Emgality (galcanezumab)
Patient Assistance Program Guide — Lilly Cares Foundation Patient Assistance Program
Do You Qualify?
Income
Up to $75,300 for a single person
Insurance
Uninsured, underinsured, or enrolled in Medicare Part D (with specific coverage gap criteria). Patients with commercial insurance must have a coverage denial for the drug.
Residency
U.S. resident or resident of U.S. territories (Puerto Rico, USVI, Guam)
Income Limits (500% FPL)
Income thresholds calculated at 500% of the 2025 FPL provided in the reference table, which is the standard for Lilly Cares neurology medications.
Based on 2025 HHS Federal Poverty Level guidelines.
# Getting Emgality (Galcanezumab) Through the Lilly Cares Foundation Patient Assistance Program
Who Qualifies for the Lilly Cares Foundation Patient Assistance Program?
If you need Emgality but cannot afford it, the Lilly Cares Foundation Patient Assistance Program may be able to provide it at no cost. This program is run by Eli Lilly, the company that makes Emgality. To qualify, your household income generally must fall at or below $75,300 per year for a single person. Larger households may qualify at higher income levels. On the insurance side, you typically need to be uninsured, underinsured, enrolled in Medicare Part D and meet specific criteria, or have received a coverage denial from your private insurance. If you meet both the income and insurance requirements, you may receive Emgality shipped directly to your home at no charge.
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About Emgality (Galcanezumab)
Emgality (galcanezumab) is an injectable prescription medication approved by the FDA for two uses in adults: the preventive treatment of migraine and the treatment of episodic cluster headache. It belongs to a class of drugs called CGRP inhibitors, which are monoclonal antibodies that work by targeting a protein involved in these conditions. Emgality is administered by injection, typically once a month for migraine prevention or as a cluster headache treatment series. Without insurance or financial assistance, the list price of Emgality can reach several hundred to several thousand dollars per month, placing it out of reach for many patients who need it.
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Income Eligibility: Full Breakdown
The Lilly Cares Foundation uses income thresholds set at 500% of the 2025 Federal Poverty Level (FPL) for Emgality and other neurology medications. Here is how the limits break down by household size:
| Household Size | Max Annual Income |
|---|---|
| 1 person | $75,300 |
| 2 persons | $102,200 |
| 3 persons | $129,100 |
| 4 persons | $156,000 |
If your household is larger than four people, you may still qualify — contact the program directly at (800) 545-6962 to ask about your specific situation, as thresholds continue to scale with household size.
Your income is typically verified using your most recent federal tax return, your most recent W-2 form, or three consecutive recent pay stubs. If your income has changed significantly from last year — for example, due to job loss or reduced hours — it is worth calling the program to ask whether current income documentation may be considered.
If your income is above these limits, you may not qualify for free medication through this program, but other options exist. See the "Alternatives If You Don't Qualify" section below.
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Insurance Requirements Explained
Your insurance situation plays a major role in whether you qualify. Here is how the program handles different coverage scenarios:
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Step-by-Step: How to Apply
Follow these steps to apply for Emgality through the Lilly Cares Foundation:
1. Gather your documents. You will need proof of income (your most recent tax return, W-2, or three current pay stubs), a valid prescription for Emgality from your doctor, and any insurance denial documentation if applicable.
2. Choose your application method. You can apply online, by phone, or by fax.
- Online: Visit https://www.lillycares.com/ to start your application.
- Phone: Call (800) 545-6962 to apply or get help completing your application.
- Fax: Send a completed application to (844) 431-6650.
3. Complete the prescriber section. Your doctor or their office staff must fill out a portion of the application. Many offices are familiar with this process — ask your prescriber's office to assist you.
4. Submit your complete application. Make sure all sections are filled out and all required documents are included. Incomplete applications will delay processing.
5. Wait for review. Once your complete application is received, the program typically completes its review within two business days.
6. Receive your approval notice. If approved, you will be notified of your enrollment status and next steps.
7. Expect your medication to ship. Approved patients receive Emgality shipped directly to their home address.
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What to Expect: Timeline and Delivery
Once the Lilly Cares Foundation receives your complete application — including all required documents and the prescriber section — the review process typically takes about two business days. If additional information is needed, a program representative may contact you or your prescriber's office. If approved, your Emgality will be shipped directly to your home, so no pharmacy pickup is required. You do not need to do anything at the time of delivery other than receive the package. Enrollment in the program is not permanent — you will need to reauthorize annually to continue receiving medication. You will typically be notified before your enrollment period expires so you can submit updated income and prescription information in time.
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Alternatives If You Don't Qualify
If you do not qualify for the Lilly Cares Foundation program, here are other options to explore:
1. Biosimilars: There are currently no FDA-approved biosimilar versions of Emgality available. This option may become available in the future, which could lower costs.
2. Manufacturer savings card: If you have commercial insurance, you may be eligible for the Emgality Savings Card, which can reduce your out-of-pocket costs at the pharmacy. Visit https://www.emgality.com/savings to learn more and enroll.
3. State Pharmaceutical Assistance Programs (SPAPs): Many states offer their own prescription assistance programs, particularly for Medicare beneficiaries. Eligibility and benefits vary by state. Contact your State Health Insurance Assistance Program (SHIP) or state Medicaid office to ask what is available where you live.
4. NeedyMeds.org: This free, independent database lists hundreds of patient assistance programs, disease-specific funds, and drug discount options. Visit https://www.needymeds.org to search by medication name.
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*This guide is for informational purposes only and does not constitute medical or legal advice. Eligibility determinations are made solely by Eli Lilly. Program terms may change — verify current requirements at [https://www.emgality.com/savings-support](https://www.emgality.com/savings-support) before applying.*
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Documents You'll Need
If You Don't Qualify for the Assistance Program
Manufacturer Savings Card (for insured patients)
Eli Lilly offers a savings card that may reduce your out-of-pocket cost if you have commercial insurance. Ask your prescriber or pharmacist for current savings card details.
Common Questions
Once the Lilly Cares Foundation receives your complete application — including income documents, your prescription, and the prescriber section — the review typically takes about two business days. Make sure everything is included before submitting to avoid delays.
Yes, you may still qualify. Patients with commercial insurance who have received a coverage denial for Emgality can apply to the Lilly Cares Foundation program. You will need to include documentation of the denial as part of your application.
If you are approved through the Lilly Cares Foundation Patient Assistance Program, Emgality is shipped directly to your home. You do not need to pick it up from a pharmacy or your doctor's office.
Yes. Enrollment in the Lilly Cares Foundation program requires annual reauthorization. You will need to submit updated income documentation and a current prescription each year to continue receiving Emgality at no cost.
The income thresholds listed are the current program guidelines. If your income is close to the limit or has recently changed, it is worth calling the program at (800) 545-6962 to discuss your situation. If you do not qualify, the Emgality Savings Card at https://www.emgality.com/savings may help reduce costs if you have commercial insurance.
Ready to Apply for Emgality Assistance?
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