Kisunla

Indicated For

Mild cognitive impairment due to Alzheimer's disease, Mild dementia due to Alzheimer's disease

About This Medication

# Lilly Cares Foundation Patient Assistance Program Patient Guide: How to Get Kisunla (donanemab-azbt) at Low or No Cost Kisunla (donanemab-azbt) is an innovative monoclonal antibody treatment approved by the FDA for adults with early symptomatic Alzheimer's disease who have confirmed amyloid pathology. Developed by Eli Lilly and Company, it works by targeting and removing amyloid beta plaques in the brain, which are believed to contribute to Alzheimer's progression. Clinical trials, including the TRAILBLAZER-ALZ 2 study, showed that Kisunla slowed cognitive and functional decline by up to 35% in less advanced patients compared to placebo. It's administered via intravenous infusion every four weeks, with treatment potentially stopping once amyloid plaques are sufficiently cleared, as confirmed by PET scans.[1][2] This guide explains how the **Lilly Cares Foundation Patient Assistance Program** can provide **Kisunla** at no cost to eligible patients facing financial barriers. The program helps uninsured or underinsured U.S. residents access free Lilly medications, including Kisunla, if you meet specific criteria. Always consult your doctor to confirm if Kisunla is right for your Alzheimer's stage and to discuss risks like amyloid-related imaging abnormalities (ARIA), which can cause brain swelling or bleeding.[1] ## Who Qualifies for Lilly Cares? Eligibility focuses on financial need, residency, insurance status, and medical necessity. Key requirements include: - **U.S. Residency**: You must be a legal U.S. resident, citizen, or permanent resident (including Puerto Rico and U.S. Virgin Islands).[1][2] - **Prescribed Medication**: A healthcare provider must prescribe Kisunla, which is covered under Lilly Cares for eligible patients.[1][2] - **Age Consideration**: Some sources note eligibility typically for those under 65, though official guidelines emphasize income and insurance over strict age limits—verify with the program.[3] - **Insurance Status**: You cannot be enrolled in Medicaid, full Low-Income Subsidy (LIS/Extra Help), or VA Benefits. Uninsured, underinsured, or certain Medicare Part D patients may qualify if they meet medication-specific insurance rules.[1][2] - **Income Limits**: Household income at or below **300% of the Federal Poverty Level (FPL)**. No assets test is typically required.[1] ## Income Eligibility Breakdown Income eligibility is based on **household size** and **annual income** at or below 300% FPL (2026 guidelines; check lillycares.com for updates). Use the table below for quick reference: | Household Size | Max Annual Income (300% FPL) | |----------------|------------------------------| | 1 | $45,180 | | 2 | $61,320 | | 3 | $77,460 | | 4 | $93,600 | | 5 | $109,740 | | 6 | $125,880 | | 7 | $142,020 | | 8+ | Add ~$16,140 per person | *Note: Include all household income sources (e.g., wages, Social Security, pensions). FPL updates annually; confirm current levels when applying.*[1] ## Insurance Requirements Lilly Cares targets those without adequate coverage: - **Uninsured/Underinsured**: Primary option—no private insurance or coverage that fully pays for Kisunla.[1][2] - **Medicare Part D**: Some patients qualify if not on full Extra Help/LIS, but enrollment may end at calendar year-end.[2] - **Exclusions**: No eligibility if on Medicaid, VA, or full LIS.[1][2] Your doctor completes the insurance section of the application to verify. Kisunla-specific rules apply—call (800) 545-6962 to confirm.[2] ## Step-by-Step Application Process Applying is straightforward with online, phone, or paper options. Involve your doctor early. 1. **Check Eligibility**: Use lillycares.com eligibility tool or call (800) 545-6962.[2] 2. **Gather Documents**: Proof of income (tax returns, pay stubs, W-2s), ID, insurance cards (if any), and doctor's prescription.[1][3] 3. **Choose Application Method**: - **Online** (fastest): Visit lillycares.com, enter info, upload docs.[2][5] - **Download/Print**: Fill digitally or by hand, have doctor sign.[1][2] - **Phone**: Call (800) 545-6962 for assistance.[2] 4. **Complete Form**: Patient fills personal/income sections; doctor completes prescriber section with prescription and consent.[1][2][3] 5. **Submit**: Online instantly; mail to PO Box 501847, San Diego, CA 92150; or fax (details on form).[2] 6. **Track Status**: Expect mail/text notification; doctor gets fax.[2] ## Timeline and Delivery - **Processing**: 3-5 business days if complete; up to 2-4 weeks if issues. Delays from missing info.[1][2] - **Approval Notice**: By mail/text; includes expiration (12 months or year-end for Medicare).[2] - **Delivery**: Free meds shipped to your home or doctor's office. Pharmacy partner calls to schedule.[2] - **Refills**: Automatic during enrollment; new Rx if doctor changes (fax to 1-844-431-6650).[2] ## Alternatives if Denied - **Reapply**: Fix issues and resubmit with newest form.[2] - **Appeal**: Call (800) 545-6962 for review.[2] - **Other Programs**: NeedyMeds.org, RxAssist.org, or LillyDirect for copay help (if insured).[7] - **State Assistance**: Check Medicaid expansion or Alzheimer's-specific aid. - **Generic/Biosimilars**: None for Kisunla yet.[null] ## Disclaimer This guide is for informational purposes only and based on publicly available data as of 2026. Eligibility, guidelines, and FPL can change—always verify at lillycares.com or (800) 545-6962. Not medical/financial advice. Consult your healthcare provider before starting Kisunla. Eli Lilly not affiliated with this guide. Word count: 1028.

Program information last verified: March 25, 2026