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  1. Lilly Cares ® Foundation Patient Assistance Program Helping patients with financial need receive their prescribed Eli Lilly and Company (Lilly) medications at no cost. Lilly Cares Foundation, Inc. (Lilly Cares) is a nonprofit charitable organization that provides prescribed Lilly medications for free for up to 12 months to qualifying U.S ...

  2. 7. Fax the completed and signed application to Lilly Cares (or have your healthcare provider’s office do this for you). If you have insurance and you’re applying for a Group 4 or an infused Medication, include proof of claim denial and one appeal from your insurance company. Fax number: 1-844-431-6650. 8.

  3. The Lilly Cares Foundation does not charge patients a fee for help with enrollment, medication refills, or for participation in the Program. Lilly Cares is not affiliated with third parties that charge for assistance that Lilly Cares provides to you at no cost. For support, please call Lilly Cares at 1-800-545-6962.

  4. Lilly Cares Foundation. Lilly is committed to helping people get the medicines they need. That’s why we donate medicines to the Lilly Cares Foundation, a nonprofit organization that offers the Lilly Cares Foundation Patient Assistance Program. This program helps qualified people in need receive Lilly medicines at no cost. For more information ...

  5. Cymbalta ® (duloxetine delayed-release capsules) Prescribing Information Link: Prescribing Information. Patient Information or Medication Guide Link: Medication Guide. Cyramza ® (ramucirumab) injection. Prescribing Information Link: Prescribing Information. Emgality ® (galcanezumab-gnlm) injection.

  6. The Lilly Cares Foundation does not charge patients a fee for help with enrollment, medication refills, or for participation in the program. Lilly Cares is not affiliated with third parties that charge for assistance that Lilly Cares provides to you at no cost. For support, please call Lilly Cares at 1-800-545-6962.

  7. The Lilly Cares Foundation does not charge patients a fee for help with enrollment, medication refills, or for participation in the program. Lilly Cares is not affiliated with third parties that charge for assistance that Lilly Cares provides to you at no cost. For support, please call Lilly Cares at 1-800-545-6962.

  8. 1-800-545-6962. Lilly Cares Foundation, Inc. (“Lilly Cares”), which is a nonprofit, tax-exempt charity affiliated with Eli Lilly and Company (“Lilly”), provides a patient assistance program that supplies certain medications, free of charge, to qualifying legal US residents without private, public, or Government prescription assistance ...

  9. The Lilly Cares Foundation, Inc. (“Lilly Cares”) is a nonprofit organization that offers the Lilly Cares Patient Assistance Program (“Program”) to help qualifying patients obtain certain Eli Lilly and Company medications at no cost. This application form is for patients who would like to apply

  10. If at any time you begin receiving coverage under any state, federal, or government funded healthcare program, you understand that you will no longer be eligible for the Lilly Oncology Infused Products Savings Card Program and agree to call the Lilly Oncology Support Center at 1-866-472-8663 to stop participation.

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