Savings Resources for You

By enrolling in and using the Tempo Savings Card Program (“Program”) and using the Tempo 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 one or more of the Tempo™ Products for an approved use consistent with FDA-approved/cleared product labeling: Lyumjev^® Tempo Pen™ (insulin lispro-aabc) injection, BASAGLAR^® Tempo Pen™ (insulin glargine) injection, Humalog^® Tempo Pen™ (insulin lispro) injection, Tempo Welcome Kit, Tempo Refill Kit, and/or Tempo Smart Button™ (collectively, “Tempo Products”);
2. You are enrolled in a commercial drug insurance plan;
3. 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;
4. You are a resident of the United States or Puerto Rico; and
5. You are 18 years of age or older.

Card Terms and Conditions

For patients with commercial drug insurance coverage for Tempo Products: You must have commercial drug insurance that covers Tempo Products and a prescription for an approved use consistent with FDA-approved/cleared product labeling to pay as little as the following:

• Pay as little as $35 for each 30-day supply of Tempo Pen. Card savings are subject to a maximum monthly savings of up to $3,000 per 1-month prescription fill of each Tempo Pen and a separate maximum annual savings of up to $16,000 per calendar year, up to a maximum of 16 prescription fills per calendar year for each Tempo Pen.
• Pay as little as $35 for 1 Tempo Welcome Kit. Card savings are limited to a maximum of one Welcome Kit per calendar year and a maximum savings of up to $227.50 per calendar year.
• Pay as little as $35 for 1 Tempo Refill Kit per month. Card savings are subject to a maximum monthly savings of $138.25, up to a maximum of 16 Refill Kits per calendar year.
• Pay as little as $35 per Tempo Smart Button. Card savings are subject to a maximum savings of $96.25 per Smart Button, up to a maximum of 2 Smart Buttons per calendar year.

Month is defined as 30 days. The Tempo Welcome Kit, Tempo Refill Kit, and Tempo Smart Button are subject to a combined maximum annual savings of $2,632. 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 12/31/2025.

For patients with commercial drug insurance who do not have coverage for Tempo Products: You must have commercial drug insurance that does not cover Tempo Products and a prescription for an approved use consistent with FDA-approved/cleared product labeling to pay as little as the following:

• Pay as little as $35 for each 30-day supply of Tempo Pen. Card savings are subject to a maximum monthly savings of wholesale acquisition cost plus usual and customary pharmacy charges per 1-month prescription fill of each Tempo Pen and a separate maximum annual savings of up to 14 monthly prescription fills per calendar year.
• Pay as little as $35 for 1 Tempo Welcome Kit. Card savings are limited to a maximum of one Welcome Kit per year and a maximum savings of wholesale acquisition cost plus usual and customary pharmacy charges.
• Pay as little as $35 for 1 Tempo Refill Kit per month. Card savings are subject to a maximum monthly savings of wholesale acquisition cost plus usual and customary pharmacy charges, up to a maximum of 14 Refill Kits per calendar year.
• Pay as little as $35 per Tempo Smart Button. Card savings are subject to a maximum savings of wholesale acquisition cost plus usual and customary pharmacy charges per Smart Button, up to a maximum of 2 Smart Buttons per calendar year.

Month is defined as 30 days. 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 12/31/2025.

Additional Terms and Conditions

If you have an insurance plan that is participating in an alternate funding program (“AFP”) that requires you to apply to the Tempo 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 Tempo Products, you are not eligible for and are prohibited from using the Tempo 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 Tempo Savings Card Program. You agree to inform Tempo 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 applicable 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 Tempo Products, only allows partial coverage for Tempo Products, removes coverage for Tempo Products and requires you to utilize the Card, does not provide a material level of financial assistance for the cost of Tempo Products, or does not apply Card payments to satisfy your co-payment, deductible, or coinsurance for Tempo Products. Card savings are not valid for: Massachusetts residents if an AB-rated generic equivalent is available; California residents if an FDA-approved/cleared 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 Tempo Savings Card and agree to call the Tempo Savings Card Program at 1-866-923-1953 to stop participation. Card activation is required. You may not 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 Tempo Products. 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. THIS 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 Tempo Savings Card Program may change from time to time; the most current version can be found at https://www.lillytempo.com/savings-support/savings-card. 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. Card expires and savings end on 12/31/2025.