Savings & Support with Taltz Together™

Hypothetical Patient

Access Savings and Support with Taltz Together

Taltz Together is a free program that provides savings and support to help you get started on Taltz. After enrolling, you receive ongoing assistance and services to help you get started and manage your condition along your treatment journey, including:

Savings Offer

Eligible and commercially insured patients save on prescription costs when enrolled in Taltz Together.

Be sure to share your savings card with your specialty pharmacy.

Governmental beneficiaries excluded, terms and conditions apply.

Insurance Help

Taltz Together helps manage the insurance process with your doctor, specialty pharmacy, and your insurance company to get your medication delivered directly to your door.

Injection Training

Access resources like videos and over the phone training by a registered nurse to help you feel confident using our devices.

Sharps Disposal

To safely dispose of your Taltz devices, Taltz Together participants can order and receive a free FDA-cleared sharps disposal container.

Enroll in Taltz Together and Start Saving

Enroll here

What to expect when you enroll:

Watch out for an email welcoming you to the program
You will receive a call from a Companion in Care^† to explain how Taltz Together can support you, check your insurance coverage on your behalf before you start treatment, and answer any questions you may have
Your Companion in Care will call to make sure you have received your first delivery of Taltz and schedule your injection training appointment, if requested. Trainings can be done virtually.

^†A Companion in Care provided by Taltz Together is not a medical professional. Your doctor is your source for medical advice.

What to expect when setting up your injection training:

Once your Companion in Care has scheduled your injection training, you will receive an appointment reminder. Save 1-844-825-8966 to your contacts so you know when your registered nurse is calling you for your appointment.

Who’s who:

Once your doctor prescribes Taltz, there are some key players who may reach out to help you get started.

Companion in Care

Your Taltz Together contact who coordinates with your doctor’s office, specialty pharmacy, and insurance company, to check your insurance coverage, determine specialty pharmacy options, and assist in savings enrollment

Your Insurance Company

Once a prescription is received, your insurance company will determine coverage, identify how much Taltz may cost you, and coordinate with the specialty pharmacy identified by your doctor

Your Specialty Pharmacy

Handles biologic medications, like Taltz. Once your insurance company approves Taltz, your specialty pharmacy will contact you to coordinate medication pick up or delivery

To connect with a Taltz Together representative any time you have a question or just want to talk, call 1-844-TALTZ-NOW (1-844-825-8966) from Monday to Friday between 8 am and 10 pm ET.

“Taltz Together program helped ease the costs of my medication. They're easy to work with. It was a simple plan to partner with, and the people have been super helpful and friendly.”

Kirk, actual Taltz patient with psoriatic arthritis.

Kirk was compensated for his time

**Eligible, commercially insured patients who are taking Taltz and are also prescribed Zepbound^® (tirzepatide) Injection may be eligible to pay as little as $30 per month for both products^*†**

You could pay as little as $5 for Taltz and $25 for Zepbound per month. Your Taltz must be covered by your commercial drug insurance plan and you must be filling your Taltz prescription. Additional terms, conditions, and limitations apply. *Governmental beneficiaries excluded, terms and conditions apply.

If you’re interested in learning more about Zepbound Savings for Taltz Patients, and to better understand whether you meet the eligibility requirements, please call Taltz Together™ at 1-844-TALTZ-NOW (1-844-825-8966).

In order to be eligible for the Zepbound Savings for Taltz Patients, you must:

Have been prescribed Zepbound and Taltz (independently) and have diagnoses that are consistent with FDA approved product labeling;
Have commercial drug insurance that covers Taltz;
Have filled your Taltz prescription within the preceding 30 days of filling your Zepbound prescription;
Be enrolled in the Taltz Together program;
Not be enrolled in any state, federal, or government funded healthcare program;
Be 18 years of age or older and a resident of the United States or Puerto Rico.

As a patient enrolled in the Taltz Together program, you will also have access to Taltz Together offerings, including:

Injection Training, Ongoing support via Companion in Care, and Sharps Disposal.

