Lyumjev

Indicated For

Diabetes

About This Medication

# Lilly Cares Patient Assistance Program Guide: How to Get Lyumjev at Low or No Cost ## About This Guide If you've been prescribed Lyumjev (insulin lispro-aabc) to manage your diabetes but are worried about the cost, help is available. Eli Lilly and Company offers the **Lilly Cares Patient Assistance Program**, which provides free or low-cost Lyumjev to eligible patients who cannot afford their medication. This guide will walk you through everything you need to know. ## What is Lyumjev? Lyumjev is a rapid-acting insulin analog used to help control blood sugar levels in people with diabetes. It works quickly to help your body use glucose (sugar) properly. Because insulin is essential for managing diabetes, it's important that cost doesn't prevent you from getting the medication you need. ## Who Can Get Help? The Lilly Cares Program is designed for patients who: - Have no health insurance - Have Medicare Part D coverage - Have Medicare Part B without supplemental or secondary insurance - Cannot afford their Lyumjev prescription, even with insurance - Meet the income eligibility requirements ## Income Eligibility To qualify for the Lilly Cares Program, your household income must be at or below 500% of the Federal Poverty Level (FPL). Use the table below to see if you likely qualify: | Household Size | Maximum Annual Income | |---|---| | 1 person | $31,200 | | 2 people | $42,100 | | 3 people | $53,000 | | 4 people | $63,900 | | 5 people | $74,800 | | 6 people | $85,700 | | 7 people | $96,600 | | 8 people | $107,500 | | Each additional person | Add $10,900 | **Note:** These figures are based on current Federal Poverty Level guidelines. Income limits may change annually. When you apply, Lilly Cares will verify your exact eligibility based on current guidelines. ## Insurance Requirements You may qualify for the Lilly Cares Program if you fall into one of these insurance categories: 1. **Uninsured:** You have no health insurance 2. **Medicare Part D:** You have Medicare prescription drug coverage 3. **Medicare Part B without supplemental coverage:** You have Medicare but no Medigap or other secondary insurance 4. **Underinsured:** You have insurance but cannot afford your copay or coinsurance If you have private insurance that covers Lyumjev, you may want to explore that coverage first, but you may still be eligible if you cannot afford your out-of-pocket costs. ## What You'll Need to Apply Before you start your application, gather these documents: 1. **Proof of Income** – One of the following: - Last 2 months of pay stubs - Tax return from the last year - Unemployment benefits statements - Pension or Social Security statements - Disability benefits documentation - Any other proof of household income 2. **Valid Prescription** – A current prescription for Lyumjev from your healthcare provider 3. **Healthcare Provider Information** – Your doctor's office will need to complete a section of the application form 4. **Insurance Information** – If applicable, information about your current health insurance ## How to Apply: Step-by-Step Instructions ### Step 1: Get Your Prescription Make an appointment with your doctor to discuss your diabetes management. Ask them to write a prescription for Lyumjev if they feel it's appropriate for your condition. You'll need this prescription to apply. ### Step 2: Choose Your Application Method The Lilly Cares Program offers multiple ways to apply: - **Online:** Visit **https://www.lillycares.com** to start your application directly - **Phone:** Call **(800) 545-6962** to speak with a Lilly Cares specialist who can help you apply over the phone - **Mail or Fax:** You can also request an application form to be mailed to you ### Step 3: Complete Your Application Provide the following information: - Your full name, date of birth, and contact information - Household size and total household income - Information about your current insurance (if any) - Your prescription for Lyumjev - Healthcare provider information ### Step 4: Submit Required Documents Attach copies of your: - Proof of income (as listed above) - Valid prescription - Healthcare provider verification form (your doctor completes this) ### Step 5: Wait for Approval Lilly Cares typically processes applications within **4 to 8 weeks**. You'll be contacted at the phone number or email you provided with approval status. ### Step 6: Receive Your Medication Once approved, your Lyumjev will be **shipped directly to you** or to your healthcare provider's office—whichever is more convenient. You won't have to pay for the medication. ## What Happens After You're Approved? ### Ongoing Support Once you're enrolled in the Lilly Cares Program, you can continue to receive Lyumjev as long as you remain eligible. However, you'll need to **reauthorize annually**, which means Lilly Cares will ask for updated proof of income each year to confirm you still qualify. ### Refills As you run low on Lyumjev, Lilly Cares will work with you to arrange refills. The program will monitor your supply and ensure you don't run out of medication. ### Contact Information Keep the phone number **(800) 545-6962** handy for questions about your enrollment, refills, or if your circumstances change. ## Other Cost-Saving Options If you're already insured, don't automatically skip the Lilly Cares Program. You might also want to know about: ### Lilly Insulin Value Program Eli Lilly offers a **Savings Card** for eligible insured patients, available at **https://insulins.lilly.com/lilly-insulin-value-program**. This card can significantly reduce your copay on Lyumjev. Some patients pay as little as $35 per month. ## What If Your Application is Denied? If Lilly Cares determines you don't qualify, don't give up. Here are other options: 1. **Ask why you were denied** – Contact Lilly Cares to understand the reason. If circumstances have changed, you may be able to reapply. 2. **Explore the Lilly Insulin Value Program** – The savings card may still help if you have insurance. 3. **Contact your healthcare provider** – They may have samples of Lyumjev or know of other resources. 4. **Look into state pharmaceutical assistance programs** – Many states offer additional help for medications. 5. **Visit NeedyMeds.org** – This nonprofit database lists additional patient assistance programs and resources. 6. **Ask about generic alternatives** – Your doctor may recommend other rapid-acting insulins that might be more affordable. ## Timeline Summary - **Application processing:** 4-8 weeks typical - **Reauthorization:** Required once per year - **Delivery:** Shipped to you or your provider - **Refills:** Arranged through the program ## Important Reminders - **Never stop taking your insulin** without talking to your doctor, even if you're waiting for program approval. Skipping insulin doses can be dangerous. - **Keep your contact information updated** so Lilly Cares can reach you. - **Report changes in income or insurance** promptly, as this could affect your eligibility. - **Save your approval documentation** for your records. ## Legal Disclaimer This guide is for informational purposes only and does not constitute medical advice. The information provided is based on current program guidelines and may change. Eligibility requirements, income thresholds, and program terms are set by Eli Lilly and Company and may be updated at any time. For the most current and accurate information about the Lilly Cares Patient Assistance Program, including specific eligibility criteria and application requirements, visit **https://www.lillycares.com** or call **(800) 545-6962**. Always consult with your healthcare provider about your diabetes treatment and medication options. --- **Ready to apply? Contact Lilly Cares today at (800) 545-6962 or visit https://www.lillycares.com**

Program information last verified: March 25, 2026