Access

Novartis wants to help your patients get the medications they need

These tools may help your patients get their medications at reduced or no cost* and help them access support from our patient support team.

Novartis Oncology Service Request Form

For your convenience, you may now select a Novartis Oncology Service Request Form (SRF) that is customized to fit your patient’s needs. This new, streamlined SRF includes only those fields relevant to your patient’s medication.

A complete submission will include a separate SRF that is completed by your patient. Encourage your patient to provide consent by submitting his or her SRF first.

Patients have 2 options to submit their SRF. They may do so online (preferably) or download the SRF to print and fax. Currently, health care providers (HCPs) may only submit their SRF via fax.

Expect a call and/or fax from Novartis Patient Assistance Now Oncology within 24 to 48 hours of a complete submission.

HCP Novartis Oncology Service Request Form

Choose your product to generate a custom form, then submit via fax.

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Patient Novartis Oncology Service Request Form

Direct your patients to the Novartis Oncology patient website. There, they will have the option either to complete the form online or download it to print and fax.

Take Me to the Patient Website

Novartis Oncology Patient Support Program

The right support at the right time

The single source for patient and caregiver support
Financial assistance options to help patients access the treatment(s) they need
Personalized 1-on-1 support through unique programs designed to work with patients when they’re needed most

To learn more about what the Novartis Oncology Patient Support Program can offer your patients, call 1-800-282-7630.

Novartis Oncology Universal Co-pay Program

At Novartis Oncology, we've made it easy for patients to access available financial support for their prescription costs for Novartis Oncology medications. With the Novartis Oncology Universal Co-pay Program, eligible patients with private insurance may pay $25 per month and Novartis will pay the remaining co-pay, up to $15,000 per calendar year.*

Encourage your patients to find out if they are eligible to enroll in the Universal Co-pay Program by visiting CoPay.NovartisOncology.com or calling 1-877-577-7756.

*Limitations apply. This offer is only available to patients with private insurance. The program is not available for patients who are enrolled in Medicare, Medicaid, or any other federal or state health care program. Novartis reserves the right to rescind, revoke, or amend this program without notice. For full Terms and Conditions, visit CoPay.NovartisOncology.com or call 1-877-577-7756.

Patient Assistance Now Oncology

Patient Assistance Now Oncology (PANO) is a support center consisting of insurance specialists and case managers who provide access to information regarding an array of services. Consider PANO your first stop for information about Novartis Oncology patient support programs. Dedicated support specialists help direct callers to the services that best fit their needs.

Support for patients includes:

Insurance benefits verification, including information on denial of coverage and/or appeals
Information about financial assistance that may be available
Patient Support Counselors who are able to provide information in over
160 languages
Patient Navigators who provide 1-on-1 support specific to a patient’s Novartis medication (varies by product)
Free trial of Novartis medication or free access programs (varies by product; this offering is for approved uses/indications only)
Dedicated case managers with a private extension for you to reach them directly when needed
A combination of PANO case managers and/or field reimbursement managers are available to help depending on the complexity of a patient’s case

To learn more, call 1-800-262-7630.

Novartis Patient Assistance Foundation, INC.

For uninsured and underinsured patients

The Novartis Patient Assistance Foundation, Inc. (NPAF) may help provide access to Novartis medications for patients who are experiencing financial
hardship and/or have no third-party insurance coverage^†
Patients who meet the following eligibility requirements may be qualified to receive Novartis medications at no cost:
- US resident
- Proof of income that meets the financial eligibility requirements
- Limited or no prescription coverage^‡

^†Please be advised that access to the medicines distributed through the Novartis Patient Assistance Foundation, Inc., is free of charge to all eligible patients. Novartis is not affiliated with any individual or organization that may charge patients a fee(s) to assist them in completing applications for our program. These individuals or organizations are acting independently of the Novartis Patient Assistance Foundation, Inc., and its affiliates and do not have the consent of Novartis.
^‡Exceptions exist for individuals with limited prescription coverage.

To learn more, call NPAF directly at 1-800-277-2254 or call PANO at 1-800-282-7630.

Novartis Oncology Patient Support and Financial Assistance

The Novartis Oncology Patient Support Program provides information about independent organizations that may assist with your patients' day-to-day needs beyond medical care. To get your patients started, encourage them to visit Patient.NovartisOncology.com.