Lartruvo Patient Assistance Programs

Lartruvo: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Lartruvo. 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 Foundation Patient Assistance Program-Oncology

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

Provided by: Lilly USA, LLC.
PO Box 13185 La Jolla, CA 92039
TEL: 800-545-6962
FAX: 888-242-6230
Languages Spoken:
English
Program Website
Medications
  • Lartruvo (olaratumab)
Eligibility Requirements
  • Insurance Status *Contact program for details.
  • Those with Part D Elibible? Yes
  • Income At or below 500% of FPL
  • Diagnosis/Medical Criteria *See Additional Information section below
  • 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 must be faxed back.
  • Doctor's Action Complete section, sign, attach required documents
  • Applicant's Action Complete section, sign, attach required documents
  • Decision Communicated Health care provider notified via fax
  • Decision Timeframe Not specified
Medication
  • Amount/Supply Varies
  • Sent To Varies
  • Delivery Time Not specified
  • Refill Proces Contact program for details.
  • Limit Not specified
  • Re-application New application, new documentation yearly
Additional Information
*Please visit www.LillyCares.com or call 800-545-6962 for more information. *Must be prescribed for on-label or compendia diagnosis. Lilly donates products to the Lilly Cares Foundation Patient Assistance Program-Oncology.
Updated January 15, 2019

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