Your request will be referred to the appropriate Eli Lilly and Company medical professional, such as a Emgality pharmaceutical rep; Medical Science Liaison (MSL) or medical affairs.
Need to report an Emgality issue?
ONLINE FORMReport adverse event
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You can report a Emgality adverse event on MedWatch, the FDA's medical product safety reporting program for health professionals, patients and consumers.
samples
Request Emgality samples
Online Sample Form
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Is my patient elegible for Emgality samples?
Your rep will communicate with you how to receive samples, when you can receive samples, the amount and more.
How do I find out who my Emgality rep is?
Not sure who your local Emgality pharma rep is? Reach out to Eli Lilly and Company and they can help you identify your rep.
prior authorization
Emgality Prior authorization resources
NOT PROVIDED BY BRANDComplete Letter of Medical Necessity
NOT PROVIDED BY BRANDCoverage Authorization Request
NOT PROVIDED BY BRANDComplete Coverage Authorization appeals
Letter of Medical Necessity - Migraine
Letter of Medical Necessity - Episodic Cluster Headache
If available, these templates are provided by the brand to help you navigate insurance, especially with newer drugs.
Benefits investigation
NOT PROVIDED BY BRANDBenefits investigation resources
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Benefits investigations are conducted to determine whether a therapy is covered under a patient's insurance, if a prior authorization is required, and which specialty pharmacies are preferred.
Reimbursement help (FRM)
NOT PROVIDED BY BRANDReimbursement help (FRM) resources
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Some brands offer a field reimbursement manager who will work with your clinical staff and preferred pharmacy to help make sure patients don't fall through the cracks.
financial assistance
Emgality Financial assistance options
Co-pay savings program
commercial only
Enroll in patient savings program
Learn More
Overview
Reduce patient OOP costs for drug (and occasionally for drug administration/infusion costs or drug-related test costs)
Patient benefit
A portion (or all) of patient OOP (deductible, copay), typically up to monthly and/or annual max
Patient eligibility
Patient must enroll or activate (may permit HCPs to enroll on patient’s behalf for HCP-administered drugs)
Generally, must have commercial insurance (rarely, may permit uninsured patients to use)
May never be used with government insurance
How to sign up
Cards may be downloadable digital cards or hard copies
Some pharmacos offer debit cards with pre-loaded copay benefit
Typically, available through multiple channels (e.g., rep to HCP to patient; pharmacy to patient; patient via website, Hub live agent, or copay vendor (live agent or IVR); patient and HCP via Hub enrollment form)
Some HCP-administered product programs permit HCPs to enroll on a patient’s behalf through via Hub form
Bridge program
commercial only
Learn More
Overview
Provide patient immediate access to therapy during an insurance delay (typically new starts; some may cover change in insurance)
Limited time/ fill (typically 7-30 days; some may offer additional fill for continued delay up to certain limit)
Patient benefit
100% free (outside of insurance)
Patient eligibility
HCP must enroll patient
May be limited to commercially insured patients (i.e., no government beneficiaries); some programs may allow government beneficiaries
How to sign up
Typically HCP assisted enrollment (via form)
Foundation programs
under insured
no insurance
goverment insurance
65+
Lilly Cares Patient Assistance Program Application Online Form
Lilly Cares Patient Assistance Program Application - English
Lilly Cares Patient Assistance Program Application - Spanish
Learn More
Overview
Charitable 501(c)(3) organizations provide direct cost-sharing and other support (e.g., travel, counseling) through disease-state funds to indigent patients on first-come first-served basis
These organizations may receive financial contributions from drug manaufacturers for particular disease-state funds that cannot provide funds directly to patients - the foundation must be independent/unaligned
Patient benefit
Patients apply for grants that cover a portion (or all) of their out-of-pocket costs (deductibles and co-pays) until the grant is exhausted
Patient eligibility
Patients must apply and meet eligibility criteria including income level (typically a multiple of federal poverty line), specific diagnosis, insurance status, etc.
How to sign up
Patients submit proof of out-of-pocket drug costs to charities for reimbursement
patient education
Emgality Patient education
Getting started on Emgality
Instructions for Use (Video) : Episodic Cluster Headache
ASK PATIENT TO: Open Camera on Phone Scan QR Code & Tap Link
Instructions for Use (Video): Migraine
ASK PATIENT TO: Open Camera on Phone Scan QR Code & Tap Link
Instructions For Use : 100 mg syringe for Episodic Cluster Headache
ASK PATIENT TO: Open Camera on Phone Scan QR Code & Tap Link
Instructions For Use: 120mg syringe for Migraine
ASK PATIENT TO: Open Camera on Phone Scan QR Code & Tap Link
Instructions for Use : 120mg Pen for Migraine
ASK PATIENT TO: Open Camera on Phone Scan QR Code & Tap Link
Patient toolkit
About Emgality
ASK PATIENT TO: Open Camera on Phone Scan QR Code & Tap Link
Patient Stories
ASK PATIENT TO: Open Camera on Phone Scan QR Code & Tap Link
Learn More
Other resources brands publish to help support patients and caregivers.
people also ask
Emgality FAQs
What is the Pregnancy Exposure Registry for EMGALITY?The Pregnancy Exposure Registry is a program that monitors pregnancy outcomes in women who have been exposed to EMGALITY during pregnancy. It is designed to collect information on any potential risks to the developing fetus.
How can pregnant women enroll in the Pregnancy Exposure Registry?Pregnant women can enroll in the registry by calling 1-833-464-4724 or by contacting the company at www.migrainepregnancyregistry.com.
What is the estimated risk of major birth defects and miscarriage in the general population and among women with migraine?The estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2%-4% and 15%-20%, respectively, in the general population. The estimated rate of major birth defects (2.2%-2.9%) and miscarriage (17%) among deliveries to women with migraine are similar to rates reported in women without migraine.
Are there any known risks associated with the use of EMGALITY during pregnancy?There are no adequate data on the developmental risk associated with the use of EMGALITY in pregnant women. However, animal studies have shown that administration of galcanezumab-gnlm to rats and rabbits during the period of organogenesis or to rats throughout pregnancy and lactation at plasma exposures greater than that expected clinically did not result in adverse effects on development.
Can EMGALITY be used during lactation?There are no data on the presence of galcanezumab-gnlm in human milk, the effects on the breastfed infant, or the effects on milk production. The developmental and health benefits of breastfeeding should be considered along with the mother's clinical need for EMGALITY and any potential adverse effects on the breastfed infant from EMGALITY or from the underlying maternal condition.
Is EMGALITY safe for pediatric use?Safety and effectiveness in pediatric patients have not been established.
Is there any difference in the response to EMGALITY in geriatric patients compared to younger patients?Clinical studies of EMGALITY did not include sufficient numbers of patients aged 65 and over to determine whether they respond differently from younger patients.
FAQ Data Source
We receive information directly from the FDA and PrescriberPoint is updated as frequently as change are made available
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Please note:
Access to a Field Reimbursement Manager (FRM) or Medical Science Liaison (MSL) varies by brand and may require talking with your rep first.
Samples are provided at the discretion of the brand.
We are unable to collect Protected Health Information (PHI), fill out forms, or submit them on your behalf.