Lilly

 

Programs

BlinkHealth

For those who do not have prescription insurance, high copays, or high-deductible health insurance plans, Blink Health offers Lilly insulins at a 40 percent discounted price on the Blink Health website and mobile app. The program includes all presentations of Humalog® (insulin lispro injection 100 units/mL), all Humulin® U100 formulations (insulin human injection 100 units/mL), and Basaglar® (insulin glargine injection 100 units/mL).

There are no membership fees or monthly premiums. Patients enter the form, dosage and quantity of the Lilly insulin that matches their prescription. The discount will be automatically applied. Payments are made online and the prescriptions can be picked up at virtually any U.S. pharmacy, including: Walgreens, CVS/pharmacy, Target, RiteAid, Safeway and Kroger. People using federal government programs are not eligible. Purchases are fully refundable.

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Lilly Cares Program – No Prescription Coverage

Eli Lilly offers Basalglar, Glucagon, Trulicity, Humalog, Humalin, and Humalog Mix under the Lilly Cares program.

  • You must be a U.S. resident. (This program is not available in Puerto Rico or the US Virgin Islands.)
  • You must not have prescription coverage.
  • You are not enrolled in Medicaid or VA benefits.
  • You must meet the household guidelines:

 

Household Income Guidelines:

  • The total number of people in the household includes yourself and each of your dependents.
  • Total yearly income includes incomes from all earners in your household before taxes and deductions.
  • To qualify, your total yearly income cannot exceed the values listed below.
Number of People in Your Home Total Yearly Income
(48 Contiguous States and DC)
Alaska Hawaii
1 $35,640 $44,520 $41,010
2 $48,060 $60,060 $55,290
3 $60,480 $75,600 $69,570
4 $72,900 $91,140 $83,850
5 $85,320 $106,680 $98,130
6 $97,740 $122,220 $112,410
7 $110,190 $137,760 $126,690
8 $122,670 $153,360 $141,030

How do I apply?

Lilly Cares Applicants:

Download, print, and complete the Lilly Cares Foundation Patient Assistance Program application or request it by calling 1-800-545-6962.

You and your healthcare provider must fill out, sign, and mail or fax the completed application with your proof of income and copies of other required documents as noted in the application. The Lilly Cares fax number is 1-844-431-6650.

*A 120-day supply of medicine will be shipped to your health care provider’s office. Prescription refills will be available during your 1-year enrollment period.

Download Form

 

Copay Cards

Humalog U-200 Kwikpen Prescription Co-Pay Card

If eligible, you’ll pay as little as $25 for your prescription.

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Basaglar Prescription Co-Pay Card

If eligible, you’ll pay as little as $5 per month, with a maximum of $150 per monthly prescription.

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Trulicity Savings Card

Trulicity has a savings card, giving you this medication for as little as $25 per month for up to two years.

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NovoNordisk

 

Programs

For those with prescription coverage

Reduced RxTM is a prescription savings program for Novolin R, N, or 70/30 10ml vials to help uninsured patients or patients enrolled in a high deductible health plan at any of the more than 67,000 pharmacies in the CVS Caremark retail network (CVS standalone Pharmacies and CVS Target Pharmacies.) You will pay $25 per vial after downloading a prescription savings card.

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For those with no prescription coverage

Novo Nordisk Patient Assistance Program (PAP) provides free medicine (to those who qualify), including: Levemir, Novolog, Novolog Mix 70/30, Novolin, GlucaGen Hypo Kit, Victoza, and disposable needles for FlexPens and Victoza. (Please be aware that all insulin is vial only; no FlexPens.)

 

There are several restrictions to the program. Please download the application and review.

  • You must be a U.S. citizen.
  • You must have a household income less than 300% of federal poverty level.
  • You cannot have private prescription coverage, VA prescription benefits, any federal, state, or local program such as Medicare or Medicaid. Exceptions include patients who have entered the coverage gap (donut hole) in Medicare Part D and patients who have applied for and been denied Medicare Extra Help/Low Income Subsidy (LIS) and are Medicare eligible.

