What proof of income is required to obtain Jardiance from the patient assistance program?
Gather proof of income
2 most current paycheck stubs or earning statements for all working members of your household. Last year's federal Individual Income Tax Return (1040) Social Security income, pension, and other income statements. W-2 or 1099 forms.
Does Trulicity have a patient assistance program?
Simplefill helps thousands of Americans pay for the prescriptions they need but are unable to afford on their own.
How do you qualify for Lilly Cares?
You may be eligible for the Lilly Cares program if:
- You are a permanent, legal resident of the United States, Puerto Rico, or U.S. Virgin Islands.
- Your healthcare provider has prescribed a qualifying Lilly medication.
- You have no insurance or you have Medicare Part D.
How do I get financial help from eliquis?
For more information about how insurance covers ELIQUIS and co-pay assistance for eligible, commercially-insured patients, visit ELIQUIS patient support or call 855-354-7847.