Zyprexa
Generic: olanzapine
Manufacturer: Eli Lilly and Company · Program: Lilly Cares
Apply for AssistanceEligibility Criteria
Insurance Requirement
Uninsured or Medicare Part D; patients may be eligible if insurance does not cover medication
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
- proof of residency
- prescription
- proof of insurance status
Indicated For
schizophrenia, bipolar disorder
About This Medication
# Lilly Cares Patient Guide: How to Get Zyprexa (olanzapine) at Low or No Cost **Lilly Cares** is a free patient assistance program from Eli Lilly and Company that provides **Zyprexa (olanzapine)**, an antipsychotic medication used to treat conditions like schizophrenia and bipolar disorder, to eligible patients at no cost.[1][2][9] This guide explains everything you need to know to apply and get your medication. ## About Zyprexa (olanzapine) Zyprexa, or olanzapine, is a prescription medication that helps manage symptoms of mental health conditions such as schizophrenia, bipolar mania, and sometimes depression when used with other drugs.[9] It comes in tablet or orally disintegrating (Zydis) forms and works by balancing brain chemicals to improve mood, thoughts, and behavior.[2][4] Always take it as prescribed by your doctor, and discuss any side effects like weight gain, drowsiness, or metabolic changes with your healthcare provider. ## Who Qualifies for Lilly Cares? To qualify, you must meet these key requirements: - Be a permanent **U.S. resident** (including Puerto Rico and U.S. Virgin Islands).[2][3][7] - Have a valid prescription for **Zyprexa** from your healthcare provider.[1][2] - Meet **household income guidelines** (specific limits not publicly listed; determined case-by-case based on financial need).[1][7] - **Insurance status**: Uninsured, Medicare Part D (case-by-case), or insured but coverage denied for the medication. You cannot be enrolled in Medicaid, full Low-Income Subsidy (LIS/Extra Help), or VA Benefits.[2][3][5] The program is for patients in financial need who can't afford their Lilly medications.[2] ## Income Eligibility Breakdown Lilly Cares does not publish fixed income thresholds like a percentage of the Federal Poverty Level (FPL). Instead, eligibility is assessed individually based on your household income, size, and financial situation.[1][7] You must provide proof of income, and the program considers your overall need. Here's a general overview based on program guidelines (call 1-800-545-6962 for your specific case): | Household Size | Estimated Income Consideration | Notes | |---------------|-------------------------------|-------| | 1 (Individual) | Case-by-case; proof required | No fixed limit listed[1] | | 2 (Couple) | Case-by-case; proof required | Household income total[7] | | 3 | Case-by-case; proof required | Include all dependents[2] | | 4+ | Case-by-case; proof required | Larger families may qualify easier[3] | **Tip**: Gather recent tax returns, pay stubs, or benefit statements. Income is reviewed annually.[4] ## Insurance Requirements - **Uninsured patients** are priority candidates.[4][5] - **Medicare Part D**: Eligible case-by-case; reapply starting October 15 for the new year.[1][5] - **Private insurance**: May qualify if your plan denies coverage for Zyprexa.[5] - **Ineligible**: Medicaid, full LIS/Extra Help, VA Benefits, or any government program covering the drug.[2][3][7] Provide proof of your insurance status or denial letter with your application.[1] ## Step-by-Step Application Process 1. **Check Eligibility**: Confirm residency, prescription, income, and insurance via phone (1-800-545-6962) or website.[3] 2. **Get the Application**: Use the **online form** at https://www.lillycares.com/lilly-cares-application (recommended for speed) or download the PDF.[1][2] 3. **Fill Patient Section**: Provide your info, income proof, residency proof (e.g., utility bill), and insurance details. Opt for auto-refill if desired.[2] 4. **Healthcare Provider Section**: Your doctor completes this, signs, and sends a prescription (e-prescription to Neovance Specialty Pharmacy NPI 1780811125 or fax to 1-844-431-6650).[2][3] 5. **Submit**: Online, fax, or mail to Lilly Cares, PO Box 501847, San Diego, CA 92150.[3] 6. **Required Documents**: - Proof of income (pay stubs, tax return) - Proof of residency - Prescription - Proof of insurance status[1] **Avoid third-party services charging fees**—Lilly Cares is free.[1] ## Timeline and Delivery - **Processing**: Typically **2-4 weeks** after submission.[3][4] - **Supply**: 1-4 months per shipment (up to 120 days); doctor can request more/less.[3][4][7] - **Delivery**: Shipped free directly to **you** (patient) by the contracted pharmacy—not always to doctor.[3] - If no medication after 14 business days post-approval, call 1-800-545-6962.[3] ## Refills and Reauthorization - **Refills**: If auto-refill opted in, it's automatic. Otherwise, call 1-800-545-6962 or the pharmacy on your label. Doctor may need to provide new prescription.[2][3] - **Reauthorization**: Required annually; reapply by December 31 with new financial docs.[1][4] ## Alternatives if Denied - **Appeal**: Contact Lilly Cares to discuss reasons and resubmit.[3] - **Other Programs**: Check NeedyMeds, RxAssist, or PAN Foundation for Zyprexa alternatives. No biosimilars listed.[5] - **Generic olanzapine**: Ask your doctor about lower-cost generics if uninsured. - **State programs** or community clinics for mental health meds. - **RxHope** or **RxResource** for similar PAPs.[4][7] ## Important Disclaimer This guide is for informational purposes based on publicly available sources as of 2026 and is not medical or legal advice. Eligibility, guidelines, and availability can change—always verify with Lilly Cares at 1-800-545-6962 or www.lillycares.com. Consult your doctor before starting/stopping Zyprexa. Lilly Cares does not guarantee approval.[1][2][3]
Program information last verified: December 12, 2025
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