Frequently Asked Questions

Update your billing and coding systems to include the permanent CYRAMZA® (ramucirumab) J-code: J9308, injection, ramucirumab, 5 mg. Issued by the Centers for Medicare & Medicaid Services (CMS), this permanent J-code is effective as of January 1, 2016.

Frequently Asked Questions

Find the answers you need about Lilly PatientOne right here.

Getting the medicine you need to fight your cancer and getting it paid for is a big challenge. That's why we're here. Lilly PatientOne wants to help you understand the process and what we can do to try to make things easier for you and your doctor. Here are some of the questions we hear most often.

What is Lilly PatientOne?

Lilly PatientOne is a collection of services to help make sure you have access to the Lilly Oncology medication your doctor prescribed. From reimbursement and co-pay assistance, we're committed to helping you find ways to help cover the costs of your treatment.

When should I ask my doctor about Lilly PatientOne?

Your doctor's office will most likely set up a meeting for you with their reimbursement specialist to help verify your coverage or document your financial situation if you have no insurance. This is usually when most people want to know what options may be available if they need help paying for their treatment. You can also apply for Lilly PatientOne services if your insurance denies coverage for your medicine or at any time your financial or insurance situation changes.

How do I apply for Lilly PatientOne services?

Your doctor will provide one form that you will need to help fill out and sign to apply for all Lilly PatientOne services. There are specific documents you will need to bring with you when you apply. See a checklist of what you'll need. You will also be asked to sign a form allowing us to access your Protected Health Information. This information is what we use to provide reimbursement services, including a benefits investigation to determine your coverage. Without this information, we would not be able to help you.

What if I need a prior authorization for my treatment?

Lilly PatientOne representatives have in-depth knowledge of most insurance plans and can let your doctor know what information your plan requires for a prior-authorization request and what the deadlines are for submitting the paperwork. Although you and your doctor must submit the request to your insurance company, we can provide guidance along the way.

What if my claim is denied?

We can provide your doctor with resources and information to help you file an appeal. You and your doctor must submit the appeal to your insurance company by the required deadline, but Lilly PatientOne can help you navigate the process and the documentation required. If you're still denied coverage after exhausting the appeals process, the Lilly Cares Foundation, Inc., a separate nonprofit organization may help you get your prescribed Lilly Oncology medication at no cost if you qualify.

I have insurance, but I can't afford my co-pay. What can Lilly PatientOne do for me?

Co-pay programs that may help reduce your costs may be available to eligible patients for certain prescribed Lilly Oncology medications. Just ask your doctor to select an available co-pay program for your prescribed medication when you apply for Lilly PatientOne services. If there isn't a co-pay program available for your prescribed medication, we can provide your doctor with information on charitable independent patient assistance foundations that may be able to help. These organizations are independent of Lilly and have their own eligibility requirements, so you may need to fill out some extra paperwork.

What assistance is available if I have no insurance?

The Lilly Cares Foundation, Inc., a separate nonprofit organization, provides free Lilly medications to qualifying patients. For more information about Lilly Cares, please visit LillyCares.com.