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At $1,000 per fill: Months 1-5: You pay $300 to $500 per fill (specialty copay), total spending $1,500 to $2,500 Month 6: You enter the coverage gap, paying 25% of $1,000 = $250 Months 6-12: You pay $250 per fill in the gap Total annual out-of-pocket: approximately $4,000 to $5,500 Why the Lilly savings card doesn't help