Drug Information
Drug	Humatrope
Generic Equivalent	somatropin (rDNA origina) for injection
Topic	Hormone
Program Contact Info / Application Submission
Program	Access for Humatrope
Company	Eli Lilly & Company
Form	Download PDF
Address	Humatrope Reimbursement Center 100 Grandview Rd., Suite 210 Braintree, MA 02184
Phone	800-642-2340
Fax	317-779-0961
Website	http://www.humatrope.com/common_pages/hcp_reimbursement.jsp?reqNavId=3.3.3
Program Details
Details	Up to a 90-day supply will be sent to the patient�s home. The company will contact the patient to arrange for refills. The company will contact the patient regarding reapplication.
Program Requirements
Information	A portion of the form must be filled out and signed by the doctor. The company will contact the patient for the needed information and documentation.
Eligibility
Eligibility	Patient must be under treatment by a US doctor and meet income guidelines that are not disclosed. This program provides medication with a co-pay or free of charge, as determined by consideration of patient/household income.
Other Medications
Other  Medications  available in  this program	Humatrope - Hormone (Generic: somatropin (rDNA origina) for injection)