Eli Lilly and Company offers financial assistance to qualified patients who are prescribed Lilly’s oncology medications and who are unable to afford their medications.
The Lilly PatientOne Access Services program may be able to provide financial assistance, reimbursement assistance, or Lilly Oncology drugs at no cost to patients who are uninsured, underinsured, insured, denied a claim, or have difficulty affording their copay or coinsurance.
The Lilly PatientOne Access Services program includes the Reimbursement Assistance Program, the Patient Assistance Program through the Lilly Cares Foundation, and the Lilly PatientOne Co-Pay Support Program.
Lilly PatientOne Access Services also provides information on charitable assistance foundations that may be able to help underinsured patients. Lilly PatientOne Assistance Program is provided by the Lilly Cares Foundation. PatientOne collects information on behalf of the Lilly Cares Foundation.
The complete list of oncology drugs available from Lilly Oncology is provided in the Table.
Reimbursement Assistance Program
To be eligible for this program, patients must be:
- Permanent, legal US residents
- Administered a qualifying Lilly Oncology drug within the United States.
Patient Assistance ProgramLilly PatientOne Assistance Program is provided through the Lilly Cares Foundation. To be eligible for this program, patients must:
- Meet the requirements for seeking reimbursement assistance
- Currently be receiving ongoing therapy
- Not have insurance, or have insurance that does not cover therapy
- Have an income at or below 500% of the federal poverty level
- Have a service date within 180 days from the date PatientOne receives their application
- Receive treatment in an outpatient setting.
Lilly PatientOne Co-Pay Support ProgramTo be eligible for this program, patients must:
- Be 18 years or older and receive a prescription for an FDA-approved indication for Alimta (pemetrexed) for injection, Cyramza (ramucirumab), Erbitux (cetuximab), Lartruvo (olaratumab), or Portrazza (necitumumab injection)
- Be commercially insured
- Have an annual gross household income that does not exceed $100,000 or 500% of the federal poverty level.
Application & Enrollment
To apply for Lilly Oncology patient support services or access services (reimbursement services, copay or coinsurance assistance, or no-cost Lilly Oncology drugs), only 1 application form (available at www.lillypatientone.com/forms-library-patientone-application.html) needs to be completed and submitted.
The PatientOne Enrollment Form also includes the physician’s acknowledgment of medical necessity and the patient’s written authorization for the collection, use, and disclosure of his or her protected health information. Completed application forms should be faxed to 877-366-0585.
Receiving Lilly Oncology Medications
Once patients are approved for the Patient Assistance Program, the medication will be sent directly to the provider’s office.