Are there income limits for patient assistance programs?

Yes, most manufacturer patient assistance programs have income limits based on the federal poverty level (FPL). Novo Nordisk's programs typically serve patients up to 400% of the FPL, while Eli Lilly's programs may have similar thresholds. For a single-person household in 2024, 400% FPL is approximately $54,000 annually, though these limits adjust yearly and vary by household size.

Some independent nonprofit foundations have different income criteria and may serve patients with higher incomes who still face financial hardship. These foundations often require documentation of income, insurance denial letters, and proof of medical necessity. Some programs also consider out-of-pocket expenses relative to income when determining eligibility, which can help patients with moderate incomes qualify for assistance.