Insurance Requirements Explained Your insurance status plays a major role in whether you qualify for this program. Here is how different situations are handled: - **If you are uninsured:** You may apply directly to the Lilly Cares Foundation Patient Assistance Program. Being uninsured is one of the primary qualifying situations this program is designed for. If you meet the income requirements, you will likely be eligible. - **If you have Medicare Part D:** You may still qualify, but you must meet specific out-of-pocket cost criteria set by the program. Medicare Part D patients are not automatically excluded — contact the program at **(800) 545-6962** to review your specific situation. - **If you have private (commercial) insurance that covers less than 50%:** You are generally **not eligible** for the patient assistance program. However, Eli Lilly offers a **savings card** for commercially insured patients at [https://www.ebglyss.lilly.com/savings-support](https://www.ebglyss.lilly.com/savings-support), which may significantly reduce your out-of-pocket costs. - **If you have Medicaid:** You do **not** qualify for the Lilly Cares Foundation Patient Assistance Program. Medicaid coverage disqualifies applicants from this program entirely. --- ## Step-by-Step: How to Apply Follow these steps to apply for Ebglyss through the Lilly Cares Foundation: 1. **Review the eligibility requirements.** Visit [https://www.lillycares.com](https://www.lillycares.com) or call **(800) 545-6962** to confirm you meet the income and insurance criteria before gathering documents. 2. **Gather your required documents.** You will need: - A completed application form (available online or by phone) with your **physician's signature** - Proof of income: your most recent **federal tax return, W-2, or three months of pay stubs** - A **valid prescription** for Ebglyss from your doctor 3. **Complete the application.** You can apply in one of three ways: - **Online** at [https://www.lillycares.com](https://www.lillycares.com) - **By phone** by calling **(800) 545-6962** - **By fax** by sending completed documents to **(844) 431-6650** 4. **Have your doctor sign off.** The application requires your prescribing physician's signature, so coordinate with your doctor's office early in the process to avoid delays. 5. **Submit your application.** Once all documents are complete and signed, submit your application through your chosen method. 6. **Wait for a decision.** Processing typically takes **2 to 5 business days** after your complete application is received. --- ## What to Expect: Timeline and Delivery After submitting a complete application, most patients receive a decision within **2 to 5 business days**. Once approved, the Lilly Cares Foundation will notify you (and typically your prescriber's office) of the approval. Ebglyss will be **shipped directly to your home** — you do not need to pick it up at a pharmacy or prescriber's office. Make sure your mailing address on the application is current and complete. Your approval is not permanent. The Lilly Cares Foundation requires **annual reauthorization**, meaning you will need to reapply and reconfirm your eligibility approximately once per year. Watch for renewal notices and plan ahead so you do not experience a gap in your medication supply. --- ## Alternatives If You Don't Qualify If you do not qualify for the Lilly Cares Foundation program, there are other options to explore: 1. **Biosimilars:** There are currently **no FDA-approved biosimilar alternatives** to Ebglyss (lebrikizumab), so this is not yet an option for cost savings through substitution. 2. **Manufacturer savings card:** If you have commercial (private) insurance, Eli Lilly offers a savings card that may reduce your out-of-pocket costs significantly. Visit [https://www.ebglyss.lilly.com/savings-support](https://www.ebglyss.lilly.com/savings-support) to check your eligibility and enroll. 3. **State Pharmaceutical Assistance Programs (SPAPs):** Many states offer their own prescription assistance programs for residents who do not qualify for manufacturer programs. Eligibility and benefits vary by state. Contact your state's department of health or aging for details. 4. **NeedyMeds.org:** This free, nonprofit database at [https://www.needymeds.org](https://www.needymeds.org) lists hundreds of patient assistance programs, disease-specific funds, and other cost-lowering resources. It is a useful starting point if you have been turned down elsewhere. --- > *This guide is for informational purposes only and does not constitute medical or legal advice. Eligibility determinations are made solely by Eli Lilly. Program terms may change — verify current requirements at [https://www.ebglyss.com/support](https://www.ebglyss.com/support) before applying.* ---
Program information last verified: February 27, 2026
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