Insulins ValYOU Savings Program | ADMELOG® Savings | ADMELOG (insulin lispro injection) 100 Units/mL

I would like to apply for the Valyou Savings card. I want to activate the Valyou Savings card I already have.

Activate My Card

Please enter your 10-digit Savings Card ID number.^†

You have entered an invalid card number again. Apply for a new card by changing your selection above.

Please enter a valid savings card number.

See if you qualify for our Savings Card for the next 12 months.
Restrictions apply.*

1. Are you a current resident of the United States, Puerto Rico, Guam, or the U.S. Virgin Islands?^†

YES NO

2. Are you a patient 18 years of age or older?^†

YES NO

3. Do you currently receive Medicaid?*^†

YES NO

4. Are you currently serving in the U.S. military?^†

YES NO

5. Do you qualify for Medicare?*^†

Answer YES if any of the following apply:

You are 65 years of age or older and neither you nor your spouse is working
You are receiving Social Security payments because of a disability
You have end-stage renal disease

YES NO

6. Do you have commercial/private insurance?*^†

YES NO

OFFER TERMS

This offer is not valid for prescriptions covered by or submitted for reimbursement under Medicaid, Medicare, VA, DOD, TRICARE, or similar federal or state programs, including any state pharmaceutical assistance programs or any commercial/private insurance. Should you begin receiving prescription benefits from any federal, state, or other government-funded program at any time, or from commercial/private insurer, you will no longer be eligible to participate in this program.

I confirm that the information provided is accurate and complete,
as this is necessary for compliance with federal healthcare program laws.^†

Save with the ADMELOG^® Savings Card, part of the Insulins Valyou Savings Program*

Need help? Call 833-813-0190 and press # for agent 8AM – 8PM ET M-F (except holidays)

Need help? Call 833-813-0190 and press # for agent 8AM – 8PM ET M-F (except holidays)

Sign up and Save
Answer the questions below to get started.

Activate My Card

See if you qualify for our Savings Card for the next 12 months.
Restrictions apply.*

Save with the ADMELOG® Savings Card, part of the Insulins Valyou Savings Program*

Need help? Call 833-813-0190 and press # for agent 8AM – 8PM ET M-F (except holidays)

Need help? Call 833-813-0190 and press # for agent 8AM – 8PM ET M-F (except holidays)

Sign up and Save Answer the questions below to get started.

Activate My Card

See if you qualify for our Savings Card for the next 12 months. Restrictions apply.*

Save with the ADMELOG^® Savings Card, part of the Insulins Valyou Savings Program*

Sign up and Save
Answer the questions below to get started.

See if you qualify for our Savings Card for the next 12 months.
Restrictions apply.*