The Humulin R U-500 Savings Card program offers the opportunity to pay as little as $25* for your insulin prescription (not including syringes). Find out if you're eligible below.
*For eligible, commercially insured patients. Patient's responsibility may exceed $25 depending on the pharmacy provider.
If you already have a savings card, click here to activate.
By using the Humulin R U-500 Savings Card ("Card"), you attest that you meet the eligibility criteria and will comply with the Terms and Conditions described below:
Offer void where prohibited by law. This offer is invalid for patients without commercial insurance coverage or those whose prescription claims for Humulin R U-500 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. If you live in Massachusetts, the card expires on the earlier of: (i) the expiration date of this card (December 31, 2017); (ii) the date an AB rated generic equivalent becomes available; or (iii) June 30, 2017, absent a change in Massachusetts state law. Available only in the US and Puerto Rico for residents of the US and Puerto Rico. By accepting this offer, 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 should notify your insurance carrier of your redemption of this Card. This offer is not valid with any other program, discount, incentive, or similar offer involving Humulin R U-500. It is prohibited for any person to sell, purchase or trade; or to offer to sell, purchase or trade; or to counterfeit this Card. This offer may be terminated, rescinded, revoked, or amended by Lilly USA, LLC at any time without notice.
This Card is not health insurance.
This Card expires on 12/31/2017.
While you are not eligible for the savings card, your co-pay or out-of-pocket costs for Humulin R U-500 KwikPen will depend on your insurance plan. Keep in mind that the cost of Humulin R U-500 KwikPen is determined by several groups/organizations, including wholesalers and pharmacies.
Humulin R U-500 is available by prescription only.
HI U500 CON ISI 27SEP2016
Humulin® and KwikPen® are registered trademarks owned or licensed by Eli Lilly and Company, its subsidiaries, or affiliates.
BD™ is a trademark of Becton, Dickinson and Company.
HM U500 HCP ISI 27SEP2016
Humulin® and KwikPen® are registered trademarks owned or licensed by Eli Lilly and Company, its subsidiaries, or affiliates. Humulin® R U-500 is available by prescription only.
BDâ„¢ is a trademark of Becton, Dickinson and Company.
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