Eli Lilly & Company

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that the response would not resolve my complaint.  For your reference, details of the offer I reviewed appear below.
After speaking with Crystal L. at length about my claim she requested 3 additional documents.  A separation letter from my employer, a termination of coverage certificate from the health insurance company showing dates of coverage, and my last pay stub.  All were sent yesterday.  I still have no medication or response from the Lilly company.  Additionally I sent all the documentation required with my initial application and am surprised to find they are wanting more and more.  I request to be enrolled in the program as quickly as possible and Crystal L give me a call.
Regards,
[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution would be satisfactory to me. If  what said, "Eli Lilly and  Opus Health, an override was processed and the claim was paid in the amount of $208.26.  The patient will receive reimbursement in the next billing cycle which falls on the 30th." and I receive the payment I will be satisfied. 
Regards,
[redacted]

We received the patient’s insurance termination letter and proof
of income, and he was enrolled on 10/19/16. The patient called on 10/18 for an
update, and at the time we were still awaiting his additional documentation. We
will give the patient a call to provide an update and inform him of the
enrollment. Please let me know if there are any other questions or concerns.

A representative from Lilly spoke live with the patient. 
Action plan:
Patient will call HCP with new FAX number and have application sent
She will let the Lilly representative know once application has been faxed and Lilly will have call center pull and expedite...

review and shipment order placement
Shipment will be sent RUSH
A goodwill voucher will be coordinated for Cymbalta 60 mg.  Patient will receive a call from The Lilly Answers Center regarding this.    Patient is aware that she will need a prescription from her Dr. for voucher to be able to work.

Lilly’s Patient Assistance
Programs work to meet the needs of as many patients as possible, based on
available resources and established criteria.  Last year, the Lilly Cares
Foundation served more than 160,000 patients through the Lilly Cares Program. 
The Lilly Cares Patient...

Assistance Program was designed to help those patients
who are not eligible for Medicare Part D and have no insurance or for patients
who are eligible for Medicare Part D and have enrolled in a Medicare Part D
program.  Our program very specifically covers Medicare Part D patients,
and that criteria has been consistent since our program was launched in
2008.  At this time, the patient who raised the question does not meet
program criteria, as she is eligible for Medicare Part D but has not enrolled
in a plan. 
 
We appreciate the feedback. It
is always important to us to hear from patients as we continually review our
programs.
 
The Lilly Cares Foundation