Personalized support that can help you start, stay, and save on treatment

Once you’ve been prescribed FABHALTA^®, you or your loved one can sign up for Novartis Patient Support. It’s a comprehensive program with a dedicated team in your corner.

What does personalized support mean?

You’ll have a go-to team member who will reach out from the start and get to know you. When you have questions, you can talk to them directly.*

*Novartis Patient Support does not provide clinical advice and is not a substitute for consulting with your health care provider.

A helping hand when you need it

Count on personalized assistance at every step. You’ll get help with:

How can I save on FABHALTA?

Cost shouldn’t be a barrier between you and the treatment you need. Your support will be based on your unique financial situation. That will include things like your prescription and insurance coverage. Novartis Patient Support offers options to help you afford your treatment.

What is Co‑Pay Plus?^†

If eligible, Co‑Pay Plus may help you pay for your FABHALTA, including refills. Co‑Pay Plus is not health insurance but can help cover out-of-pocket expenses related to your prescription. For more details, download the Co‑Pay Plus brochure.

Pay as little as $0 with Co‑Pay Plus

• Eligible patients with private insurance may pay as little as $0

• Annual benefit limit of $20,000 per calendar year

• The annual benefit limit automatically resets every year. There’s no need to sign up again

What if my insurance coverage is delayed or denied?

If you have private insurance and are eligible, Co‑Pay Plus can help you to:

• Get FABHALTA if your coverage is delayed. Co‑Pay Plus can provide up to 12 months of FABHALTA for free^‡ while seeking coverage

• Pay for your FABHALTA out-of-pocket costs once your coverage is approved. Out-of-pocket costs could be your co‑pay, co‑insurance, or deductible

3 ways to sign up for Co‑Pay Plus

Once your health care provider prescribes you FABHALTA:

^†Co-Pay Plus: 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.

^‡Bridge Program: 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.

How can my Novartis Patient Support team help me navigate insurance coverage?

Supporting your start on FABHALTA is our number one priority. Novartis Patient Support is here to help. You'll work with an experienced team member who can:

The Vaccination Support program provides in-home vaccination and guided navigation to help simplify the process for eligible patients, regardless of insurance.

Vaccination Support consists of:

• In-home vaccination

  • A licensed clinician administering all required vaccinations in the patient’s home at no cost

• Guided navigation

  • Help navigating the steps needed to receive the required vaccinations (eg, finding a vaccination location near the patient)

  • Guidance on accessing existing vaccination records

Eligible patients can use their Co-Pay Plus offer^§ to help lower their out-of-pocket costs to as little as $0 for the required vaccination(s), up to $1,000 annually, excluding administration costs.

^§Limitations apply. Up to a $20,000 annual co-pay benefit limit for the cost of FABHALTA and up to $1,000 for qualifying vaccination costs. Offer not valid under Medicare, Medicaid, or any other federal or state health insurance program. Patients with private insurance and a prior authorization requirement or an initial denial of coverage may receive up to 12 months of free product while coverage is pursued. Novartis reserves the right to rescind, revoke, or amend this Program without notice. Additional limitations may apply. See complete Terms & Conditions at www.fabhalta.com for details.

Please contact Novartis Patient Support at 1-833-99FABHA (1-833-993-2242), Monday through Friday, 8:00 AM-8:00 PM ET, excluding holidays for more information.

Resources:

What if I need support after starting FABHALTA?

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

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

• Guidance on your health plan coverage process

• Options for saving on your prescription

• Setting up your routine and getting more help with FABHALTA

A dedicated one-on-one team member will continue to support you throughout your treatment journey:

• They’ll be your go-to for any questions about Novartis Patient Support

• You can meet them virtually

• Let them know if you prefer text messages, calls, or emails

• Meet virtually with your dedicated team member to walk through your Welcome Kit, which includes:

  • Important information about your dedicated Novartis Patient Support team and how we can support you

  • A brochure explaining how we'll help you understand and navigate financial support options and your routine

  • A journal where you can write down your thoughts, feelings, and experiences throughout your treatment

  • Support that'll help you locate and keep track of vaccinations and boosters

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.

How do I sign up for Novartis Patient Support?

There are 3 ways to get started. Once your health care provider prescribes FABHALTA, you can:

What if I don’t have insurance?

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.