Humalog (insulin lispro)
Patient Assistance Program Guide — Lilly Cares Foundation Patient Assistance Program
Current program eligibility
As stated by the Lilly Cares PAP guideline we work from. Programs change their rules without notice, so we confirm your eligibility before filing.
- Income limit
- 400% of the federal poverty level
- Employer or private insurance
- Yes
- Medicaid
- No
- Medicare A&B
- Yes
- Medicare A&B with Part D
- Yes
Applies to 50/50 Vial, 75/25 Mix 3ml Kwik Pen, Kwik Pen 100u, U-100 Vial.
Do You Qualify?
Income
Up to $63,840 for a single person
Insurance
Must be uninsured or enrolled in Medicare Part D. Patients with Medicaid, VA benefits, or commercial insurance are generally ineligible for the PAP but may qualify for the savings card.
Residency
U.S. resident or U.S. territory
Income Limits (400% FPL)
The program guideline sets the limit at 400% of the federal poverty level. Figures use the 2026 HHS guidelines for the 48 contiguous states.
Based on 2026 HHS Federal Poverty Level guidelines.
Ready to Apply for Humalog Assistance?
RX Advantages handles the entire Lilly Cares Foundation Patient Assistance Program application on your behalf — paperwork, physician coordination, and refill tracking. It takes about 15 minutes to get started.
No SSN required on the web form · From $49.95/month