Symbyax Capsules 12-50mg, of program Lilly Cares Patient Assistance Program,
A Free Prescription Drug Program of Eli Lilly & Company
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Symbyax Capsules 12-50mg of program Lilly Cares Patient Assistance Program can be found below. The program Lilly Cares Patient Assistance Program directed by Eli Lilly & Company conveys this drug Symbyax Capsules 12-50mg to patients who qualify after acceptance occurs. Read the available info and then proceed towards applying to the Lilly Cares Patient Assistance Program program(s) for Symbyax Capsules 12-50mg by following their instructions. You may use the below directions as a general guide but rely on instructions given directly from the Lilly Cares Patient Assistance Program program to get Symbyax Capsules 12-50mg meds. At times, a program's process may change without advanced notice.
Listen to the Lilly Cares Patient Assistance Program program associate's requests competely because they are there to help you. No-cost prescription meds programs (this Symbyax Capsules 12-50mg prescription and others) exist for the good of everyone including needy patients, the program's company Eli Lilly & Company and even those who do not require this offer. The respect and good manner you show the program and its employees will help yourself and other patients for years into the future.
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Symbyax Capsules 12-50mg |
| Name of Program |
Lilly Cares Patient Assistance Program |
| Affiliated Company |
Eli Lilly & Company |
| Address of Program |
Lilly Cares Program Administrator |
| Address 2 |
PO Box 231021 |
| Address 3 |
Centerville, VA 20142 |
| Phone (Voice) |
800-545-6984 |
| Fax |
not Applicable |
| How to get application |
call program |
| General guidelines/directives for applicants |
Program only available for Non-Medicare patients with no prescription coverage (Medicare patients are funneled into the new Lilly Answers discount program which provides drug at a cost of $12 for a 30 day prescription (1-877-RX-LILLY or www.lillyanswers.com)). Applicant specifies exact income source and amount -- if zero, patient is required to make it clear how he/she is surviving or else the application will be returned unacceptable. Allow 30 days for delivery after acceptance. |
| Beginning course of action to obtain drugs |
Doctor's office calls for application while also providing physician's name, DEA number and address. Completed application must be mailed. Applications may be copied. |
| Doctor/provider's |
Completes application section |
| Responsibilities of Patient |
Completes application section including required info of gross monthly household income, number in household, total liquid assets, and out-of-pocket monthly medical expenses. |
| Distribution manner |
Medication sent to doctor's office within 2-3 weeks; (insulin voucher without co-pay good for 4 mos. supply at pharmacy). |
| Amount distributed |
Most medications sent in a 4 month supply (Glucagon Emergency Kit, Keflex, Mandol Vials, Quinidine, ReoPro and Vancocin sent in 30 day supply). |
| Refill process |
Reapply every three months with new application. |
| Program limitations |
Indefinite |
Paid source(s):
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