Applying for free Trulicity
From the first question to the drug maker's own form, filled in.
Person
I don't have insurance and I need Trulicity. Can you help me apply for the free program?
Claude
Yes. Trulicity is made by Lilly, and their free-medicine program, Lilly Cares, accepts people with no insurance. The main test is income: for Trulicity, yearly household income before taxes has to be under about $47,880 for 1 person, $64,920 for 2, $81,960 for 3, or $99,000 for 4. Whether you qualify is Lilly's decision, but if you're under the limit you may qualify for free medicine for up to 12 months.
I'll never ask for your Social Security number or a signature. You'll do those by hand on the paper form.
Excerpt
Person
It's for my friend Marcus Hill. 1.5 mg once a week. Born 11/30/1979. 2200 Elgin St, Houston TX 77004, phone 713-555-0142. Just him in the household, about $30,000 a year. Ship to his home, no auto refills, no family contact. Do you need his social?
Excerpt
Claude
No, I don't need his Social Security number, and I won't put it in the link. If the paper form asks for it, Marcus writes it in himself.
At about $30,000 a year in a household of one, he's well under the $47,880 limit, so he may qualify.
Is all of that correct? Once you confirm, I'll send the link that fills in the official form.
Excerpt
Person
Yes, that's all correct.
Claude
Here's his link:
Open Marcus's filled application
Claude
Marcus signs by hand the Patient Certification Agreement (page 6) and the HIPAA authorization (page 7). He also fills in anything else the form asks for by hand, like his Social Security number.
Send the whole application by fax to 1-844-431-6650 (the prescriber's office can fax it), or by mail to: Lilly Cares Foundation Patient Assistance Program, PO Box 501847, San Diego, CA 92150.
Excerpt
Recorded in Claude.ai on November 6, 2026, with the EveryCard Rx connector. Excerpts. Marcus Hill is made up for this demo. The account holder's own details and a made-up Social Security number are left out.