![]() Offer void where prohibited by law and subject to change or discontinue without notice. This offer is invalid for patients whose prescription claims for Covered Insulin are eligible to be reimbursed, in whole or in part, by any governmental program, including, without limitation, Medicaid, Medicare, Medicare Part D, Medigap, DoD, VA, TRICARE ®/CHAMPUS, or any State Patient or Pharmaceutical Assistance Program. Patient is responsible for any applicable taxes, fees, or amounts exceeding monthly or annual caps. Offer subject to a monthly cap of wholesale acquisition cost plus usual and customary pharmacy charges and a separate annual cap of $16,000. Patients may pay as little as $35 per prescription per month for a 30-day supply of your Covered Insulin. Subject to additional terms and conditions, which can be found ![]() Eligible uninsured/cash-paying patients may pay as little as 35 per 30-day prescription offer valid for up to 12 calendar months annual maximum savings of 16,000 card expires at end of each calendar year for more information contact the program at 83. This offer is invalid for patients without commercial drug insurance or whose prescription claims for Covered Insulin are eligible to be reimbursed, in whole or in part, by any governmental program, including, without limitation, Medicaid, Medicare, Medicare Part D, Medigap, DoD, VA, TRICARE ®/CHAMPUS, or any State Patient or Pharmaceutical Assistance Program. Lilly Insulin Value Program Cash Savings Card for Humalog Jr KwikPen. ![]() ![]() Patients must have commercial drug insurance to pay as little as $35 per prescription per month for a 30-day supply of your Covered Insulin. Terms, conditions, and limitations apply to the Savings Card. Use our Medication Pricing tool to find the discount price of your prescription at your local pharmacy. ![]()
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