I am not challenging your comment about the income level but I wanted to share that Lily Cares Foundation covered 2 years of Forteo for me with no copay. The time frame was Sept of 2021 through 2023. I applied through the medical clinic where my Endo is. My income is quite a bit higher than the $44,000 you mentioned.

I didn't believe Lilly Cares would help out. The clinic kept calling me to get me to fill out the paperwork. I finally did. It turns out that drugs are listed by Tier, and Forteo is (or was) a high enough tier that one could make more than 4 times $44,000 and still get assistance. All my Forteo was covered 100%.

Perhaps Forteo's Tier number has gone down, but I would contact your clinic and get the paperwork from them and return the application to your clinic.

The Tier numbers I saw were not necessarily the Medicare Tier numbers. These tier numbers were with a chart about prescription payment assistance.