Lilly Cares Refill Request Form Made Easy Online

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Lilly Cares is a patient assistance program designed to provide eligible patients with access to Lilly medications at no cost or at a significantly reduced cost. The Lilly Cares Refill Request Form is a crucial document that patients need to complete to request refills of their prescribed medications. In this article, we will guide you through the process of completing the Lilly Cares Refill Request Form online, highlighting the benefits, steps, and requirements involved.

Benefits of Using the Lilly Cares Refill Request Form Online

The Lilly Cares Refill Request Form online offers several benefits to patients, including:

• Convenience: Patients can complete the form from the comfort of their own homes, 24/7, without having to visit a doctor's office or pharmacy.
• Time-saving: The online form reduces the time spent on paperwork and phone calls, allowing patients to quickly and easily request refills.
• Accuracy: The online form helps reduce errors, as patients can review and edit their information before submitting it.

Eligibility Requirements

To be eligible for the Lilly Cares program, patients must meet certain requirements, including:

• Being a U.S. resident
• Having a valid prescription for a Lilly medication
• Meeting income guidelines (varies by medication)
• Not being enrolled in any government-funded program, such as Medicare or Medicaid

Step-by-Step Guide to Completing the Lilly Cares Refill Request Form Online

To complete the Lilly Cares Refill Request Form online, follow these steps:

1. Visit the Lilly Cares website and click on the "Refill Request Form" tab.
2. Enter your patient ID number and password (if you have an existing account).
3. If you don't have an account, click on "Create an Account" and follow the prompts.
4. Fill out the online form, providing required information, such as:
   • Patient name and address
   • Prescription information (medication name, dosage, and frequency)
   • Doctor's name and contact information
   • Pharmacy name and contact information
5. Upload required documents, such as proof of income and identification.
6. Review and edit your information before submitting the form.
7. Click "Submit" to complete the refill request.

Troubleshooting Tips

If you encounter issues while completing the online form, try the following:

• Check your internet connection and ensure you have a stable browser.
• Clear your browser cache and cookies.
• Contact Lilly Cares customer support for assistance.

Common Questions and Answers

Here are some frequently asked questions and answers about the Lilly Cares Refill Request Form:

Q: What if I don't have an account? A: Click on "Create an Account" and follow the prompts to set up an account.

Q: What if I'm having trouble uploading documents? A: Contact Lilly Cares customer support for assistance.

Q: How long does it take to process a refill request? A: Refill requests are typically processed within 24-48 hours.

Conclusion

Completing the Lilly Cares Refill Request Form online is a convenient and efficient way to request refills of your prescribed medications. By following the steps outlined in this article, patients can quickly and easily complete the form and receive their medications at no cost or at a significantly reduced cost. If you have any questions or concerns, don't hesitate to reach out to Lilly Cares customer support.

We hope this article has been informative and helpful. If you have any questions or comments, please feel free to share them below.