Olumiant
Generic: baricitinib
Manufacturer: Eli Lilly · Program: Lilly Cares Foundation Patient Assistance Program
Apply for assistanceFree to apply. Service from $40/month, payable only when your application is ready to submit.
Eligibility Criteria
Insurance Requirement
Uninsured or underinsured patients
Residency
US resident
Income Threshold
Up to 500% FPL
Individual Income Limit
$72,900/year
Tiered: ≤300% FPL = free drug; 300–400% = reduced cost; up to 500% for some programs
Program Information
Processing Time
1–2 weeks
Delivery Method
shipped to patient or physician office
Application Method
Multiple
Reauthorization
Required, annual
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- Proof of income
- Prescription from doctor
- Application form
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
- Check Eligibility: Visit www.lillycares.com or call (800) 545-6962.[1][2]
- Choose Application Method:
- Online (fastest, upload docs).[1][3]
- Download, fill, print, and mail/fax.[1][2]
- Request mailed form by phone.[2]
- Complete Patient Section: Enter personal info, income, insurance status. Sign.[1][6]
- Doctor Completes Prescriber Section: Includes prescription and certification.[1][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]
- Submit:
- Online: Upload everything.[3]
- Mail: Lilly Cares, PO Box 501847, San Diego, CA 92150.[1]
- Fax: Check site for number.[1]
- 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
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