Yes, Novartis Patient Support is a program that helps people get their Novartis medications and understand how to use them. Our dedicated team can: 

• Help navigate the insurance process 

• Explore financial support options 

• Provide one-on-one assistance throughout treatment

There are 3 ways to sign up for Novartis Patient Support. Once your health care provider prescribes FABHALTA, you can: 

• Sign up online at www.support.FABHALTA.com

• Call 833-99FABHA (833-993-2242), Monday-Friday, 8:00 _^AM-8:00 _^PM ET, excluding holidays, and a dedicated Novartis Patient Support team member can help sign you up 

• Ask your provider and their office staff can help you sign up

After you sign up, your Novartis Patient Support team will inform you of next steps in getting your medication. They’ll verify your insurance and explain your coverage and options.

Yes, Novartis Patient Support can help you figure out your insurance coverage. Supporting your start on FABHALTA is our number one priority. 

You'll work with an experienced team member who can: 

• Help you navigate the insurance process 

• Work with your health care provider to manage insurance forms

• Assist you if there are changes to your health plan

The insurance approval process begins with benefits verification. Benefits verification is the process of confirming how your insurance covers your medication. This often includes predetermination, which means checking with your health insurance to find out what it will cover and what you may need to pay. Typically, it will take 2-3 business days, but it may take longer if we need more information.

Prior authorization is an approval from your health insurance that a service or prescription is covered. This approval may be required before you get a service or prescription filled.

If you lose your job or change insurance, Novartis Patient Support wants to help you navigate that. We’ll work with your health care provider to manage insurance forms and coverage updates. Call us at 833-99FABHA (833-993-2242) for more information.

The amount you'll pay for FABHALTA depends on your pharmacy benefits or prescription insurance plan. You can call the number, usually located on the back of your card, and ask for the following:

• Deductible

• Out-of-pocket max

• Co-pay/Co-insurance

• How much of each has been met/what is remaining

• What is the coverage after the above has been met

You may not have a separate card for your pharmacy benefits, so be sure to check your insurance card to see if they have those details. If you’re privately or commercially insured, you may be eligible for Co-Pay Plus.* Eligible patients may pay as little as [$0] per prescription. Additional eligibility requirements and limitations apply.

Novartis Patient Support can verify your coverage and explain expected costs. Most people use insurance, which may cover part of the cost. You may owe a co‑pay or co‑insurance, depending on your plan. Typically, this will take 2-3 business days, but it may take longer if we need more information.

Call 833-99FABHA (833-993-2242) if you have questions about your costs.

*Limitations apply. Patients with private insurance coverage for FABHALTA may receive up to $20,000 in annual co-pay benefits for the cost of FABHALTA and up to $1,000 for qualifying vaccination costs (excluding administrative fees). Patient is responsible for any costs once the limit is reached in a calendar year. Program not valid (i) under Medicare, Medicaid, TRICARE, VA, DoD, or any other federal or state health care program, (ii) where patient is not using insurance coverage at all, (iii) where the patient’s insurance plan reimburses for the entire cost of the drug, or (iv) where product is not covered by patient’s insurance. The value of this Program is exclusively for the benefit of patients and is intended to be credited towards patient out-of-pocket obligations and maximums, including applicable co-payments, coinsurance, and deductibles. Patient may not seek reimbursement for the value received from this Program from other parties, including any health insurance program or plan, flexible spending account, or health care savings account. Patient is responsible for complying with any applicable limitations and requirements of their health plan related to the use of the Program. Valid only in the United States, Puerto Rico, and select territories. Void where prohibited by law. Additional restrictions may apply. This Program is not health insurance. Program may not be combined with any third-party rebate, coupon, or offer. Proof of purchase may be required. Novartis reserves the right to rescind, revoke, or amend this Program and discontinue support at any time without notice.

Co-Pay Plus* is financial support offered by Novartis Patient Support. It may help you pay for your FABHALTA, including refills, if eligible. Co-Pay Plus is not health insurance but can help cover out-of-pocket expenses related to your prescription.

*Limitations apply. Patients with private insurance coverage for FABHALTA may receive up to $20,000 in annual co-pay benefits for the cost of FABHALTA and up to $1,000 for qualifying vaccination costs (excluding administrative fees). Patient is responsible for any costs once the limit is reached in a calendar year. Program not valid (i) under Medicare, Medicaid, TRICARE, VA, DoD, or any other federal or state health care program, (ii) where patient is not using insurance coverage at all, (iii) where the patient’s insurance plan reimburses for the entire cost of the drug, or (iv) where product is not covered by patient’s insurance. The value of this Program is exclusively for the benefit of patients and is intended to be credited towards patient out-of-pocket obligations and maximums, including applicable co-payments, coinsurance, and deductibles. Patient may not seek reimbursement for the value received from this Program from other parties, including any health insurance program or plan, flexible spending account, or health care savings account. Patient is responsible for complying with any applicable limitations and requirements of their health plan related to the use of the Program. Valid only in the United States, Puerto Rico, and select territories. Void where prohibited by law. Additional restrictions may apply. This Program is not health insurance. Program may not be combined with any third-party rebate, coupon, or offer. Proof of purchase may be required. Novartis reserves the right to rescind, revoke, or amend this Program and discontinue support at any time without notice.