Prior to your enrollment in this program, your healthcare provider must:

Submit a completed Taltz Together Enrollment Form
If required by your insurer, submit a completed Taltz Prior Authorization Form

Additional terms, conditions, and limitations apply. Governmental beneficiaries excluded. See full terms and conditions below.

^†One month is defined as 28 days and 4 pens for Zepbound.

Please see Prescribing Information including Boxed Warning and Medication Guide for Zepbound. See Instructions for Use included with the device.

Terms and Conditions
By enrolling in the Zepbound Savings for Taltz Patients Savings Card Program (“Program”) and using the Zepbound Savings for Taltz Patients Savings Card (“Card”), you attest that you meet the eligibility criteria, and you agree to comply with the terms and conditions described below:

Card Eligibility:
(1.) You have been prescribed Zepbound® (tirzepatide) and have a diagnosis that is consistent with FDA approved product labeling;
(2.) You have been prescribed Taltz® (ixekizumab) and have a diagnosis that is consistent with FDA approved product labeling;
(3.) You have commercial drug insurance that covers Taltz;
(4.) You have filled your Taltz prescription within the preceding 30 days of filling your Zepbound prescription;
(5.) You are enrolled in the Taltz Together program;
(6.) You are not enrolled in any state, federal, or government funded healthcare program, including, without limitation, Medicaid, Medicare, Medicare Part D, Medicare Advantage, Medigap, DoD, VA, TRICARE®/CHAMPUS, or any state prescription drug assistance program;
(7.) You are a resident of the United States or Puerto Rico; and
(8.) You are 18 years of age or older.

Card Terms and Conditions
For patients with commercial drug insurance coverage for Zepbound: In order to be eligible to pay as little as $25 for a 1-month, 2-month, or 3-month prescription fill of Zepbound, you must: (a) have commercial drug insurance that covers Zepbound and a prescription and diagnosis consistent with FDA-approved product labeling; and (b) have commercial insurance with coverage for Taltz and have filled your Taltz prescription within the preceding 30 days of filling your Zepbound prescription. Month is defined as 28-days and up to 4 pens. Card savings are subject to a maximum monthly savings of up to $295 per 1-month prescription, $590 per 2-month prescription, or $885 per 3-month prescription fill and separate maximum annual savings of up to $2,950 per calendar year. Card may be used for a maximum of up to 10 prescription fills per calendar year. If you discontinue filling your Taltz prescription for any reason, you may use this Card on or before 12/31/2024 for a maximum of one additional prescription fill, to pay as little as $25 for a 1-month, 2-month, or 3-month supply of Zepbound. After you have utilized this one additional prescription fill of Zepbound following discontinuation of Taltz, you will no longer be eligible to use this Card. Subject to Lilly USA, LLC’s (“Lilly”) right to terminate, rescind, revoke, or amend Card eligibility criteria and/or Card terms and conditions which may occur at Lilly’s sole discretion, without notice, and for any reason. Card expires and savings end on 12/31/2024.

For patients with commercial drug insurance who do not have coverage for Zepbound: In order to be eligible to pay as little as $25 for a 1-month prescription fill of Zepbound, you must: (a) have commercial drug insurance that does not cover Zepbound and a prescription and diagnosis consistent with FDA-approved product labeling; and (b) have commercial insurance with coverage for Taltz and have filled your Taltz prescription within the preceding 30 days of filling your Zepbound prescription. Month is defined as 28-days and up to 4 pens. Card savings are subject to a maximum monthly savings of wholesale acquisition cost plus usual and customary pharmacy charges for one 28-day supply of Zepbound. Card may be used for a maximum of up to 10 prescription fills per calendar year. If you discontinue filling your Taltz prescription for any reason, you may use this Card on or before 12/31/2024 for a maximum of one additional prescription fill, to pay as little as $25 for a 1-month supply of Zepbound. After you have utilized this one additional prescription fill of Zepbound following discontinuation of Taltz, you will no longer be eligible to use this Card. Subject to Lilly’s right to terminate, rescind, revoke, or amend Card eligibility criteria and/or Card terms and conditions which may occur at Lilly’s sole discretion, without notice, and for any reason. Card expires and savings end on 12/31/2024.