You can get more information by calling the Novo Nordisk Patient Assistance Program toll free at 866-310-7549.

If approved, a free 120-day supply of medicine will be sent to the prescribing health care providers’ office to be picked up at the patient’s convenience. Novo Nordisk will automatically contact the health care provider 90 days later to approve the medication reorder.

 

Download an application for Novo Nordisk‘s medication assistance program.

Download Form

 

Copay Cards

Levemir® Instant Savings Card

There is an Instant Savings Card for Levemir. If eligible, you will pay no more than $25 for your Levemir® prescription and each refill for up to 2 years with a Novo Nordisk Instant Savings Card. The savings card can be used like a coupon when you pick up your Levemir prescription from the pharmacy.

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Novo Nordisk Prescription Savings Card

There is also a Novo Nordisk prescription savings card for other products which offers a 30-day supply of Levemir® FlexPen, NovoLog® Mix 70/30 FlexPen, and NovoLog. Like the other prescription savings cards, it has restrictions, but these also give $25 per month prescription savings.

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Victoza Instant Savings Card

There is an Instant Savings Card for Victoza, which brings the cost to $25 per monthly prescription for up to 2 years. The Instant Savings Card is not valid for prescriptions purchased under Medicaid, Medicare, or similar federal, state, or government-funded benefit programs. This includes Medicare, Medicaid, Medigap, VA, DOD, and TRICARE, as well as any other state or federal employee benefit programs.

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Sanofi

 

Program

Sanofi Patient Connection Program– NO Insurance

Provides Apidra, Lantus, Soliqua 100/33, and Toujeo at no cost to patients who meet program eligibility requirements.

Eligibility requirements include:

  • Patient must be a U.S. citizen or resident and be under the care of a licensed healthcare provider authorized to prescribe, dispense and administer medicine in the U.S.
  • Patient must have no insurance coverage or no access to the prescribed product or treatment via their insurance
  • Patient must not be eligible for Medicare or Medicaid
    • See program application for Medicare Part D eligibility criteria
  • Patient must meet the following financial criteria:
    • Annual household income of ≤250% of the current Federal Poverty Level for all non-Oncology/non-Hematology Products

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Copay Cards

Apidra® No Co-Pay Savings Program

Those who take Apidra can use the Apidra No Co-Pay Savings Program with their Apidra prescription payments. Activate your card by checking this box and you can get No Co-Pay on Apidra. If you’re registering someone under the age of 18, please call 855-242-6938.

  • The card is not valid for prescriptions purchased under Medicaid, Medicare, or similar federal, state, or other government funded benefit programs.
  • Only patients who reside in the United States or Puerto Rico can participate in this program.
  • All commercially insured patients are eligible, even those with insurance that places Apidra on the 3rd tier.
  • Cash-paying patients are also eligible for a benefit of up to $100 off per prescription.

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For the co-pay cards listed below, the following restrictions apply:

  • The card is not valid for prescriptions purchased under Medicaid, Medicare, or similar federal, state, or other government funded benefit programs.
  • Only patients who reside in the United States or Puerto Rico can participate in this program.
  • All commercially insured patients are eligible.

 

Lantus Co-Pay Card

Pay no more than $25 for up to three prescriptions.

  • Maximum $100 benefit off of each prescription, for up to $300 for three prescriptions.)

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Soliqua 100/33 Co-Pay Card

$0 copay for 12 months after activating the savings program, up to $700 per pack.

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Toujeo Co-Pay Card

Pay no more than $15 for the 12 months after activating the savings program.

  • Maximum benefit is $400 off per prescription depending on your out of pocket costs.

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MannKind

 

Copay Cards

Afrezza CoPay Card

Pay as little as $15 per prescription, with up to $150 maximum off per prescription for up to 24 fills. Offer is not valid for patients if their prescriptions are paid in part or in full by any state or federally funded programs, including, but not limited to, Medicare or Medicaid, Medigap, VA, DOD or TriCare.

  • Only patients who reside in the United States, Puerto Rico, Guam or the US Virgin Islands can participate in this program.
  • If you have any questions about this program, please call 866-991-2840.

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