Lyumjev

Indicated For

Diabetes

About This Medication

# Lilly Cares Foundation Patient Guide: How to Get Lyumjev at Low or No Cost ## About This Program The Lilly Cares Foundation Patient Assistance Program is a charitable program offered by Eli Lilly and Company to help qualifying patients obtain certain medications, including Lyumjev (insulin lispro-aabc injection), at no cost.[1] If you struggle to afford your insulin, this program may be able to help you access the medication your doctor has prescribed. ## About Lyumjev Lyumjev is a rapid-acting insulin injection used to help control blood sugar in people with diabetes.[1] It is classified as a Group 2 medication under the Lilly Cares program, meaning it is available to patients who meet specific income and insurance requirements. ## Who Qualifies for Lilly Cares To be eligible for the Lilly Cares program, you must meet all of the following requirements:[1][3] - Be a permanent resident of the United States (including Puerto Rico and the U.S. Virgin Islands) - Have a current prescription for Lyumjev from your healthcare provider - Not be enrolled in Medicaid, full Low-Income Subsidy (LIS, also called "Extra Help"), or Veterans (VA) Benefits - Meet specific income guidelines based on your insurance status (see Income Eligibility section below) - Not have an insurance plan or third party that requires you to apply for Lilly Cares as a condition of coverage ## Income Eligibility Lyumjev is a Group 2 medication, which means you qualify if you have no insurance or have Medicare Part D and your household annual adjusted gross income is at or below **400% of the Federal Poverty Level (FPL)**.[3] While the search results do not provide specific dollar amounts for 2026, the 400% FPL threshold typically allows for modest household incomes. For reference, the Federal Poverty Level is adjusted annually. To determine your exact eligibility, you can: - Contact Lilly Cares directly at 1-800-545-6962 - Complete the online application, which will calculate your eligibility based on your reported income - Consult the income guidelines provided with the application materials ## Insurance Requirements Your insurance status determines your eligibility for Lyumjev through Lilly Cares:[3] | Insurance Status | Eligible? | Notes | |---|---|---| | Uninsured | Yes | Must meet income requirements | | Medicare Part D | Yes | Must meet income requirements (≤400% FPL) | | Medicaid | No | Not eligible for this program | | Full Low-Income Subsidy (LIS/"Extra Help") | No | Not eligible for this program | | Veterans (VA) Benefits | No | Not eligible for this program | | Private Insurance | Varies | Contact Lilly Cares for your specific plan | If your insurance does not cover Lyumjev, you may still qualify for assistance through Lilly Cares even if you have insurance coverage for other medications. ## How to Apply Applying for Lilly Cares is straightforward and free. The program does not charge patients any fees for enrollment, medication refills, or program participation.[2] ### Step 1: Choose Your Application Method You have three options for completing your application:[2] 1. **Online Application** (Recommended): Complete your application at lillycares.com. This method reduces paperwork and potential delays. 2. **Printed Application**: Download a blank application, print it, and fill it in by hand. 3. **Computer-Filled Application**: Download a blank application, fill it in on your computer, then save and print the completed form. ### Step 2: Gather Required Documents Before starting your application, have the following information ready: - Proof of residency (showing your U.S. address) - Proof of income (such as recent tax returns, pay stubs, or benefit statements) - Your current prescription for Lyumjev from your healthcare provider - Information about your current insurance coverage (if any) - Your healthcare provider's contact information and NPI number ### Step 3: Complete the Patient Section Fill out all patient information on the application, including: - Your name, date of birth, and contact information - Your household income and family size - Your current insurance status - Your address and residency confirmation Sign the application where indicated. ### Step 4: Have Your Healthcare Provider Complete the Prescriber Section Your doctor or healthcare provider must: - Complete the prescriber section of the application - Provide a current prescription for Lyumjev - Include their NPI number and contact information - Submit the prescription as part of the application ### Step 5: Submit Your Application Submit your completed application using one of these methods:[3] - **Online**: Submit directly through the Lilly Cares website - **Fax**: Send to the fax number provided on the application - **Mail**: Send to: - Lilly Cares Patient Assistance Program - PO Box 501847 - San Diego, CA 92150 ## Timeline and Delivery While the search results do not specify exact processing times, Lilly Cares typically processes applications within a reasonable timeframe. Once approved, your Lyumjev will be shipped directly to your healthcare provider's office or to you, depending on the program's current procedures.[7] You can receive up to 12 months of medication supply through the program.[1] ## Refills and Reauthorization Lilly Cares requires you to reapply each year to continue receiving your medication.[7] Medicare Part D patients can begin reapplying for the upcoming year starting October 15, and you are encouraged to reapply by December 31.[2] To request refills or reauthorization: - Contact Lilly Cares at 1-800-545-6962 - Submit a new application before your current authorization expires - Provide updated income and insurance information as requested ## What If Your Application Is Denied? If your application is denied, you have several options: 1. **Contact Lilly Cares**: Call 1-800-545-6962 to understand the reason for denial and discuss whether you can reapply with additional information. 2. **Explore Other Assistance**: Contact your healthcare provider about other patient assistance programs, manufacturer coupons, or community health resources. 3. **Check for Other Programs**: Other insulin manufacturers (Novo Nordisk and Sanofi) also offer patient assistance programs that may have different eligibility requirements. 4. **Seek Community Support**: Local health departments, diabetes organizations, and nonprofit groups may offer additional resources. ## Important Reminders - **No Fees**: Lilly Cares does not charge patients for help with enrollment, medication refills, or program participation.[2] - **Beware of Third Parties**: Do not use third-party services that charge fees for assistance that Lilly Cares provides at no cost. Lilly Cares is not affiliated with such services.[2] - **Annual Reapplication**: You must reapply each year to continue receiving your medication. - **Direct Support**: For questions or assistance, call Lilly Cares at 1-800-545-6962. ## Disclaimer This guide provides general information about the Lilly Cares Foundation Patient Assistance Program for Lyumjev. Program eligibility, requirements, and benefits may change. For the most current and accurate information, visit lillycares.com or call 1-800-545-6962. This guide is not a substitute for professional medical or financial advice. Consult your healthcare provider or a financial counselor for personalized guidance.

Program information last verified: March 30, 2026