Copay support
May reduce eligible commercially insured patients' cost to $5 per treatment when OMVOH is covered, or $0 per treatment during qualifying no-coverage support.
What it does
Combines medication savings for infusion induction and injection maintenance with limited infusion-administration support. Current terms state a $10,600 combined annual maximum, up to three infusions lifetime, up to 14 injections per calendar year, and up to $500 administration support for each of three infusions.
Open official program pageAvailable to eligible adults with commercial insurance and an on-label OMVOH prescription. No-coverage support requires documented prior-authorization and, at specified points, appeal or exception activity.
Government program exclusions: Medicare, Medicaid, TRICARE, VA, DoD, Other federal or state healthcare programs
Send the infusion order or maintenance prescription through the normal treatment channel.
Enroll and provide current plan information.
Submit the coverage evidence required for the applicable dose stage.
Submit patient, insurance, savings-card, EOB, and payment evidence through the Paysign reimbursement workflow within 180 days.
Enroll online or through Lilly Support Services. For covered claims, provide the savings information to the provider or pharmacy. For no-coverage claims, the clinic must submit the required authorization or appeal evidence before the relevant treatment stage.
Best for: Patients or caregivers who can complete the official web form
Open the official Lilly Support Services for Omvoh enrollment page.
Owner: Patient or caregiver
Enter the requested patient, prescription, contact, and insurance information; select the services requested.
Patient, Lilly Support Services, Prescriber And Clinic Staff, Infusion Provider Or Specialty Pharmacy, Paysign Claims Administrator
Lilly Support Services
OMVOH enrollment, savings, access, infusion-site, training, and sharps support.
Official patient support page with detailed current savings terms and nonfinancial support services.
Direct online enrollment route for Lilly Support Services for Omvoh.
Owner: Patient or caregiver
Have ready: Age, OMVOH prescription, Contact information, Commercial insurance, Consent
Review the authorization and program terms, provide consent, and submit the form.
Owner: Patient or caregiver
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: Give savings information to the infusion provider or specialty pharmacy. For manual reimbursement, use the Paysign patient portal and submit all requested records within 180 days.
If there is a problem: Call Lilly Support Services about rejected claims, no-coverage milestones, maximizer adjustments, or administration reimbursement.
