Emgality

Indicated For

Migraine, Episodic cluster headache

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 an injectable medication used to prevent migraines in adults and treat episodic cluster headaches. The **Lilly Cares Foundation Patient Assistance Program** offers this vital drug **free of charge** to eligible uninsured or underinsured U.S. residents facing financial hardship, helping you focus on managing your condition without prescription costs.[1][2][3] ## About Emgality **Emgality** is a monoclonal antibody that targets CGRP, a protein involved in migraine and cluster headache attacks. Administered as a once-monthly subcutaneous injection via prefilled syringe or autoinjector (100 mg/mL), it reduces the frequency of migraines and cluster headache periods. It's FDA-approved for episodic cluster headaches in adults and migraine prevention. Always follow your healthcare provider's instructions for use.[3][7] ## Who Qualifies? To qualify for **Lilly Cares**, you must meet **all** these criteria: - Be a **permanent U.S. resident** (including Puerto Rico and U.S. Virgin Islands).[1][2][3] - Have a valid prescription for **Emgality** from your healthcare provider.[2][3] - Meet **household income guidelines** (detailed below).[2][3][4] - Satisfy **insurance requirements** for Group 1 medications like Emgality (see Insurance section).[3] - **Not** be enrolled in Medicaid, full Low-Income Subsidy (LIS/Extra Help), or VA Benefits.[2][3] The program is needs-based and provides medication at no cost for an enrollment period (up to 12 months), after which reapplication is required.[1][4] ## Income Eligibility Breakdown Emgality falls under **Group 1 medications**, with income limits at **300% of the Federal Poverty Level (FPL)**. Household income is based on adjusted gross income. Use the table below for 2026 guidelines (exact figures from program sources).[2][3][4] | Household Size | Maximum Annual Income | |----------------|-----------------------| | 1 Person | $45,180 | | 2 People | $61,320 | | 3 People | $77,460 | | 4 People | $93,600 | | 5 People | $109,740 | | 6 People | $125,880 | *Add ~$16,140 per additional person. Confirm current FPL multiples on the application, as they adjust annually.*[2][4] Provide proof like tax returns if requested.[3] ## Insurance Requirements **Uninsured patients** qualify most straightforwardly for free Emgality through Lilly Cares.[1][2] For **Group 1 medications** like Emgality: - No insurance, **OR** - Medicare Part D (certain conditions), **OR** - Medicare Part B with no supplemental/secondary insurance (e.g., no Medigap, Medicare Advantage, or employer plans), **OR** - Insurance that denies coverage (with proof).[3] **Commercially insured patients** should use the **Emgality Savings Card** instead, which reduces out-of-pocket costs (government beneficiaries excluded).[1][5] Medicare patients: Check Part D eligibility carefully; full LIS/Extra Help disqualifies you.[2][3][4] Avoid programs where insurers require PAP enrollment as a prerequisite (known as AFPs).[3][5] ## Step-by-Step Application Process 1. **Confirm Eligibility**: Review income, residency, and insurance criteria above. Visit www.lillycares.com.[2][6] 2. **Gather Documents**: Prescription for Emgality, proof of income (e.g., tax return, pay stubs), insurance details/verification if applicable (see lillycares.com/assets/pdf/insuranceverification.pdf).[3] 3. **Complete Application**: - **Preferred: Online** at www.lillycares.com or https://emgality.lilly.com/savings-support (patient and prescriber sections).[1][2][6] - **Or download/fax/mail**: Form from lillycares.com. Patient signs patient section; HCP completes prescriber section and attaches prescription.[3] 4. **Submit**: - **Online**: Instant. - **Fax**: 844-431-6650. - **Mail**: Lilly Cares, PO Box 501847, San Diego, CA 92150.[2][9] - Phone help: 1-800-545-6962 (Mon-Fri, 8 a.m.-6 p.m. ET) or 1-866-923-1953.[1][9] 5. **HCP Involvement**: Your doctor verifies need, ensures no reimbursement sought, and submits.[3] No application fees; avoid paid third-party services.[3] ## Timeline and Delivery Processing time varies (days to weeks); pharmacy partner contacts you for delivery scheduling. Medication ships **free to your home** or doctor's office.[2][4] Enrollment lasts up to 12 months (Medicare Part D: end of calendar year). **Reapply** at end of period.[2][4] ## Alternatives if Denied - **Appeal**: Contact Lilly Cares for reasons and resubmit with more docs.[1] - **Emgality Savings Card** for commercial insurance (activate at emgality.lilly.com/savings-support).[1][5] - **Other PAPs**: NeedyMeds.org, Simplefill (877-386-0206), or PAN Foundation.[4][8] - **State programs**, generic alternatives (consult HCP), or low-cost clinics.[4] - **Manufacturer support**: Call for case-by-case help.[1] ## Disclaimer This guide is for informational purposes based on 2026 program details and is not medical/financial advice. Eligibility can change; **verify directly with Lilly Cares** (www.lillycares.com, 800-545-6962). Program may modify/terminate without notice. Consult your healthcare provider before starting/stopping Emgality. Lilly Cares reserves rights to audit/deny.[1][2][3] Word count: 1028.

Program information last verified: March 25, 2026