Access

Novartis patient support: The right support at the right time.

Get started with Patient Assistance Now Oncology (PANO)

 

The Service Request Form (SRF) must be submitted to access PANO support. This form can be submitted online or by faxing to PANO at 1-888-891-4924.

 

The SRF has 2 halves: Patient and HCP. Both halves must be submitted.

 

Step 1 Plus Step 2 Equals Complete Form

 

1. Patient submits form

The patient completes and submits his or her half here. They will receive a confirmation number upon completion of submission.

2. HCP submits form

Your office can submit your half of the SRF online or by fax.

Get Started

Get Started

 

If your office is submitting online, the patient must submit their half first.

  • You will need the patient's confirmation number and date of birth
    • The confirmation number can be obtained by calling PANO at 1‑800‑282‑7630
  • A digital signature of the prescribing HCP is not required for online submission
    • Instead of having the HCP digitally sign, a member of the office staff authorized by the HCP may digitally attest to the accuracy of the information on the SRF
  • The prescribing HCP still needs to submit a prescription

The HCP may also print, complete, and sign the entire SRF, including the prescription, and fax to PANO at 1‑888‑891‑4924.

PANO will match the two halves and reach out to your patient and office with next steps.

Service Request Form (SRF) Tutorial Video

 

Watch the following video to learn how to submit the SRF to PANO online.

 

 

Support starts with PANO

 

PANO is the preferred first stop for access to Novartis Oncology Patient Support programs. Through 1-on-1 guidance with a dedicated case manager, patients will discover which Novartis Oncology Patient Support programs they are eligible to receive and may also be referred to other services.

 

Please note: Requests for support from the Novartis Patient Assistance Foundation, Inc. (NPAF), an independent organization, must also go through PANO.

 

Support for patients includes:

 

  • Insurance benefits verification, including information on prior authorizations and denial appeals
  • Information about financial assistance that may be available
  • Patient Support Counselors who are able to provide information in more than 160 languages
  • Patient Navigators who provide 1-on-1 support specific to a patient’s Novartis medications (varies by product)
  • Dedicated case managers with private extensions whom you can contact directly for updates on your patient
  • A combination of PANO case managers and/or field reimbursement managers are available to help, depending on the complexity of a patient’s case

 

Get started today by submitting the SRF to PANO. Submit now.

 

To learn more about how PANO can help, call 1-800-282-7630.

PANO Logo

Novartis Oncology Universal Co-pay Program

 

At Novartis Oncology, we’ve made it easy for patients with private insurance to access financial support for their prescription co-pay costs on almost all 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, per product.*

 

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.

 

Download the optional Co-pay Assistance Authorization Form here.

Novartis Patient Assistance Foundation, Inc.

 

NPAF is independent of Novartis Oncology Patient Support. However, NEW patients seeking NPAF assistance are required to submit an SRF. Not all Novartis Oncology medicines are currently supported by NPAF. Learn more at PAP.Novartis.com.

 

For uninsured and underinsured patients:

 

  • 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

 

To apply for NPAF support, submit the SRF to PANO. Submit now.

 

To learn more about how NPAF can help, call 1-800-277-2254 or visit PAP.Novartis.com.

 

Exceptions exist for individuals with limited prescription coverage.

 

Please be advised that access to the medicines distributed through NPAF is free of charge to all eligible patients.

How else can we help?

 

Information about independent organizations that can assist with a patient's day-to-day needs beyond medical care is available.

 

Independent charitable foundations may also be available to provide additional financial assistance to your patients.§

 

See a full list of organizations at Patient.NovartisOncology.com.

 

All organizations are not-for-profit and/or government agencies, and are independent of Novartis Pharmaceuticals Corporation.

 

§All organizations are independent of Novartis Pharmaceuticals Corporation. Novartis has no financial interest in any organization listed but may provide occasional funding to these organizations. All descriptions are copyrights of the respective organizations. Novartis is not responsible for the actions of any of these organizations.