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Program 1 of 2 Scroll down to see them all.

This program provides brand name medications at no or low cost.
Pharmaceutical Company Novartis Pharmaceuticals
Program Name Novartis Oncology Patient Assistance Program
Program Address Novartis Patient Assistance Program
PO Box 66556
St. Louis, MO 63166-6556
Phone Number

866-884-5906
Fax Number
Medications on Program Afinitor Tablets 5mg, 10mg (everolimus)
Application Forms Novartis Oncology Patient Assistance Program
On-line Application
 No on-line application available at this time
Web Site Click to go to program's web site
Eligibility Guidelines and Notes

The patient can have no public or private prescription insurance and must meet income eligibility criteria which vary by household size. Medical diagnosis necessary for this program is not specified. The patient must also be a US resident. Patient applications are evaluated on a case by case basis. Medicare beneficiaries who enroll in a Part D plan, may be considered for the Novartis PAP on an exception basis.
Application Process

The physician needs to start the process by asking for a service request.      
Application Requirements

Not applicable.
Program Details

The medication is sent to either the doctor's office or the patient's home.  
Last Updated April 14, 2010


                                         

Program 2 of 2.

This program provides help in applying for assistance with the cost of this drug.
Pharmaceutical Company Diplomat Specialty Pharmacy
Program Name Diplomat's Co-Pay Assistance Navigator Program
Program Address Attn: Funding Department
2029 S. Elms Rd., Suite D,
Swartz Creek, MI 48473
Phone Number

877-977-9118 ext. 10184
Fax Number 866-418-2650
Medications on Program Afinitor  1 (everolimus)
Application Forms Not Applicable
On-line Application
 No on-line application available at this time
Web Site Click to go to program's web site
Eligibility Guidelines and Notes

Individual eligibility and level of financial support is determined on a case by case basis.  Medical diagnosis necessary for this program is not specified. US residency requirements are not specified. The Co-Pay Navigator is a full service program to help patients seek funding assistance for the co-pay portion of their required medications. There is no charge for this service. Physicians/physicians' offices may submit an application online at the website indicated above, or fax information as directed below.

Application Process

The physician/physician's office should fax the prescription, diagnosis, patient demographics and any insurance information to 866-418-2650 Attn: Sandy/Funding.  A Patient Care Coordinator will contact the patient within 24-48 business hours.     
Application Requirements

Will be discussed with the patient and physician after the initial request to the program is received. 
Program Details

Not applicable.
Last Updated September 07, 2010