Additional Terms and Conditions
If you have an insurance plan that is participating in an alternate funding program (“AFP”) (examples include, but are not limited to, ImpaxRX, Payer Matrix, SHARx, Script Sourcing, and Paydhealth) that requires you to apply to the Zepbound Savings for Taltz Patients Savings Card Program or otherwise pursue specialty drug prescription coverage through an alternate funding vendor as a condition of, requirement for, or prerequisite to coverage of Zepbound, you are not eligible for and are prohibited from using the Zepbound Savings for Taltz Patients Savings Card Program. AFPs include programs where coverage, reimbursement, or patient out of pocket costs for a product in some way vary based on the availability of a manufacturer co-pay program. AFPs may modify, delay, deny, restrict, or withhold insurance benefits or coverage from patients, or exclude Lilly products from coverage contingent upon a member’s use of the Zepbound Savings for Taltz Patients Savings Card Program. You agree to inform the Zepbound Savings for Taltz Patients Savings Card Program if you are or become a member of such an alternative funding program. You are responsible for any applicable taxes, fees, and any amount that exceeds the monthly or annual maximum Card savings. Monthly and annual maximum savings are set at Lilly’s sole and absolute discretion and may be changed with or without notice at any time for any reason. At its sole discretion and with or without notice, Lilly may reduce, eliminate, or otherwise modify the Card savings for any reason, including but not limited to if your commercial drug insurance plan imposes additional requirements which limits or prevents you from receiving coverage for Zepbound, only allows partial coverage for Zepbound, removes coverage for Zepbound and requires you to utilize the Card, does not provide a material level of financial assistance for the cost of Zepbound, or does not apply Card payments to satisfy your co-payment, deductible, or coinsurance for Zepbound. Card savings are not valid for: Massachusetts residents if an AB-rated generic equivalent is available; California residents if an FDA-approved therapeutic equivalent is available. You must meet the Card eligibility criteria, terms and conditions every time you use the Card. Card activation is required. No party may seek reimbursement from your health insurance, any third party, or any health savings, flexible spending, or other healthcare reimbursement accounts, for any amount of the savings received through the Card. By utilizing the Card, you agree that if you are required to do so under the terms of your insurance coverage for this prescription or are otherwise required to do so by law, you will notify your Insurance Carrier of your redemption of the Card. Card savings cannot be combined or utilized with any other program, discount, discount card, cash discount card, coupon, incentive, or similar offer involving Zepbound. You agree that this Card savings is intended solely for the benefit of you, the patient, and that the Card benefits are nontransferable. It is prohibited for any person to sell, purchase, or trade; or to offer to sell, purchase, or trade, or to counterfeit the Card .The Card is not insurance. Lilly has the sole right to interpret and apply Card eligibility criteria, and terms and conditions. Card eligibility, and terms and conditions may be terminated, rescinded, revoked, or amended by Lilly at any time without notice and for any reason. Lilly’s sole discretion to terminate, rescind, revoke, or amend Card eligibility criteria and/or Card terms and conditions includes the right to terminate any individual Card if Lilly determines, in its sole discretion, that a patient does not satisfy the Card’s eligibility criteria or is using or has attempted to use the Card inconsistently with these Terms and Conditions. Eligibility criteria, and terms and conditions for the Zepbound Savings for Taltz Patients Savings Card Program may change from time to time. You may be required to obtain a new Card, including if any Card terms and conditions have been terminated, rescinded, revoked, or amended by Lilly. Card void where prohibited by law. Subject to Lilly’s right to terminate, rescind, revoke or amend Card eligibility criteria and/or Card terms and conditions which may occur at Lilly’s sole discretion, without notice, and for any reason, the Card expires and savings end on 12/31/2024.

Have concerns about paying for Taltz?

