Portrazza

Indicated For

metastatic squamous non-small cell lung cancer

About This Medication

# Lilly PatientOne Patient Guide: How to Get Portrazza (necitumumab) at Low or No Cost Portrazza (necitumumab) is a prescription medication used to treat certain types of advanced non-small cell lung cancer (NSCLC), often in combination with other chemotherapy drugs like gemcitabine and cisplatin. The **Lilly PatientOne** program, offered by Eli Lilly and Company, helps eligible patients access Portrazza at low or no cost if they face financial challenges due to lack of insurance or high out-of-pocket expenses.[1][5] This guide explains everything you need to know about qualifying for and applying to Lilly PatientOne, including income eligibility, insurance rules, step-by-step application process, and more. It's designed to be easy to follow, but always consult your healthcare provider or the program directly for personalized advice. ## About Portrazza (Necitumumab) **Portrazza** is an intravenous (IV) monoclonal antibody that targets the epidermal growth factor receptor (EGFR) on cancer cells, helping to slow tumor growth in patients with metastatic squamous NSCLC who have not received prior chemotherapy for their advanced disease. It's administered by a healthcare professional every two weeks as part of a treatment regimen.[5] Common side effects include skin rash, diarrhea, and low electrolyte levels, so your doctor will monitor you closely. Lilly PatientOne is specifically for oncology products like Portrazza, providing free medication to qualifying patients. Unlike general savings cards, this program targets those who are uninsured, underinsured, or insured but unable to afford copays.[5] ## Who Qualifies for Lilly PatientOne? To qualify, you must meet these key criteria: - Be a **permanent U.S. resident** (including Puerto Rico and U.S. Virgin Islands). - Have a valid prescription for Portrazza from your healthcare provider. - Meet **household income guidelines** (typically up to 400-500% of the Federal Poverty Level (FPL), depending on the medication group; Portrazza falls under oncology support similar to Group 4).[1][3][7] - Not be enrolled in **Medicaid, full Low-Income Subsidy (LIS/Extra Help), or VA Benefits**.[1][2] - Have insurance status of **uninsured, underinsured, or insured** (program accepts Medicare Part D or Part B in some cases, but verify specifics).[1][5] Enrollment is decided **case-by-case**, especially for oncology drugs like Portrazza.[5] ## Income Eligibility Breakdown Lilly programs, including PatientOne and related Lilly Cares for oncology, use **annual adjusted gross income (AGI)** before taxes for your household. Limits are based on **Federal Poverty Level (FPL)** percentages, varying by medication group. For Portrazza (oncology, similar to Group 4), eligibility is often up to **500% FPL** for uninsured or Medicare Part D patients.[1][3] Here's a table with example 2026 FPL-based limits at 500% (adjust for your year; contact program for exact figures, as Alaska/Hawaii differ).[1][4] | Household Size | Max Annual Income (500% FPL) | |----------------|------------------------------| | 1 (Individual) | $75,300 | | 2 (Couple) | $101,500 | | 3 | $127,800 | | 4 | $154,000 | *Notes: Add ~$26,200 per additional person. Income includes all household earners. Provide proof like tax returns.[1][2] If over limits, you may not qualify.* ## Insurance Requirements Lilly PatientOne supports: - **Uninsured**: Fully eligible if income qualifies.[5][7] - **Underinsured/Insured**: Medicare Part D or Part B (without full supplemental) may qualify, especially if insurance doesn't cover Portrazza.[1][5] - **Exclusions**: No Medicaid, full LIS, VA, or plans requiring PAP as prerequisite (Alternative Funding Programs/AFPs).[2][7] Your doctor verifies insurance; provide documentation like insurance cards or denial letters.[1] ## Step-by-Step Application Process 1. **Discuss with Your Doctor**: Confirm Portrazza prescription and ask them to apply (physician-directed for oncology).[5] 2. **Check Eligibility**: Use phone (866-472-8663) or Lilly sites to pre-screen income/insurance.[1][5] 3. **Gather Documents**: Prescription, proof of income (tax return, pay stubs, W-2s), insurance details, ID, HIPAA authorization.[2][6] 4. **Submit Application**: Multiple methods—call (866) 472-8663, download forms online, or electronic at lillycares.com (recommended).[1][2][5] 5. **Doctor Completes Section**: Provider submits medical info and confirms need.[9] 6. **Sign and Attest**: Agree to eligibility, no AFPs, truthful info.[2] Applications are free; no cost to patient. ## Timeline and Delivery Processing takes **2-4 weeks** typically, but varies case-by-case. Once approved, medication ships free to your doctor's office or infusion center (not home for IV drugs like Portrazza).[1][2] Track status by calling (866) 472-8663. Re-enroll annually or as required.[7] ## Alternatives if Denied or Ineligible - **Lilly Cares Foundation**: Broader program for same drugs, up to 500% FPL.[1][8] - **Other PAPs**: NeedyMeds, RxAssist, or PAN Foundation for lung cancer. - **Copay Cards**: If commercially insured (not government).[6] - **State Programs**: Check for cancer-specific aid. - **Appeal**: Resubmit with more docs or contact for reasons.[7] ## Important Disclaimer This guide is for informational purposes only and based on publicly available data as of 2026. Eligibility, income limits, and rules can change; **always verify with Lilly at (866) 472-8663 or official sites**. Not legal/medical advice. Lilly may audit applications and deny for inaccuracies. Free meds don't affect government benefits unless specified. Consult your doctor for treatment options. Word count: 1028.

Program information last verified: March 30, 2026