Emgality

Indicated For

migraine prevention, cluster headache prevention

About This Medication

# Lilly Cares Foundation Patient Assistance Program Patient Guide: How to Get Emgality (galcanezumab-gnlm) at Low or No Cost Emgality (galcanezumab-gnlm) is a prescription medication used to prevent migraines in adults. The **Lilly Cares Foundation Patient Assistance Program**, run by Eli Lilly, provides this medication **at no cost** to eligible uninsured or underinsured US residents who meet strict income and residency requirements.[1][2] ## About Emgality **Emgality** is an injectable calcitonin gene-related peptide (CGRP) antagonist administered once monthly via subcutaneous injection. It helps reduce the frequency of migraine headaches by targeting a protein involved in migraine attacks. Your doctor will determine if it's right for you based on your migraine history and treatment needs. Always follow your healthcare provider's instructions for use.[1] ## Who Qualifies for Lilly Cares? To qualify, you must meet **all** these criteria: - Be a **permanent US resident** (including Puerto Rico and US Virgin Islands).[1] - Have a valid prescription for **Emgality** from a US-licensed healthcare provider.[1] - Meet **household income guidelines** (typically at or below **400% of the Federal Poverty Level (FPL)**).[5] - Be **uninsured or underinsured** (specific rules apply; see insurance section below).[1][5] **Important exclusions**: You cannot be enrolled in Medicaid, full Low Income Subsidy (LIS/Extra Help), or VA Benefits.[1] ## Income Eligibility Breakdown Lilly Cares bases eligibility on **household income** compared to the **Federal Poverty Level (FPL)**, which adjusts annually. The program generally covers households at or below **400% FPL**. Here are approximate 2026 thresholds for common household sizes (check www.lillycares.com for exact current FPL figures): | Household Size | Max Annual Income (approx. 400% FPL) | |----------------|-------------------------------------| | 1 person | $60,000 | | 2 people | $81,000 | | 3 people | $102,000 | | 4 people | $123,000 | | Add per person| +$21,000 | **Notes**: Exact limits vary by FPL and household size. Provide proof like tax returns or pay stubs. Medicare Part D patients may qualify with restrictions.[1][2][5] ## Insurance Requirements - **Uninsured patients**: Fully eligible if other criteria met.[1] - **Underinsured**: Some private insurance OK if you meet medication-specific rules (check Lilly Cares site).[1] - **Exclusions**: No Medicaid, full LIS/Extra Help, or VA Benefits. Medicare Part D patients can apply but must meet special guidelines; reapply by Dec 31 for next year.[1][2] ## Step-by-Step Application Process 1. **Check Eligibility**: Visit www.lillycares.com or call **(800) 545-6962** to confirm Emgality coverage and your qualifications.[1][2] 2. **Choose Application Method** (multiple options available): - **Online**: Fastest—enter info and upload documents at lillycares.com.[1][3] - **Download & Mail/Fax**: Get form from site, complete, and send to PO Box 501847, San Diego, CA 92150.[1] - **Request by Phone**: Call (800) 545-6962 to have one mailed.[2] 3. **Gather Required Documents**: - **Proof of income** (tax return, pay stubs, etc.).[1][5] - **Proof of residency** (utility bill, etc.).[1] - **Prescription** for Emgality.[1] - **Insurance status** proof (showing uninsured/underinsured).[1][5] 4. **Complete the Form**: Fill patient sections, have your **doctor complete prescriber section and sign**. Both signatures required.[1][6] 5. **Submit**: Online upload, mail, or fax. Online reduces delays.[1][3] **Pro Tip**: Double-check all info and involve your doctor early to avoid rejection.[5] ## Timeline and Delivery - **Processing**: Typically **2-4 weeks** after submission.[5] - **Notification**: Mailed to you, faxed to doctor; text if provided.[1] - **Approval Duration**: Usually **12 months** or end of calendar year (Medicare patients).[1] - **Delivery**: **Shipped free to your home** or doctor's office; pharmacy partner calls to schedule.[1] ## Reauthorization and Refills **Reapply annually**—new application and documents required each year. Medicare Part D patients: Start reapplying October 15.[1][2][7] Your enrollment letter specifies expiration. ## Alternatives if Denied - **Review denial reason** (sent by mail) and **resubmit** corrected application.[1] - **Contact Lilly Cares** at (800) 545-6962 for guidance.[2] - **Other programs**: Check NeedyMeds.org, Partnership for Prescription Assistance, or state assistance.[7] - **Patient Access Network (PAN) Foundation** or similar for migraines. - **Doctor samples** or low-cost generics (none for Emgality currently). - **No biosimilars** available for Emgality.[program data] ## Important Disclaimer This guide provides general information based on Lilly Cares program details as of available sources. **Eligibility, income limits, and rules can change**—always verify at www.lillycares.com or by calling (800) 545-6962. Lilly Cares does **not charge fees**; avoid third parties that do.[2] This is **not medical advice**. Consult your doctor for treatment decisions. Program availability for Emgality subject to change; confirm coverage.[1][2][5] **Word count: 942**

Program information last verified: March 30, 2026