Novartis Patient Assistance Program

Requirements for uninsured applicants

• Applicants must be at or below 250% federal poverty level to qualify
  • View federal poverty guidelines
• Medications are shipped to the providers office with the exception of Gilenya – this medication is shipped directly to the applicant
  • Applicant can call after the first fill and request that the medications be shipped directly to their home for all remaining refills for any of their Novartis medications
• Applications are good for 1 year from the date approved by the program

Requirement for Medicare Part D applicants

• Medicare Part D enrollees can apply if the cost of the medication for 1 year (1 months’ supply x 12 copays or Out-Of-Pocket price in coverage gap period) will cost over 10% of their total household income
  • Very rare that an applicant qualifies with Medicare Part D
• Applications for Medicare Part D enrollees are valid until December 31st of the current enrollment year