Support for your eligible patients is here*
*Lilly Support Services for Inluriyo programs and services are not a guarantee of coverage. Terms and conditions apply for all programs. See the Lilly Support Services for Inluriyo Enrollment Form for details.
Inluriyo Savings Card
Patients pay as little as $0 a month if eligible and commercially insured with coverage for Inluriyo*
*Month is defined as 28 days.
Download an activated Savings Card on behalf of a patient.
Please verify the following information for the patient to receive an Inluriyo Savings Card:
- The patient is a resident of the United States or Puerto Rico who is 18 year of age or older.
- The patient has commercial drug insurance.
- The patient does not have any governmental insurance, including, without limitation, Medicaid, Medicare, Medicare Advantage, Medicare Part D, Medigap, DoD, VA, TRICARE®/CHAMPUS, or any state patient or pharmaceutical assistance program.
- The patient consents to being enrolled in the Program and providing Lilly with personal information to be used by Lilly for the enrollment and additional communications regarding ongoing eligibility in the Savings Card Program and/or changes to the provided savings amount.
- The patient has been prescribed Inluriyo for a use approved by FDA or an indication medically supported by Centers for Medicare & Medicaid Services (CMS) recognized compendia and the use is not listed as unsupported, not indicated, or not recommended in any CMS Compendia.
- The patient has reviewed, agreed to and been provided the Terms and Conditions and is eligible to participate in this program.
- I am a healthcare professional who is licensed to prescribe, dispense, or otherwise has the necessary information to attest to the accuracy of the information provided in this form.
- I am not a healthcare professional in Vermont.
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For further assistance in obtaining your Inluriyo Savings Card, please call 1-844-583-3550.
Terms and Conditions
By enrolling in and using the Inluriyo Savings Card Program (“Program”) and using the Inluriyo Savings Card (“Card”), you attest that you meet the eligibility criteria, and you agree to comply with the terms and conditions described below:
Card Eligibility:
- You have been prescribed Inluriyo™ (imlunestrant) for an approved use consistent with FDA approved product labeling;
- You are enrolled in a commercial drug insurance plan and have coverage for Inluriyo;
- You are not enrolled in any state, federal, or government funded healthcare program, including, without limitation, Medicaid, Medicare, Medicare Part D, Medicare Advantage, Medigap, DoD, VA, TRICARE®/CHAMPUS, or any state prescription drug assistance program;
- You are a resident of the United States or Puerto Rico; and
- You are 18 years of age or older.
Card Terms and Conditions
For patients with commercial drug insurance coverage for Inluriyo: You must have commercial drug insurance that covers Inluriyo and a prescription for an approved use consistent with FDA-approved product labeling to pay as little as $0 for a 1-month prescription fill of Inluriyo. Month is defined as 28 days. Card savings are subject to a maximum monthly savings of wholesale acquisition cost plus usual and customary pharmacy charges and separate maximum annual savings of up to $10,600 per calendar year. Card may be used for a maximum of up to 14 prescription fills per calendar year. Except where prohibited by applicable state law, Card monthly and annual savings are reduced if Lilly identifies that you are enrolled in a plan or program, sometimes called a maximizer plan, that adjusts your cost sharing amount to be equal to or include some portion of the savings provided by the Card and attempts to prevent the savings from this Card from being applied to your out-of-pocket costs, including but not limited to copayments, coinsurances, and deductibles (“Maximizer”). If the Program identifies you are enrolled in a Maximizer, Card savings are reduced to a maximum monthly savings of up to $25 and a separate maximum annual savings of up to $350 per calendar year. If you have reason to believe that the Program erroneously identified enrollment in a Maximizer, please call the Inluriyo Savings Card Program at 1-844-583-3550. Subject to Lilly USA, LLC’s (“Lilly”) right to terminate, rescind, revoke, or amend Card eligibility criteria and/or Card terms and conditions which may occur at Lilly’s sole discretion, without notice, and for any reason. Card expires and savings end on 12/31/2026.
