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Welcome to the Lilly Support Services™ Digital Enrollment Portal This site offers a convenient way to complete Patient enrollment into the program. In a few easy steps, this site will allow enrollment into Lilly Support Services™ for Kisunla™. The whole process should take a few minutes. You will be asked to provide Patient and Provider information, and electronically sign your Consents/Authorizations. You will be able to review and submit the application and print a copy for your records.
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PP-RC-US-2098 03/2025 ©Lilly USA, LLC 2025. All rights reserved. Kisunla™ and Lilly Support Services™ are trademarks owned or licensed by Eli Lilly and Company, its subsidiaries, or affiliates. You are encouraged to report side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. You are encouraged to report an adverse event or product complaint of the medical device to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Support Monday-Friday 9 AM - 6 PM ET Phone 1-800-545-5979 | Fax 1-844-731-26972730 South Edmonds Lane, Ste. 300 | Lewisville, TX 75067