Benefits and coverage
Helps clinics investigate coverage, work through prior authorization and appeals, and locate in-network infusion or specialty-pharmacy services.
What it does
Lilly Support Services can support benefits investigation, authorization and appeal logistics, coding and billing questions, and identification of in-network infusion centers or specialty pharmacies.
Open official program pageAvailable as access support for patients prescribed OMVOH; financial-program eligibility is evaluated separately.
Complete the Lilly Support Services authorization through the clinic or enrollment flow.
Provide current medical and pharmacy plan information.
Submit the OMVOH prescription and plan-requested clinical evidence.
Clinics can use the Lilly Support Services Provider Portal, CoverMyMeds, or the official fax form. Include authorization, insurance cards, prescription, clinical details, and the requested access services.
Best for: Clinics using the provider portal or CoverMyMeds
Open the Lilly Support Services Provider Portal or OMVOH request in CoverMyMeds.
Owner: Clinic staff
Enter patient, insurance, prescription, and clinical information and select benefits, authorization, appeal, site, or pharmacy support.
Prescriber And Clinic Staff, Lilly Support Services, Patient, Health Plan, Infusion Site Or Specialty Pharmacy
Lilly Support Services
OMVOH enrollment, savings, access, infusion-site, training, and sharps support.
Describes clinic enrollment channels and access services.
Official initiation guide for clinical offices.
Provide location and network preferences for site-of-care research.
Owner: Clinic staff
Have ready: Patient authorization, Insurance cards, Prescription, Clinical records
Submit the request and monitor messages for missing information or plan results.
Owner: Clinic staff
Best for: Patients who want help selecting or enrolling in services
Provide the requested prescription, insurance, contact, and consent information.
Owner: Patient or caregiver
Have ready: Prescription details, Insurance card, Prescriber contact information
After enrollment: The hub reports findings and coordinates with the clinic. The prescriber submits plan-specific clinical rationale and makes all treatment decisions.
If there is a problem: Call to confirm receipt, request infusion-site or specialty-pharmacy research, or identify a missing plan requirement.
