Humalog U-200 Patient Assistance Programs

Humalog U-200: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Humalog U-200. Review the information to see if you qualify. The applications are available in Adobe PDF format and should be mailed directly to the provider of the patient assistance program.

If you have any questions, please call the telephone number for the program (not PharmacyChecker.com) or go to the program website.

Looking for a different medication?

Lilly Cares Patient Assistance Program

(Program 1 of 1 — Scroll down to see them all )

Provided by: The Lilly Cares Foundation, Inc.
PO Box 13185 La Jolla, CA 92039
TEL: 800-545-6962
FAX: 844-431-6650
Languages Spoken:
English
Program Website
Medications
  • Humalog U-200 (insulin lispro)
Eligibility Requirements
  • Insurance Status *Contact program for details.
  • Those with Part D Elibible? Varies
  • Income Varies
  • Diagnosis/Medical Criteria Not specified
  • U.S. Residency Required? The patient must also be residing in the US or Puerto Rico
Application
  • Obtaining Call, download or apply online
  • Receiving Faxed
  • Returning The completed application can be faxed or mailed back.
  • Doctor's Action Complete section, sign, attach required documents
  • Applicant's Action Complete section, sign, attach required documents
  • Decision Communicated Patient and Doctor are notified
  • Decision Timeframe Not specified
Medication
  • Amount/Supply Up to 120 day supply
  • Sent To Varies
  • Delivery Time Contact Program for Details
  • Refill Proces Patient or Doctor's office needs to contact company
  • Limit Not specified
  • Re-application New application, new documentation yearly
Additional Information
*Additional products may be available. Please contact the program for a complete product listing.
Updated November 29, 2018

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