Olumiant

Indicated For

Rheumatoid Arthritis, Alopecia Areata, COVID-19 hospitalized

About This Medication

# Lilly Cares Foundation Patient Assistance Program Patient Guide: How to Get Olumiant (baricitinib) at Low or No Cost Olumiant (baricitinib) is a prescription medication used to treat certain adults with **rheumatoid arthritis**, moderate to severe **atopic dermatitis (eczema)**, and **COVID-19** in hospitalized patients requiring oxygen. The **Lilly Cares Foundation Patient Assistance Program** offers this Eli Lilly medication **at no cost** to eligible uninsured or underinsured U.S. residents who meet income guidelines.[1][5] ## Who Qualifies for Lilly Cares? To qualify, you must meet **all** these criteria: - Be a **permanent U.S. resident** (including Puerto Rico and U.S. Virgin Islands).[1] - Have a valid prescription for **Olumiant** from your healthcare provider.[1] - Be **uninsured or underinsured** (not enrolled in Medicaid, full Low Income Subsidy/Extra Help, or VA benefits; specific rules apply for Medicare Part D).[1][5] - Meet **household income guidelines**, typically **at or below 300% of the Federal Poverty Level (FPL)**.[5] - Not use third-party services that charge fees for application help—the program is free.[2] **Important:** Check the latest eligibility on the Lilly Cares website or call **(800) 545-6962**, as guidelines can change.[1][2] ## About Olumiant (baricitinib) **Olumiant** is a **JAK inhibitor** tablet taken once daily. It helps reduce inflammation in conditions like: - **Rheumatoid arthritis** (RA): When other treatments fail.[1] - **Atopic dermatitis**: For moderate-to-severe cases not controlled by topical therapies.[1] - **COVID-19**: In combination with other treatments for hospitalized adults.[1] Common side effects include infections, headaches, and high cholesterol. **Always follow your doctor's instructions** and report side effects. This program provides the medication **free** if approved, but does not cover doctor visits or lab tests.[1][5] ## Income Eligibility Breakdown Lilly Cares bases eligibility on **household income at or below 300% of the FPL**. Exact thresholds aren't listed per household size here but are verified during application. Use this table for **2026 FPL estimates** (actuals available on Lilly Cares site or HHS.gov; call for confirmation).[5] | Household Size | 100% FPL (Annual) | 300% FPL (Annual Max) | |----------------|-------------------|-----------------------| | 1 person | $15,060 | $45,180 | | 2 people | $20,440 | $61,320 | | 3 people | $25,820 | $77,460 | | 4 people | $31,200 | $93,600 | | +1 person | +$5,380 | +$16,140 | **Notes:** Income includes wages, Social Security, etc. Provide **proof like tax returns or pay stubs**. Medicare Part D patients may qualify if not on full Extra Help.[1][5] ## Insurance Requirements - **Uninsured or underinsured** patients only.[1][5] - **Not eligible** if on Medicaid, full LIS/Extra Help, or VA benefits.[1] - **Medicare Part D**: Some may qualify; reapply by **December 31** for next year (starting October 15).[2] - Specific **medication group rules** apply—check for Olumiant on the application.[1] ## Step-by-Step Application Process 1. **Check Eligibility:** Visit www.lillycares.com or call **(800) 545-6962**.[1][2] 2. **Choose Application Method:** - **Online** (fastest, upload docs).[1][3] - Download, fill, print, and mail/fax.[1][2] - Request mailed form by phone.[2] 3. **Complete Patient Section:** Enter personal info, income, insurance status. Sign.[1][6] 4. **Doctor Completes Prescriber Section:** Includes prescription and certification.[1][5] 5. **Gather Documents:** - **Proof of income** (tax returns, pay stubs, W-2s).[5][6] - **Prescription** from doctor.[1] - **Application form** (signed by you and doctor).[1] 6. **Submit:** - Online: Upload everything.[3] - Mail: Lilly Cares, PO Box 501847, San Diego, CA 92150.[1] - Fax: Check site for number.[1] 7. **Wait for Decision:** By mail/text (you) and fax (doctor).[1] **Tips:** Use online to avoid delays. Double-check info. No fees—avoid paid helpers.[2][5] ## Timeline and Delivery - **Processing:** Typically **2-4 weeks**.[5] - **Approval Notice:** By mail/text; states expiration (**12 months** or end of calendar year for Medicare).[1] - **Delivery:** Shipped **free to your home** or doctor's office. Pharmacy partner calls to schedule.[1][5] - **Reapply:** Yearly with new docs; new enrollment required.[1][7] ## Alternatives if Denied or Ineligible - **Appeal:** Contact Lilly Cares to review.[1] - **Other Programs:** - **NeedyMeds.org** or **RxAssist.org** for Olumiant alternatives.[7] - **Patient Access Network (PAN)** or **HealthWell Foundation** for RA/eczema. - **Manufacturer Copay Cards:** Check Olumiant.com for insured patients. - **State Programs** or **GoodRx** discounts. - **Biosimilars:** None listed for Olumiant.[provided] Call **(800) 545-6962** for guidance.[1] ## Disclaimer This guide is for informational purposes only and based on available program details as of general knowledge. **Eligibility, income limits, and processes can change**—always verify with Lilly Cares at **(800) 545-6962** or www.lillycares.com. This is **not medical advice**. Consult your doctor for treatment decisions. Lilly Cares does not guarantee approval. Program provides medication only, not other costs. Eli Lilly and Lilly Cares are not responsible for third-party info.[1][2][5]

Program information last verified: March 30, 2026