Additional Program Terms and Conditions
If you have an insurance plan that is participating in an alternate funding program (“AFP”) that requires you to apply to the Inluriyo Savings Card Program or otherwise pursue specialty drug prescription coverage through an alternate funding vendor as a condition of, requirement for, or prerequisite to coverage of Inluriyo, you are not eligible for and are prohibited from using the Inluriyo Savings Card Program. AFPs include programs where coverage, reimbursement, or patient out of pocket costs for a product in some way vary based on the availability of a manufacturer co-pay program. AFPs may modify, delay, deny, restrict, or withhold insurance benefits or coverage from patients, or exclude Lilly products from coverage contingent upon a member’s use of Inluriyo Savings Card Program. You agree to inform the Inluriyo Savings Card Program if you are or become a member of such an alternative funding program. You are responsible for any applicable taxes, fees, and any amount that exceeds the monthly or annual maximum Card savings. Monthly and annual maximum savings are set at Lilly’s sole and absolute discretion and may be changed with or without notice at any time for any reason. At its sole discretion and with or without notice, Lilly may reduce, eliminate, or otherwise modify the Card savings for any reason, including but not limited to if your commercial drug insurance plan imposes additional requirements which limits or prevents you from receiving coverage for Inluriyo, only allows partial coverage for Inluriyo, removes coverage for Inluriyo and requires you to utilize the Card, does not provide a material level of financial assistance for the cost of Inluriyo, or does not apply Card payments to satisfy your co-payment, deductible, or coinsurance for Inluriyo. Card savings are not valid for: Massachusetts residents if an AB-rated generic equivalent is available; California residents if an FDA-approved therapeutic equivalent is available. You must meet the Card eligibility criteria, terms and conditions every time you use the Card. If at any time you begin receiving drug coverage under any state, federal, or government funded healthcare program, you understand that you will no longer be eligible for the Inluriyo Savings Card and agree to call the Inluriyo Savings Card Program at 1-844-583-3550 to stop participation. Card activation is required. You may not seek reimbursement from your health insurance, any third party, or any health savings, flexible spending, or other healthcare reimbursement accounts, for any amount of the savings received through the Card. By utilizing the Card, you agree that if you are required to do so under the terms of your insurance coverage for this prescription or are otherwise required to do so by law, you will notify your Insurance Carrier of your redemption of the Card. Card savings cannot be combined or utilized with any other program, discount, discount card, cash discount card, coupon, incentive, or similar offer involving Inluriyo. You agree that this Card savings is intended solely for the benefit of you, the patient, and that the Card benefits are non-transferable. It is prohibited for any person to sell, purchase, or trade; or to offer to sell, purchase, or trade, or to counterfeit the Card.THIS CARD IS NOT INSURANCE. Lilly has the sole right to interpret and apply Card eligibility criteria, and terms and conditions. Card eligibility, and terms and conditions may be terminated, rescinded, revoked, or amended by Lilly at any time without notice and for any reason. Lilly’s sole discretion to terminate, rescind, revoke, or amend Card eligibility and/or Card terms and conditions includes the right to terminate any individual Card if Lilly determines, in its sole discretion, that a patient does not satisfy the Card’s eligibility criteria or is using or has attempted to use the Card inconsistently with these terms and conditions. Eligibility criteria, and terms and conditions for the Inluriyo Savings Card Program may change from time to time; the most current version can be found at https://www.inluriyo.lilly.com/savings-support#terms-and-conditions. You may be required to obtain a new Card, including if any Card terms and conditions have been terminated, rescinded, revoked, or amended by Lilly. Card void where prohibited by law. Subject to Lilly’s right to terminate, rescind, revoke or amend Card eligibility criteria and/or Card terms and conditions which may occur at Lilly’s sole discretion, without notice, and for any reason. Card expires and savings end on 12/31/2026.