We're here to help. Contact Taltz Together at 1-844-TALTZ-NOW (1-844-825-8966) for more information.

Learn more

By enrolling in the Taltz Savings Card Program (“Program”) and using the Taltz Savings Card (“Card”), you attest that you meet the eligibility criteria, agree to, and will comply with the terms and conditions described below:

Card Eligibility:

You have been prescribed Taltz^® (ixekizumab) consistent with FDA approved product labeling
You are enrolled in a commercial drug insurance plan
You are not enrolled in any state, federal, or government funded healthcare program, including, without limitation, Medicaid, Medicare, Medicare Part D, Medicare Advantage, Medigap, DoD, VA, TRICARE^®/CHAMPUS, or any state prescription drug assistance program.
You are a resident of the United States or Puerto Rico
You are 18 years of age or older

Card Terms and Conditions:

For patients with commercial drug insurance coverage for Taltz: You must have commercial drug insurance that covers Taltz and a prescription consistent with FDA-approved product labeling to pay as little as $5 for a 1-month prescription fill of Taltz. Month is defined as 28-days and up to 3 pens. Card must be first used by no later than 12/31/2024. Card savings are subject to a maximum monthly savings of wholesale acquisition cost plus usual and customary pharmacy charges and a separate maximum annual savings of up to $9,450 per calendar year. Card may be used for up to a maximum of 14 prescription fills per calendar year and up to a maximum of 24 prescription fills over the lifetime of the Program, subject to the previously stated maximum monthly and annual savings limit. Participation in the Program requires a valid patient HIPAA authorization upon enrollment into the Program. Subject to Lilly USA, LLC’s right to terminate, rescind, revoke, or amend Card eligibility criteria and/or Card terms and conditions which may occur at Lilly’s sole discretion, without notice, and for any reason, Card expires and savings end on 12/31/2026 or 24 months after you first use the Card, whichever comes first.

For patients with commercial drug insurance who do not have coverage for Taltz: You must have commercial drug insurance that does not cover Taltz and a prescription consistent with FDA-approved product labeling to pay as little as $25 for a 1-month supply of Taltz. Month is defined as 28-days and up to 3 pens. Card savings are subject to a maximum monthly savings and a separate maximum annual savings. Card may be used for up to a maximum of 14 prescription fills per year and up to a maximum 24 prescription fills over the lifetime of the Program, subject to the maximum monthly and annual savings limit. Card must be first used by no later than 12/31/2024. Participation in the Program requires submission of a prior authorization (PA) prior to the first prescription fill. If coverage is denied, an appeal must be submitted prior to 5th month prescription fill. To remain eligible for the Program, a new PA, appeal, or medical exception must be submitted prior to the 13th prescription fill and as required by Lilly at its sole discretion. Participation in the Program requires a valid patient HIPAA authorization to remain in the Program. Subject to Lilly USA, LLC’s right to terminate, rescind, revoke, or amend Card eligibility criteria and/or Card terms and conditions, which may occur at Lilly’s sole discretion, without notice, and for any reason, Card expires and savings end on 12/31/2026 or 24 months after you first use the Card, whichever comes first.

