What is your therapeutic area of opportunity?

In what stage is your idea, technology, or innovation?

Your information

* Required Field

If you were referred by a Lilly employee, please enter their information

Project information

Maximum 100 words. {{ vm.numWordsRemaining(vm.yourInformation.projectDescription, 100) }} words remaining.

Maximum 250 words. {{ vm.numWordsRemaining(vm.yourInformation.projectDifferentiate, 250) }} words remaining.


Browse Files PDF, PPT, or Word doc only (Maximum upload size in total is 8MB)

{{ file.name }},
Clear

Patent information


Review and submit

Click on any step above to edit that section of your submission.

Lilly Contact(s):

{{ vm.getReferralName(ref) }}
Country: {{ ref.referralCountry }}
Email: {{ ref.referralEmail }}


Lilly Contact(s): N/A


Project Description:

What differentiates your project:

Additional files submitted: {{ file.name }},

Therapeutic Area:
Stage of Development:
Patent Number (if applicable): N/A
Date the Patent Number was filed (if applicable):

Lilly Employee

* Required Field

Referral