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Lilly Cares Foundation Patient Assistance Program PO Box 13185 La Jolla, CA 92039 Phone: 18005456962 Fax: 18444316650 www.lillycares.comApplication Form Instructions The Lilly Cares Foundation, Inc.
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How to fill out lillycares com form
How to fill out lillycares com
01
To fill out lillycares com, follow these steps:
02
Visit the website lillycares.com
03
Click on the 'Patient Assistance Program' link
04
Read and understand the eligibility criteria
05
Download the application form
06
Fill out the form with accurate and complete information
07
Attach any required supporting documents
08
Review the filled form and make sure all information is correct
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Submit the form through the provided submission method, be it online or mail
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Wait for a response from LillyCares regarding your application
Who needs lillycares com?
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LillyCares.com is useful for individuals who:
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- Are in need of financial assistance for Lilly medications
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- Meet the eligibility criteria for Lilly's Patient Assistance Program
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- Cannot afford the cost of their prescribed medications
05
- Do not have sufficient health insurance coverage for Lilly medications
06
- Are prescribed Lilly medications but have limited financial resources
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What is lillycares com?
Lilly Cares is a patient assistance program offered by Eli Lilly and Company to help eligible individuals afford their medications.
Who is required to file lillycares com?
Patients who meet the eligibility criteria for Lilly Cares may apply to receive assistance.
How to fill out lillycares com?
To apply for Lilly Cares, individuals can visit the official website and complete the online application form.
What is the purpose of lillycares com?
The purpose of Lilly Cares is to provide assistance to patients who are unable to afford their medications.
What information must be reported on lillycares com?
Applicants must provide information about their income, insurance coverage, and medication needs.
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