Icon representing PA Form

Completing Prior Authorization

A helpful guide on how to complete a prior authorization.

https://mounjaro.lilly.com/assets/pdf/pp-tr-us-2513-prior-authorization-tips-guide.pdf

Icon representing PA Form

Letter of Medical Necessity

Many health plans require a Letter of Medical Necessity to accompany a coverage authorization appeals letter.

https://mounjaro.lilly.com/assets/pdf/pp-tr-us-2466-sample-letter-of-medical-necessity.pdf

Savings are available to get your patients started on Mounjaro | savingsprogram

https://main--ewi-mounjaro-aem-us--elilillyco.aem.page/fragments/savings-resources