Additional Program Terms and Conditions

If you have an insurance plan that is participating in an alternate funding program (“AFP”) (examples include, but are not limited to, ImpaxRX, Payer Matrix, SHARx, Script Sourcing, and Paydhealth) that requires you to apply to the Taltz Savings Card Program or otherwise pursue specialty drug prescription coverage through an alternate funding vendor as a condition of, requirement for, or prerequisite to coverage of Taltz, you are not eligible for and are prohibited from using the Taltz Savings Card Program. AFPs include programs where coverage, reimbursement, or patient out of pocket costs for a product in some way vary based on the availability of a manufacturer co-pay program. AFPs may modify, delay, deny, restrict, or withhold insurance benefits or coverage from patients, or exclude Lilly products from coverage contingent upon a member’s use of Taltz Savings Card Program. You agree to inform Taltz Savings Card Program if you are or become a member of such an alternative funding program. You are responsible for any applicable taxes, fees, and any amount that exceeds the monthly or annual maximum Card savings. Monthly and annual maximum savings are set at Lilly’s sole and absolute discretion and may be changed with or without notice at any time for any reason. At its sole discretion and with or without notice, Lilly may reduce, eliminate, or otherwise modify the Card savings for any reason, including but not limited to if your commercial drug insurance plan imposes additional requirements which limits or prevents you from receiving coverage for Taltz, only allows partial coverage for Taltz, removes coverage for Taltz and requires you to utilize the Card, does not provide a material level of financial assistance for the cost of Taltz, or does not apply Card payments to satisfy your co-payment, deductible, or coinsurance for Taltz. Card savings are not valid for: Massachusetts residents if an AB-rated generic equivalent is available; California residents if an FDA-approved therapeutic equivalent is available. You must meet the Card eligibility criteria, terms and conditions every time you use the Card. If at any time you begin receiving drug coverage under any state, federal, or government funded healthcare program, you understand that you will no longer be eligible for the Taltz Savings Card and agree to call the Taltz Savings Card Program at 1-844-825-8966 to stop participation. Card activation is required. No party may seek reimbursement from your health insurance, any third party, or any health savings, flexible spending, or other healthcare reimbursement accounts, for any amount of the savings received through the Card. By utilizing the Card, you agree that if you are required to do so under the terms of your insurance coverage for this prescription or are otherwise required to do so by law, you will notify your Insurance Carrier of your redemption of the Card. Card savings cannot be combined or utilized with any other program, discount, discount card, cash discount card, coupon, incentive, or similar offer involving Taltz. You agree that this Card savings is intended solely for the benefit of you, the patient, and that the Card benefits are nontransferable. It is prohibited for any person to sell, purchase, or trade; or to offer to sell, purchase, or trade, or to counterfeit the Card. The Card is not insurance. Lilly has the sole right to interpret and apply Card eligibility criteria, and terms and conditions. Card eligibility, and terms and conditions may be terminated, rescinded, revoked, or amended by Lilly at any time without notice and for any reason. Eligibility criteria, and terms and conditions for the Taltz Savings Card Program may change from time to time; the most current version can be found at https://www.Taltz.com. You may be required to obtain a new Card, including if any Card terms and conditions have been terminated, rescinded, revoked, or amended by Lilly. Card void where prohibited by law. Subject to Lilly’s right to terminate, rescind, revoke or amend Card eligibility criteria and/or Card terms and conditions, which may occur at Lilly’s sole discretion, without notice, and for any reason, the Card expires and savings end on 12/31/2026 or 24 months after you first use the Card, whichever comes first.

TRICARE^® is a registered trademark of the Department of Defense (DoD), DHA.

SAFETY SUMMARY

Warnings -

Taltz affects the immune system. It may increase your risk of infections, which can be serious. Do not use Taltz if you have any symptoms of infection, unless your doctor tells you to. If you have a symptom after starting Taltz, call your doctor right away.

Your doctor should check you for tuberculosis (TB) before you start Taltz, and watch you closely for signs of TB during and after treatment with Taltz. If you have TB, or had it in the past, your doctor may treat you for it before you start Taltz.

Do not use Taltz if you have had a serious allergic reaction to ixekizumab or any other ingredient in Taltz, such as: swelling of your eyelids, lips, mouth, tongue or throat, trouble breathing, feeling faint, throat or chest tightness, or skin rash. Get emergency help right away if you have any of these reactions. See the Medication Guide that comes with Taltz for a list of ingredients.

Crohn’s disease or ulcerative colitis (inflammatory bowel disease) can start or get worse with Taltz use. Tell your doctor if you have any of these symptoms or if they get worse: stomach pain, diarrhea, and weight loss.

You should not get live vaccines while taking Taltz. You should get the vaccines you need before you start Taltz.

