Forteo

Indicated For

osteoporosis

About This Medication

# Lilly Cares Foundation Patient Guide: How to Get Forteo at Low or No Cost ## About This Program The **Lilly Cares Foundation Patient Assistance Program** helps eligible patients receive **Forteo (teriparatide)** at no cost or reduced cost when they cannot afford their medication. Forteo is an injectable medication used to treat osteoporosis and increase bone density. If you have been prescribed Forteo but are struggling with the cost, this program may be able to help you access your medication. ## Who Qualifies for Lilly Cares? To be eligible for the Lilly Cares program, you must meet all of the following requirements: - **U.S. Residency:** You must be a permanent resident of the United States, including Puerto Rico and the U.S. Virgin Islands[2] - **Prescribed Forteo:** Your healthcare provider must have prescribed Forteo specifically for you[2] - **Income Eligibility:** Your household income must fall within the program's guidelines (generally at or below 300-400% of the Federal Poverty Level)[5] - **Insurance Status:** You must be uninsured or underinsured, or experiencing financial hardship despite having insurance[5] - **Not Enrolled in Government Programs:** You cannot be enrolled in Medicaid, full Low Income Subsidy (LIS, also called "Extra Help"), or Veterans (VA) Benefits[2] ## Understanding Income Eligibility The Lilly Cares program uses the **Federal Poverty Level (FPL)** to determine income limits. Your household income must be at or below **300-400% of the FPL** to qualify. The exact threshold may vary depending on your specific medication and circumstances. To give you an idea of income limits, here's what 300% of the FPL looks like for different household sizes in 2026: | Household Size | Approximate 300% FPL Income Limit | |---|---| | 1 person | ~$42,000 | | 2 people | ~$56,000 | | 3 people | ~$70,000 | | 4 people | ~$85,000 | *Note: These are approximate figures. Contact Lilly Cares at 1-800-545-6962 for exact current income limits, as they are updated annually.* If your income is slightly above these limits, you may still qualify if you can demonstrate **financial hardship**, such as high medical expenses, housing costs, or other significant financial obligations. ## Insurance Requirements The Lilly Cares program is designed for patients who are **uninsured or underinsured**. Here's what you need to know: - **If you have no insurance:** You are eligible to apply[5] - **If you have private insurance:** You may qualify if you are experiencing financial hardship despite your coverage[5] - **If you have Medicare Part D:** Some patients with Medicare Part D may qualify, particularly if they are experiencing financial hardship[5] - **If you have Medicaid, full LIS ("Extra Help"), or VA Benefits:** You are **not eligible** for this program[2] The program cannot assist patients with government insurance programs because those programs have their own assistance mechanisms. ## How to Apply for Lilly Cares Applying for the Lilly Cares program is straightforward. Follow these steps: ### Step 1: Choose Your Application Method You can apply in one of three ways[1][2]: - **Online Application:** Complete the application on the Lilly Cares website. This method reduces paperwork and potential delays[1] - **Printed Application:** Download a blank application, print it, and fill it out by hand[1] - **Computer-Filled Application:** Download a blank application, fill it out on your computer, then print and submit it[1] To request an application by mail, call **1-800-545-6962**. ### Step 2: Gather Required Documents Before you start your application, collect the following documents[5]: - **Proof of Income:** Recent tax returns, pay stubs, or other documentation showing your household income - **Proof of Residency:** A utility bill, lease agreement, or other document confirming your U.S. address - **Prescription:** Your Forteo prescription from your healthcare provider - **Proof of Insurance Status:** Documentation showing you are uninsured or underinsured (such as a denial letter from an insurance company or proof of coverage with high out-of-pocket costs) ### Step 3: Complete the Patient Section Fill out all patient sections of the application with accurate information, including[6]: - Your full name and address - Date of birth - Household income details - Insurance status - Your signature ### Step 4: Have Your Doctor Complete the Prescriber Section Your healthcare provider must complete the prescriber section of the application, which includes[2][6]: - Confirmation that Forteo has been prescribed for you - Validation of your medical need for the medication - Your doctor's signature and contact information Work with your doctor's office to ensure this section is completed promptly, as delays here can slow your approval. ### Step 5: Submit Your Application Submit your completed application and supporting documents using one of these methods[2]: - **Online Submission:** Submit directly through the Lilly Cares website for expedited processing - **Mail:** Send to: - Lilly Cares Patient Assistance Program - PO Box 501847 - San Diego, CA 92150 - **Fax:** Contact Lilly Cares at 1-800-545-6962 for the fax number ## Timeline and What to Expect ### Processing Time After you submit your application, **processing typically takes 2-4 weeks**[5]. During this time, Lilly Cares will review your application and supporting documents to verify your eligibility. ### Approval Notification Once your application is reviewed, you will receive notification of the enrollment decision in multiple ways[2]: - **By Mail:** You will receive an official enrollment decision letter - **By Text Message:** If applicable, you may receive a text notification - **Your Healthcare Provider:** Your doctor's office will receive a fax notification ### Medication Delivery If your application is approved, your Forteo will be **shipped to your home or to your healthcare provider's office**[2]. A pharmacy partner will contact you to schedule delivery if needed. ### Enrollment Duration Your enrollment in the program typically lasts for **12 months** or until the end of the calendar year (for Medicare Part D patients)[2]. You will be notified of your specific enrollment expiration date in your approval letter. ## What If Your Application Is Denied? If your application is denied, you have several options: - **Contact Lilly Cares:** Call 1-800-545-6962 to understand why your application was denied and whether you can provide additional information - **Reapply:** You may be able to reapply if your circumstances change (such as a change in income or insurance status) - **Explore Other Assistance:** Ask your healthcare provider about other patient assistance programs, pharmaceutical company programs, or nonprofit organizations that may help with Forteo costs - **Discuss with Your Doctor:** Your healthcare provider may have information about alternative medications or other resources ## Reauthorization and Refills ### Annual Reauthorization Required At the end of your 12-month enrollment period, **you must reapply to remain eligible in the program**[2]. This ensures that your eligibility is still current and that your circumstances haven't changed. ### Reapplication Timeline For **Medicare Part D patients**, you can begin reapplying for the upcoming year starting **October 15**[1]. Patients are encouraged to reapply by **December 31** to avoid gaps in coverage[1]. ### Medication Refills During your enrollment period, your Forteo will be refilled as prescribed by your healthcare provider. Your pharmacy partner will coordinate refills and delivery with you. ## Important Reminders - **No Fees:** Lilly Cares does not charge patients any fees for help with enrollment, medication refills, or program participation[1] - **Beware of Third Parties:** Do not use third-party services that charge fees for assistance that Lilly Cares provides at no cost[1] - **Accurate Information:** Double-check all details on your application to avoid delays[5] - **Follow Up:** If you haven't received a response within four weeks, contact Lilly Cares at 1-800-545-6962[5] ## Contact Information For questions about the Lilly Cares program or to apply: - **Phone:** 1-800-545-6962 - **Website:** www.LillyCares.com ## Disclaimer This guide provides general information about the Lilly Cares Foundation Patient Assistance Program. Program eligibility, requirements, and benefits may change. For the most current and accurate information, please visit www.LillyCares.com or call 1-800-545-6962. This guide is not a substitute for professional medical or financial advice. Always consult with your healthcare provider and review official program documentation before applying.

Program information last verified: March 30, 2026