Omvoh

Indicated For

Ulcerative Colitis, Crohn's Disease

About This Medication

# Lilly Cares Patient Assistance Program Patient Guide: How to Get Omvoh (mirikizumab-mrkz) at Low or No Cost This guide explains how to access **Omvoh (mirikizumab-mrkz)** through the **Lilly Cares Patient Assistance Program** from Eli Lilly. Lilly Cares provides free Lilly medications like Omvoh to eligible U.S. patients in financial need, helping uninsured or underinsured individuals manage conditions such as ulcerative colitis.[1][7] ## About Omvoh (mirikizumab-mrkz) **Omvoh** is an injectable biologic medication approved for treating moderately to severely active ulcerative colitis in adults. It works by targeting interleukin-23 (IL-23), a protein involved in inflammation, to help reduce symptoms like abdominal pain, frequent bowel movements, and rectal bleeding. Administered subcutaneously every four weeks after initial doses, Omvoh offers a targeted treatment option for those who haven't responded well to conventional therapies.[1] Lilly Cares covers Omvoh for qualifying patients, shipping it free for up to 12 months. This program bridges gaps for those facing high costs, which can exceed $5,000 per dose without assistance. ## Who Qualifies for Lilly Cares? To qualify, you must meet these key criteria: - Be a **permanent U.S. resident** (including Puerto Rico and U.S. Virgin Islands).[2] - Have a valid prescription for **Omvoh** from your healthcare provider.[1] - Meet **household income guidelines**, typically at or below **300% of the Federal Poverty Level (FPL)**, though exact limits depend on household size and are assessed individually.[5] - Satisfy **insurance requirements**: Uninsured, underinsured, or Medicare Part D patients whose plan doesn't cover Omvoh. You cannot be enrolled in Medicaid, full Low-Income Subsidy (LIS/Extra Help), or VA Benefits.[2][5] Lilly Cares evaluates financial need based on income, assets, and other factors. Medicare Part D patients can reapply starting October 15 for the next year.[1] ## Income Eligibility Breakdown Lilly Cares bases eligibility on household income up to approximately **300% of the FPL**. Specific thresholds aren't fixed in program details but are verified via proof of income. Use this table for 2026 FPL estimates (actuals may vary; check www.lillycares.com for current guidelines).[5] | Household Size | 100% FPL | 300% FPL (Approx. Threshold) | |----------------|----------|------------------------------| | 1 Person | $15,060 | $45,180 | | 2 People | $20,440 | $61,320 | | 3 People | $25,820 | $77,460 | | 4 People | $31,200 | $93,600 | *Add ~$5,380 per additional person for 100% FPL.* Income includes wages, Social Security, and more. Households slightly above may qualify if other hardships exist.[2][5] ## Insurance Requirements - **Uninsured patients** qualify if they lack prescription coverage.[5] - **Medicare Part D**: Eligible if your plan denies coverage for Omvoh. Excludes full LIS/Extra Help.[1][2] - **Private insurance**: May qualify if underinsured (e.g., high copays), but government programs like Medicaid/VA are excluded.[2] - **Not eligible**: Active Medicaid, VA Benefits, or state-funded programs.[2] Provide insurance details on the application; Lilly Cares verifies coverage status.[1] ## Step-by-Step Application Process 1. **Check Eligibility**: Review income, residency, and insurance on www.lillycares.com.[2] 2. **Gather Documents**: Collect **proof of income** (tax returns, pay stubs, W-2s), **proof of residency** (utility bill, ID), **prescription** for Omvoh, and **insurance information** (card or denial letter).[1][5] 3. **Choose Application Method**: - **Online** (fastest): Visit www.lillycares.com, enter info, upload documents.[1][3] - **Download & Mail**: Get form from site, complete patient/doctor sections, mail to PO Box 501847, San Diego, CA 92150.[1][2] - **Request by Phone**: Call 1-800-545-6962.[1] 4. **Doctor's Role**: Your provider completes the prescriber section and attaches the prescription.[2] 5. **Sign & Submit**: Both you and your doctor sign. Online submits instantly; mail/fax as instructed.[1] Avoid third-party services charging fees—Lilly Cares is free.[1] ## Timeline and Delivery - **Processing**: 2-4 weeks typically.[5] - **Notification**: Mailed to you, faxed to doctor; text if provided.[2] - **Approval Duration**: Up to **12 months** or calendar year-end for Medicare Part D.[2][7] - **Delivery**: Shipped free to your **home** or doctor's office; pharmacy partner calls to schedule.[2] Reapply before expiration (new application yearly).[8] ## Alternatives if Denied - **Appeal**: Contact 1-800-545-6962 to discuss reasons and resubmit.[1] - **Other Programs**: Check NeedyMeds.org or Partnership for Prescription Assistance for similar aid. - **Manufacturer Savings**: Lilly's commercial copay cards (if insured, not government). - **Patient Access Network (PAN) Foundation**: Grants for copays. - **State Programs**: Local assistance for underinsured. Track denials and reapply if circumstances change.[5] ## Reauthorization **Reauthorization is required** annually. Medicare Part D patients: Reapply by December 31 (start October 15).[1][8] Submit new application/documents before expiration to avoid gaps.[2] ## Important Disclaimer This guide is for informational purposes based on available program details as of 2026. Eligibility, guidelines, and processes can change—always verify at www.lillycares.com or call 1-800-545-6962. Lilly Cares makes final decisions; approval isn't guaranteed. Consult your doctor for medical advice. Not affiliated with third-party services.[1][2]

Program information last verified: March 30, 2026