Common side effects
The most common side effects of Taltz include:

Injection site reactions
Nausea

Upper respiratory infections
Fungal skin infections

Tell your doctor if you have any side effects. You can report side effects at 1-800-FDA-1088 or www.fda.gov/medwatch.

Before using

Before you use Taltz, review these questions with your doctor:

❑ Are you being treated for an infection?
❑ Do you have an infection that does not go away or keeps coming back?
❑ Do you have TB or have you been in close contact with someone with TB?
❑ Do you have possible symptoms of an infection such as fever, cough, sores, diarrhea, or other symptoms? Ask your doctor about other possible symptoms.
❑ Do you have Crohn’s disease or ulcerative colitis?

Tell your doctor if:

❑ You need any vaccines or have had one recently.
❑ You take prescription or over-the-counter medicines, vitamins, or herbal supplements.
❑ You are pregnant or planning to become pregnant. It is not known if Taltz can harm an unborn baby. Pregnancy Exposure Registry: There is a pregnancy registry to collect information about women who are exposed to Taltz during pregnancy. The purpose of this registry is to collect information about the health of you and your baby. If you become pregnant while taking Taltz, you are encouraged to enroll in the pregnancy registry by calling 1-800-284-1695 or by visiting online at https://www.taltz.com.
❑ You are breastfeeding or planning to breastfeed. It is not known if Taltz passes into breastmilk.

How to take

See the instructions for use that come with Taltz. There you will find information about how to store, prepare, and inject Taltz. Adults may self-inject after receiving training from a healthcare provider.

For people under 18 years of age:

Weighing less than 50 kg (i.e., 110 lb): Taltz must be given by a healthcare provider.
Weighing more than 50 kg (i.e., 110 lb): If your healthcare provider decides that your caregiver may give your injections of Taltz at home, your caregiver should ask and receive training from a healthcare provider on the right way to prepare and inject Taltz.

Learn more

Taltz is a prescription medicine. For more information, call 1-800-545-5979 or go to taltz.com.

This summary provides basic information about Taltz but does not include all information known about this medicine. Read the information that comes with your prescription each time your prescription is filled. This information does not take the place of talking with your doctor. Be sure to talk to your doctor or other healthcare provider about Taltz and how to take it. Your doctor is the best person to help you decide if Taltz is right for you.

IX CON BS 05OCT2022

Taltz^® and its delivery device base are trademarks owned or licensed by Eli Lilly and Company, its subsidiaries, or affiliates.

INDICATIONS

Taltz^® (tȯl-ts) is an injectable medicine used to treat:

People 6 years of age and older with moderate to severe plaque psoriasis who may benefit from taking injections or pills (systemic therapy) or treatment using ultraviolet or UV light (phototherapy).
Adults with active psoriatic arthritis.
Adults with active ankylosing spondylitis.
Adults with active non-radiographic axial spondyloarthritis with objective signs of inflammation.

It is not known if Taltz is safe and effective in children for conditions other than plaque psoriasis or in children under 6 years of age.

No matter what your insurance covers, pay as little as $5 or $25 a month*

Access Savings and Support with Taltz Together

Enroll in Taltz Together and Start Saving

Expand accordion More Taltz Together Information

What to expect when you enroll:

What to expect when setting up your injection training:

Who’s who:

“Taltz Together program helped ease the costs of my medication. They're easy to work with. It was a simple plan to partner with, and the people have been super helpful and friendly.”

Expand accordion Zepbound® (tirzepatide) Injection Savings for Taltz Patients

Eligible, commercially insured patients who are taking Taltz and are also prescribed Zepbound® (tirzepatide) Injection may be eligible to pay as little as $30 per month for both products*†

Have concerns about paying for Taltz?

SAFETY SUMMARY

Warnings -

Before using

How to take

Learn more

INDICATIONS

No matter what
your insurance
covers, pay as
little as $5 or
$25 a month^*

**Eligible, commercially insured patients who are taking Taltz and are also prescribed Zepbound^® (tirzepatide) Injection may be eligible to pay as little as $30 per month for both products^*†**