Eli Lilly and Sponsor Organization
Lilly Answers Card
Sponsor Organization
Eli Lilly and Company
Prescription Medication Assistance Organization Contact
Phone: (877) 795-4559
Medications sent to: Patient’s Doctor
Prescription Medications/Products Covered:
Aventyl HCl
Ceclor 250 mg
Evista
Forteo
Glucagon for Injection
Humalog
Humalog Mix 75/25
Humulin
Ilentin
Keflex
Mandol
Prozac
Prozac Weekly
Quinidine Gluconate
Strattera
Vancocin HCl Pulvules
Zyprexa
Program Information And Resources:
Lilly Answers Card Application Form
Program Eligibility Requirements:
Medicare eligible. Annual income below $18,000 single/$24,000 households (approximately 200% of poverty). Must not have public or private insurance coverage for prescription medicines.
Additional Information and/or Requirements (known):
Patients pay $12 for a 30-day supply of any Lilly prescription medication at participating pharmacies.
Link: Prescription Medication Program Website
