Eligibility Criteria
Insurance Requirement
See program details
Residency
US residency required
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
Indicated For
schizophrenia, bipolar disorder
About This Medication
# Lilly Cares Patient Guide: How to Get Zyprexa Zydis (olanzapine) at Low or No Cost **Lilly Cares is Eli Lilly's patient assistance program that provides Zyprexa Zydis (olanzapine), an antipsychotic medication, free of charge to eligible U.S. patients with financial need for up to 12 months.** This guide explains everything you need to know to apply, qualify, and receive your medication.[1][2] ## About Zyprexa Zydis (olanzapine) Zyprexa Zydis is the orally disintegrating tablet form of **olanzapine**, a second-generation antipsychotic used to treat conditions like **schizophrenia** and **bipolar disorder** (manic or mixed episodes). It works by balancing brain chemicals like dopamine and serotonin to help manage symptoms such as hallucinations, delusions, mood swings, and severe agitation. The Zydis formulation dissolves quickly on the tongue without water, making it ideal for those who have trouble swallowing pills.[1] **Important safety note:** Olanzapine can cause side effects like weight gain, drowsiness, high blood sugar, or metabolic changes. Always take it as prescribed by your doctor and report any concerns. This guide is not medical advice—consult your healthcare provider.[2] ## Who Qualifies for Lilly Cares? To qualify for free Zyprexa Zydis through **Lilly Cares**, you must meet **all** these criteria:[1][2][4] - Have a valid prescription for a qualifying Lilly medication like Zyprexa Zydis from your U.S. healthcare provider. - Be a permanent U.S. resident (including Puerto Rico and U.S. Virgin Islands; note some sources conflict on Puerto Rico eligibility).[2][4] - Meet household **income guidelines** based on the Federal Poverty Level (FPL), which vary by medication group (see table below).[9] - Be **uninsured** or underinsured; **not enrolled in Medicaid, full Low-Income Subsidy (LIS/Extra Help), or VA benefits**.[1][2] - For Medicare Part D patients: Eligibility is **case-by-case**, often if insurance doesn't cover the medication fully. Patients under 65 may have priority.[4][7] **Lilly Cares helps over 1 million patients annually** by donating medications directly—no copays or fees.[1] ## Income Eligibility Breakdown Income limits depend on your **household size** and the **medication group** (Zyprexa Zydis falls into one of these; confirm with Lilly as groups aren't always specified publicly). Limits are typically **300-500% of FPL**. Use the 2026 FPL guidelines (updated annually).[9] | Household Size | 300% FPL (Group 1) | 400% FPL (Group 2) | 500% FPL (Group 3) | |----------------|---------------------|---------------------|---------------------| | 1 (Individual) | $45,180 | $60,240 | $75,300 | | 2 (Couple) | $61,320 | $81,760 | $102,200 | | 3 | $77,460 | $103,280 | $129,100 | | 4 | $93,600 | $124,800 | $156,000 | *Add ~$16,140 (300%), $21,520 (400%), or $26,900 (500%) per additional person. Exact group for Zyprexa Zydis: Call 1-800-545-6962 to confirm. Proof of income required (tax returns, pay stubs).[2][9] ## Insurance Requirements - **Uninsured preferred:** Program targets those without coverage.[4] - **Medicare Part D:** Possible on case-by-case basis—no insurance docs needed for some self-administered meds like Zyprexa Zydis (Group 4).[2][7] - **Private insurance:** May qualify if it doesn't cover the med fully, but Lilly may check coverage.[7][8] - **Exclusions:** No eligibility if on Medicaid, full Extra Help, or VA.[1][2] **Pro tip:** If insured, ask your plan about coverage first—Lilly Cares fills gaps for underinsured.[8] ## Step-by-Step Application Process 1. **Check eligibility:** Review income, residency, and insurance above. Confirm Zyprexa Zydis is covered (it is a Lilly med).[1][2] 2. **Gather documents:** Proof of income (W-2, 1040, pay stubs), prescription, ID. Doctor completes med section.[2][4] 3. **Get application:** - **Online (recommended):** www.lillycares.com (electronic form reduces delays).[2][5] - **Phone:** Call **1-800-545-6962** (Mon-Fri, 8AM-5PM ET) for faxed/paper form.[4][6] - Download PDF: www.lillycares.com/assets/pdf/lilly_cares_application.pdf[2] 4. **Complete form:** Patient fills personal/financial info; **doctor signs** prescription section.[2][4] 5. **Submit:** Mail to PO Box 230999, Centerville, VA 20120 or fax **1-844-431-6650**.[2][4] 6. **Wait for decision:** Letter sent to you and doctor.[2] **Spanish forms available.**[7] ## Timeline and Delivery - **Processing:** Up to **4 weeks** after receiving complete app.[4][6] - **Supply:** **Up to 120-day supply** shipped free to **doctor's office** (not direct to patient).[4] - **Refills:** Use included reorder form; return for next shipment. **Reapply yearly** with new financial docs.[4] - **Approval letter:** Details your benefits (up to 12 months).[1][9] If urgent, tell your doctor—some proactive options exist.[2] ## Alternatives if Denied - **Appeal:** Review denial letter; resubmit missing docs or updated income.[4] - **Other programs:** Check NeedyMeds, RxAssist, or Simplefill for Lilly meds.[9] - **Generic olanzapine:** Cheaper non-Zydis versions; ask doctor.[ ] - **State assistance:** Local 211 or Area Agencies on Aging.[6] - **Manufacturer savings cards:** Lilly may have copay help for commercially insured (not via Lilly Cares).[ ] - **RxHope or PAN Foundation:** General PAP search tools. ## Disclaimer This guide is for informational purposes based on publicly available data as of 2026. **Program rules change—always verify with Lilly Cares at 1-800-545-6962 or www.lillycares.com.** Eligibility not guaranteed. Not affiliated with Eli Lilly. Consult your doctor for medical advice. Income tables approximate 2026 FPL; use official HHS calculator.
Program information last verified: March 30, 2026
Ready to apply for Zyprexa Zydis assistance?
ProvisionRX manages the complete application process. Start your application in about 15 minutes.