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Kisunla copay assistance programs

2 assistance programs for Kisunla patients · 2 open today

Two Eli Lilly programs: the Kisunla Savings Card Program, a $0 commercial copay card with a $9,450 annual maximum, and Lilly Cares Foundation Patient Assistance, free drug for uninsured patients. Neither reaches a Medicare patient's coinsurance.

Select the patient's insurance and diagnosis to see which programs apply.

Current status · Award amounts · Eligibility · Direct application links · verified April 11, 2026

1 program matches this patient · 1 open · 1 more if coverage falls short

Kisunla · MCI due to Alzheimer's · Commercial insurance

Kisunla Savings Card ProgramOpen

Eligible patients may pay $0

Potential benefit$0 · $9,450/year annual maximum applies
InsuranceCommercial ✓ · Government insurance ✗
DiagnosisMCI due to Alzheimer's ✓
IncomeNo income requirement
Covers administrationNo — the infusion fee is not covered
Phone800-545-5979
Current statusOpen
Last verifiedApril 11, 2026

Calculate this patient’s cost with this program ↓

Calculate this patient’s cost with Kisunla Savings Card Program

Assistance

Free · No credit card · No sales call

Run the estimate with assistance, without assistance, or both side by side.

What CareCost shows

Example · Kisunla · 1400 mg · 700 units · commercial plan · deductible met · 20% coinsurance · allowed amounts at the Medicare reference rate

Without assistanceWith Kisunla Savings Card Program
Drug responsibility$585.90$0.00
Administration (96365)$13.43$13.43
Patient owes$599.33$13.43

Estimated patient savings: $585.90

CareCost calculates the drug and administration lines using the patient’s payer rate and benefits; this example uses the Medicare rate as a reference.

1 more Kisunla program for this patient

Also available if this patient’s coverage falls short

Lilly Cares Foundation Patient Assistance (Free Drug)If underinsured

Free Lilly Cares Foundation Patient Assistance (Free Drug) for eligible patients

Potential benefitFree drug — no limit
InsuranceUninsured ✓
DiagnosisMCI due to Alzheimer's ✓
IncomeIncome-based eligibility
Covers administrationNo — the infusion fee is not covered
Phone800-545-6962
Current statusOpen
Last verifiedApril 11, 2026

Calculate this patient’s cost with this program ↓

Other Kisunla assistance programs

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Mild Alzheimer's dementia2 programsCheck current programs →

One assistance search. One patient estimate.

Task
Find programs for the diagnosis
See whether each program is open
See maximum award
Review key eligibility requirements
Open the official application
Calculate cost before assistance
Apply the program benefit
Calculate what the patient still owes

How Kisunla assistance works

Commercial insurance: The Kisunla Savings Card Program is Eli Lilly's commercial copay card. Eligible patients pay $0 for the drug, up to $9,450 a year. A Kisunla claim carries two lines, the drug (J0175 billed at 700 units for the 1,400 mg maintenance dose) and the 96365 infusion administration, and the card applies to the drug line only; the infusion charge is billed and collected separately. It excludes Medicare, Medicaid, and other government insurance. View current program ↑

Uninsured: Lilly Cares Foundation Patient Assistance ships Kisunla free to eligible uninsured patients on income-based eligibility. The shipment is the drug alone; the infusion charge still goes on the patient's bill.

Medicare: Manufacturer copay savings cannot be used when government insurance is paying for Kisunla; the federal Anti-Kickback Statute is why, per HHS OIG guidance on copayment coupons, and it is also why the Kisunla Savings Card Program excludes Medicare outright; Lilly Cares is not a fallback either, since its eligibility is limited to uninsured patients. What is available instead is Medigap, which caps the Part B coinsurance under Plan K or Plan L, and Medicaid dual eligibility. On the 1,400 mg maintenance dose, a Medicare patient's 20% coinsurance is $599.33 on the $2,996.64 Medicare allows ($585.90 drug plus $13.43 infusion), and no manufacturer program reduces it. Coverage runs under NCD 200.3, coverage with evidence development: the prescriber enrolls the patient in a CMS-approved registry (ALZ-NET is the most used), a coverage condition, not an assistance program. No foundation fund is on file for either indication. See Medigap out-of-pocket by plan →

Why the diagnosis selector doesn't change the result: Neither Kisunla program is diagnosis-gated. Eligibility runs on the patient's insurance status, not on whether the diagnosis is mild cognitive impairment due to Alzheimer's disease (G31.84) or mild Alzheimer's disease dementia (G30.9); both qualify the same way for whichever program matches the patient's insurance.

Frequently asked questions

Is there a Kisunla copay card?

Yes. The Kisunla Savings Card Program is Eli Lilly's commercial copay card: eligible patients pay $0 for the drug, up to $9,450 a year. It covers the drug only and excludes Medicare, Medicaid, and other government insurance. Apply on kisunla.lilly.com ↗ Calculate cost with the program →

Does the Kisunla Savings Card cover the infusion fee?

No. The card applies to the drug line only, J0175 billed at 700 units at the 1,400 mg maintenance dose. The 96365 infusion charge is billed separately, and neither Lilly program pays it. View current program ↑

Can Medicare patients get Kisunla for free?

Not through Lilly. The Kisunla Savings Card Program excludes Medicare and Medicaid outright; Lilly Cares is limited to uninsured patients. A Medicare patient's route to lower cost is Medigap or Medicaid dual eligibility. Coverage runs under NCD 200.3, coverage with evidence development: the prescriber enrolls in a CMS-approved registry (ALZ-NET is the most used), a coverage condition, not an assistance program. See Medigap out-of-pocket by plan →

How do I apply for Lilly Cares?

Call 800-545-6962 or apply through kisunla.lilly.com. Lilly Cares ships Kisunla free to eligible uninsured patients on income-based eligibility; the infusion line still goes on the patient's bill. Apply on kisunla.lilly.com ↗

Is there a foundation fund for Kisunla?

No. No independent charitable foundation currently lists a fund for either Kisunla indication. Fund availability changes as foundations open and exhaust funding. Check today's status ↑

What if the plan denies Kisunla?

The Kisunla Savings Card Program reduces what a patient owes on an approved, paid claim; it does not apply to a denied claim. The denial has to be resolved through the payer's appeal or reconsideration process before either Lilly program has anything to apply to.

Assistance for the other product in this family

Kisunla shares its class with Leqembi (J0174, Eisai / Biogen), billed under its own code with its own manufacturer programs. The programs above apply to Kisunla only. If the payer requires the other product instead, use that manufacturer’s program below.

Each card is the program record on file, verified on the date it shows. None of them pays the administration line.

Leqembi (J0174) · EisaiOpen

LEQEMBI Copay Assistance

Applies whenPatient is on Leqembi, not Kisunla
BenefitCopay assistance: $10,000/year
InsuranceCommercial
Current statusOpen
Last verifiedApril 9, 2026
Leqembi (J0174) · EisaiOpen

LEQEMBI Companion Patient Assistance Program

Applies whenPatient is on Leqembi, not Kisunla
BenefitFree drug, no annual limit
InsuranceUninsured
Current statusOpen
Last verifiedApril 9, 2026

Sources

Data current: programs verified Apr 11, 2026

Eli Lilly (Kisunla Savings Card Program and Lilly Cares Foundation Patient Assistance). Every program links directly to its official source or application page.

Last program check: .

Reviewed September 20, 2026 by Erin Rose, CareCost Estimate founder. Methodology →