Delays and denials can happen, and while they are disruptive, there are steps you can take. Talk to your health care provider about what makes the most sense for your situation.

Co-Pay* Plus can help you get FABHALTA if your coverage is delayed, for up to 12 months of FABHALTA for free^† while we continue to seek coverage, if you have private insurance and are eligible.

^†The Bridge Program applies to FABHALTA only. Eligible patients must have private insurance and a valid prescription for FABHALTA, and a prior authorization or an initial denial of coverage. Program requires the submission of a prior authorization or an appeal of the coverage denial within the first 45 days of enrollment to remain eligible. Program provides FABHALTA for free to eligible patients for up to 12 months, or until they receive insurance coverage approval, whichever occurs earlier. A valid prescription consistent with FDA-approved labeling is required. Program is not available to patients whose medications are reimbursed in whole or in part by Medicare, Medicaid, TRICARE, or any other federal or state program. Patients may be asked to reverify insurance coverage status during the course of the Program. No purchase necessary. Program is not health insurance, nor is participation a guarantee of insurance coverage. Additional limitations may apply. Novartis Pharmaceuticals Corporation reserves the right to rescind, revoke, or amend this Program without notice.

Our Bridge Program* may be able to help if your insurance coverage is delayed and you have private insurance. It can cover the cost of FABHALTA while you wait. This gives Novartis Patient Support time to work with your doctors and health plan to seek insurance coverage.

*The Bridge Program applies to FABHALTA only. Eligible patients must have private insurance and a valid prescription for FABHALTA, and a prior authorization or an initial denial of coverage. Program requires the submission of a prior authorization or an appeal of the coverage denial within the first 45 days of enrollment to remain eligible. Program provides FABHALTA for free to eligible patients for up to 12 months, or until they receive insurance coverage approval, whichever occurs earlier. A valid prescription consistent with FDA-approved labeling is required. Program is not available to patients whose medications are reimbursed in whole or in part by Medicare, Medicaid, TRICARE, or any other federal or state program. Patients may be asked to reverify insurance coverage status during the course of the Program. No purchase necessary. Program is not health insurance, nor is participation a guarantee of insurance coverage. Additional limitations may apply. Novartis Pharmaceuticals Corporation reserves the right to rescind, revoke, or amend this Program without notice.

Novartis Patient Assistance Foundation, Inc. (NPAF) is an independent, 501(c)(3) non-profit entity that provides certain medications at no cost to eligible patients who cannot afford the cost of Novartis medications supported by NPAF.

Patients may be eligible for NPAF support if they:

• Are a resident of the United States or a US territory

• Are prescribed a product on the NPAF formulary

• Meet NPAF income eligibility requirements

• Are uninsured or are a qualifying patient with government insurance who cannot afford their out-of-pocket costs and, in the case of Medicare patients, do not qualify for Medicare's Extra Help Program (Low Income Subsidy)

NPAF does not provide product to individuals having insurance associated with any type of alternative funding program that conditions, restricts, or adjusts coverage based on application to NPAF or to any other free goods program.
Please visit www.PAP.Novartis.com or call NPAF at 1-800-277-2254 to learn more about eligibility and how to apply.

To receive support through NPAF, applicants must submit all required documentation, including proof of income and evidence of Extra Help denial as deemed necessary. Only the patient or their legal guardian or caregiver may enroll the patient in the program. Health plans, specialty pharmacies, pharmacy benefit managers, and their agents and representatives are prohibited from enrolling patients in the program. Novartis Patient Assistance Foundation, Inc., at its sole and absolute discretion, reserves the right to modify or discontinue the program at any time and to verify the accuracy of enrollment information submitted.

Yes. Once you’ve started treatment, your Novartis Patient Support team will be there for you if you need support.

Live one-on-one support is available to assist you with:

• Guidance on your health plan coverage process

• Setting up your routine and getting more help with FABHALTA

Call us at 833-99FABHA (833-993-2242), Monday-Friday, 8:00 AM-8:00 PM ET, excluding holidays.

Novartis Patient Support does not provide medical advice and doesn’t replace medical guidance from your health care provider. Our goal is to help you feel informed about your treatment from day one.

A Novartis Patient Support team member will contact you after you enroll. They’ll get to know you and answer questions about your treatment and support needs. You’ll receive personalized, one‑on‑one assistance throughout treatment.