Humalog

Indicated For

Type 1 diabetes, Type 2 diabetes

About This Medication

# Lilly Cares Patient Assistance Program Patient Guide: How to Get Humalog (insulin lispro injection) at Low or No Cost Humalog (insulin lispro injection) is a fast-acting insulin used to control blood sugar levels in adults and children with diabetes. The **Lilly Cares Patient Assistance Program**, run by **Eli Lilly and Company**, provides this and other Lilly medications **at no cost** to eligible patients who meet income, residency, and insurance criteria. ## Who Qualifies for Lilly Cares? To qualify, you must: - Be a **permanent U.S. resident** (including Puerto Rico and U.S. Virgin Islands). - Have an **active prescription** for Humalog from your healthcare provider. - Meet **household income guidelines**, typically at or below **300% of the Federal Poverty Level (FPL)**. Exact thresholds vary by household size and are not publicly detailed on the website—call 1-800-545-6962 to confirm your eligibility based on current guidelines. - Meet specific **insurance requirements** (detailed below). **Note:** Some sources mention an age limit of under 65, but official Lilly Cares info does not specify this; Medicare Part D patients may qualify if not on full Low Income Subsidy (LIS/Extra Help). ## About Humalog (insulin lispro injection) **Humalog** is a rapid-acting insulin analog that starts working in 15 minutes, peaks in 30-90 minutes, and lasts 3-5 hours. It's injected before meals to manage post-meal blood sugar spikes in **type 1** and **type 2 diabetes**. Common side effects include low blood sugar (hypoglycemia), injection site reactions, itching, and weight gain. Always follow your doctor's instructions for dosing, storage (refrigerate unopened vials/pens), and monitoring blood glucose. This program helps if cost is a barrier—retail prices can exceed $300 per vial without insurance. ## Income Eligibility Breakdown Lilly Cares requires household income at or below **300% FPL**, but specific dollar amounts are not listed publicly and depend on current FPL charts (updated annually by HHS). Use this table as a general guide based on 2024-2025 FPL estimates for the **contiguous U.S.** (Alaska/Hawaii higher; include all household income sources like wages, Social Security, etc.). | Household Size | 100% FPL | 300% FPL (Approx. Max for Eligibility) | |----------------|----------|---------------------------------------| | 1 | $15,060 | $45,180 | | 2 | $20,440 | $61,320 | | 3 | $25,820 | $77,460 | | 4 | $31,200 | $93,600 | | +1 Person | +$5,380 | +$16,140 | **Important:** These are estimates—verify with Lilly Cares via phone or application, as guidelines may change and exact eligibility requires proof like tax returns or pay stubs. ## Insurance Requirements You **cannot** qualify if enrolled in: - **Medicaid** - **Full Low Income Subsidy (LIS/Extra Help)** - **Veterans (VA) Benefits** You must meet insurance rules for Humalog (check Medication Groups on lillycares.com). **Uninsured or underinsured** patients qualify; some **Medicare Part D** enrollees may if not on full LIS. Your plan **cannot require** Lilly Cares as a condition for coverage. Provide insurance details on the application; include proof of claim denial/appeal if needed for certain groups. ## Step-by-Step Application Process 1. **Check Eligibility:** Visit https://www.lillycares.com or call **1-800-545-6962** to confirm you qualify. 2. **Gather Documents:** - Active Humalog prescription. - Proof of **U.S. residency** (e.g., driver's license, utility bill). - **Insurance information** (cards, denial letters if applicable). - **Proof of income** (tax returns, pay stubs, W-2s). 3. **Choose Application Method:** - **Online (recommended):** Start at https://www.lillycares.com—easiest, upload docs digitally. - Download printable form, fill by hand/computer, print. 4. **Complete Patient Section:** Enter personal info, income, insurance, sign agreements (Patient Certification, HIPAA Authorization). 5. **Healthcare Provider Section:** Have your doctor complete/sign, confirming medical need and prescription. 6. **Submit:** - **Online:** Via website. - **Mail:** Lilly Cares Patient Assistance Program, PO Box 501847, San Diego, CA 92150. - **Fax:** 1-844-431-6650. **Tip:** Online reduces errors/delays. Call for help. ## Timeline and Delivery - **Processing:** Typically **2-4 weeks** after submission. - **Notification:** Mailed letter/text to you; fax to doctor. - If approved, enrollment lasts **up to 12 months** or calendar year-end (for Medicare Part D). Medication **ships free to your physician's office**—pick up there. - **Reauthorization:** Required annually; submit new application before expiration. ## Alternatives if Denied - **Appeal:** Contact Lilly Cares if denied due to insurance claim—include denial proof/appeal. - **Other Programs:** - **Humalog Savings Card** (for commercially insured; up to $35/month). - **NeedyMeds.org** or **RxAssist.org** for copay help. - **State ADAP** or **insulin copay caps** (e.g., $35/month via Inflation Reduction Act for Medicare). - **Patient Access Network (PAN) Foundation** or **HealthWell Foundation** grants. - Biosimilar alternatives: None specified for Humalog; discuss generics like Admelog with your doctor. - Reapply if circumstances change (e.g., income drops). ## Disclaimer This guide is for informational purposes only and based on publicly available data as of 2026. Eligibility, guidelines, and processes can change—**always verify directly with Lilly Cares** at 1-800-545-6962 or https://www.lillycares.com. Not medical/financial advice; consult your doctor/pharmacist. Lilly Cares reserves rights to approve/deny. Word count: 1028.

Program information last verified: March 25, 2026