TRICARE® is a registered trademark of the Department of Defense (DoD), DHA.
Lilly Support Services™ for Inluriyo (imlunestrant)*
A support program tailored to your eligible patients.
If you have questions about Lilly Support Services for Inluriyo, please call 1-800-LillyRx (1-800-545-5979) from Monday to Friday.
*Lilly Support Services for Inluriyo programs and services are not a guarantee of coverage. Terms and conditions apply for all programs.
Interim Access Program for Inluriyo™ (imlunestrant)
The Inluriyo Interim Access Program may provide a temporary supply of Inluriyo at no cost to insured, eligible patients who have been prescribed Inluriyo for the first time and are experiencing a delay in their insurance coverage decision. See terms and conditions below.†
†TERMS AND CONDITIONS: The Inluriyo Interim Access Program (or “Program”) provides a 14-day supply of Inluriyo at no charge for eligible, insured patients who are: 1) prescribed Inluriyo for the first time, 2) experiencing a minimum 5-business-day delay in insurance coverage determination, 3) prescribed Inluriyo for an FDA-approved indication or an indication medically supported by CMS-recognized compendia, 4) enrolled in Lilly Support Services™, and 5) residents of the United States or Puerto Rico. May not be combined with any other offer. Not available to patients whose insurers have made a final determination to deny the patient coverage for Inluriyo. If a denial is received after the initial 5 business days have passed and appeal rights are being pursued, or if there is a persistent coverage delay, the patient, under appropriate circumstances, may be eligible for up to 3 additional 14-day supplies of Inluriyo. Product provided through the Program is only available through the Program noncommercial specialty pharmacy. Product is provided free of charge and may not be sold, bartered, or returned for credit. Reimbursement cannot be sought from any third party for product provided under the Program. Patients enrolled in Medicare Part D are prohibited from counting any portion of the cost of the product provided under the Program toward true out-of-pocket (“TrOOP”) costs for prescription drug calculations. No purchase contingency or other obligation accompanies Program participation. This Program is not health insurance and does not guarantee coverage. Lilly reserves the right to change or end the Program at any time. Benefits under the Program are not transferable.
CMS=Centers for Medicare & Medicaid Services; FDA=US Food and Drug Administration.
Assistance Determining Insurance Coverage‡
May help eligible patients prescribed Inluriyo™ (imlunestrant) minimize copay or out-of-pocket costs by providing:
- A benefits investigation
- Helps eligible enrolled patients prescribed Inluriyo understand their coverage options, locate the appropriate specialty pharmacy, and identify their lowest possible out-of-pocket cost
- Guidance through the specialty pharmacy process
- An overview of potential savings opportunities
‡Lilly Support Services for Inluriyo programs and services are not a guarantee of coverage. Terms and conditions apply for all programs. See the Lilly Support Services for Inluriyo Enrollment Form for details.
Access Resources
Ordering Inluriyo
Inluriyo can be purchased from authorized distributors and is available through:
Contracted specialty pharmacies§
Hospital and health system practices
In-office dispensing (IOD) practices
§Eligible pharmacies can purchase Inluriyo through authorized distribution partners. A list of authorized distributors can be found at trade.lilly.com.
Inluriyo Access, Reimbursement, and Distribution Guide
The access and reimbursement landscape can be complex and cumbersome. Information within the guide can help you navigate the complexities of the reimbursement landscape.
Coverage Authorization
Appeals Letter
If an initial claim or coverage authorization request letter is denied, the payer may require a coverage authorization appeals letter.
Letter of Medical Necessity (LMN)
Many health plans require that an LMN accompany a coverage authorization appeals letter.
EHR Resources - Electronic Order Sets
Easy-to-use, step-by-step downloadable instructions to develop Inluriyo electronic order sets in your EHR system.
If your system is not listed, please download the Treatment Plan Guide to help develop Inluriyo electronic order sets.
ehr=electronic health records