Lilly Cares Patient Assistance Program (2026)

Eligibility Requirements

Income Limit

There is no single Lilly Cares threshold, it depends on which medication you need. Lilly sorts its products into four groups: Group 1 at or below 300% FPL, Group 2 at 400%, and Groups 3 and 4 at 500% (household annual adjusted gross income). A flat 400% figure previously appeared here and is only correct for Group 2. ⚠️ The dollar amount formerly quoted alongside it was not a Lilly figure at all. Check which group your medication falls into before assuming you are over the limit. Verified 23 August 2026.

Insurance Requirements

Medicare Part D enrollees are eligible, not just the uninsured. Lilly states eligibility for patients with no insurance OR Medicare Part D across all four medication groups, and for Groups 3 and 4 it also covers patients on Medicare Part B without supplemental or secondary insurance (with exceptions for infused medicines). ⚠️ One timing difference matters: uninsured patients are covered for the full enrollment period, while Medicare Part D enrollment expires at the end of the calendar year and must be renewed. U.S. residents only.

What changed on this page. Two things were wrong and both would have cost a patient an application. It stated a single 400% federal-poverty-level limit; Lilly actually runs four tiers by medication group (300%, 400%, 500%, 500%), so a patient needing a Group 3 or 4 medicine at 450% FPL would have wrongly concluded they were over the limit. It also said applicants must be uninsured; Medicare Part D enrollees are explicitly eligible, and for some groups so are Medicare Part B patients without secondary insurance. The dollar figure previously shown was not a Lilly number. Corrected 23 August 2026.

Confirm before you apply. Lilly publishes the group tiers and the application at lillycares.com and takes calls on 1-800-545-6962. Federal poverty guidelines are published at aspe.hhs.gov. Nothing on this page is medical advice or a guarantee of eligibility; the determination is made by the Lilly Cares Foundation, not by us.

Covered Medications

The following medications are covered by Lilly Cares:

Mounjaro Trulicity Verzenio Jardiance Humalog Humulin Emgality Taltz

How to Apply

Application Steps

Speak with your healthcare provider about Lilly Cares. Your doctor, nurse, or social worker can help determine if you qualify.
Gather required documents: proof of income (tax return, pay stubs, or Social Security statement), valid prescription, and proof of U.S. residency.
Submit your application online or by mail. Visit the program website below or call the program hotline for assistance.
Wait for approval (typically 2 to 6 weeks). Once approved, medications will be shipped to your provider's office or a designated pharmacy.

Apply at Lilly Cares →

Check If You Qualify

Use our free Assistance Finder tool to check eligibility for Lilly Cares and other programs that may help reduce your medication costs.

Open Assistance Finder

Compare Prices

Find the cheapest pharmacy for Mounjaro

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Natural Alternatives

Supplement alternatives for Mounjaro

Explore evidence-based options on Health Britannica

Sources and standards behind this page

Drug coverage in the United States is governed by published rules rather than by any one insurer's summary, and the sources below are the primary ones. They are linked so a reader can check a claim without taking this page's word for it.

FDA Orange Book publishes the therapeutic-equivalence ratings that decide whether a generic may be substituted for a brand-name drug.
FDA generic drug facts sets out what "generic equivalent" means and what a manufacturer must prove.
CMS prescription drug coverage defines the rules a Medicare drug plan formulary must follow and how it may change mid-year.
Medicare.gov drug coverage (Part D) states what a Part D plan is required to offer a member.
CMS prescription drug appeals documents the coverage-determination and exception process when a drug is denied.
Medicare Plan Compare is the official tool for checking what a specific plan charges for a specific drug at a specific pharmacy.
Drugs@FDA is the federal database of approved drug products, which establishes whether a covered product exists and in what form.
DailyMed carries the current FDA labeling for every marketed drug product, including approved strengths and forms.
MedlinePlus drug information is the National Library of Medicine's consumer reference for what a medication is and how it is used.
FTC report on pharmacy benefit managers documents how the middlemen between an insurer and a pharmacy shape what a plan actually covers.
National Library of Medicine maintains the drug and health databases the sources above draw on.

This page describes how coverage and formularies work. It is not medical advice, and a reader's own plan documents and prescriber decide what applies to them.

Frequently Asked Questions

Does Lilly Cares cover Mounjaro and Trulicity?

Yes, Lilly Cares covers both Mounjaro (tirzepatide) and Trulicity (dulaglutide) for eligible patients. Patients must meet income requirements and lack prescription drug coverage to qualify.

How do I apply for Lilly Cares?

You can apply through your healthcare provider. Your doctor must complete the application form and submit it along with proof of income. Applications can be submitted online at lillycares.com or by mail.

Can I use Lilly Cares with insurance?

Lilly Cares serves patients with no insurance AND patients with Medicare Part D, with Part B coverage also accepted for some medication groups when there is no supplemental or secondary insurance. If you have insurance, you may qualify for the Lilly Insulin Value Program or copay savings cards instead.

Related Resources

Compare pharmacy prices for Mounjaro on RxGrab
Mounjaro supplement guide on Health Britannica
Check drug interactions for Mounjaro on OmniRx
Browse all patient assistance programs

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