| Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis. | |||
Novartis Patient Assistance Foundation, Inc. (NPAF)This program provides medication at no cost. |
|||
Provided by: Novartis Pharmaceuticals Corporation |
|||
PO Box 52029 TEL: 800-277-2254FAX: 855-817-2711 |
Languages Spoken:
English, Others By Translation Service |
||
Program Applications and Forms |
|||
Novartis Patient Assistance Foundation, Inc. Enrollment Application: Contact program |
|||
Novartis Patient Assistance Foundation, Inc. Enrollment Application (Spanish): Contact program |
|||
Medications |
|||
|
|||
Eligibility Requirements |
|||
| Insurance Status | Contact program for details. | ||
| Those with Part D Eligible? | Contact program for details. | ||
| Income | At or below 600% of FPL | ||
| Diagnosis/Medical Criteria | Not specified | ||
| US Residency Required? | Must reside in the US, Puerto Rico or the USVI | ||
Application |
|||
| Obtaining | Call or download | ||
| Receiving | Faxed | ||
| Returning | Fax or mail | ||
| Doctor's Action | Complete section, sign, attach required documents | ||
| Applicant's Action | Complete section, sign, attach required documents | ||
| Decision Communicated | Doctor notified | ||
| Decision Timeframe | Not specified | ||
Medication |
|||
| Amount/Supply | Varies | ||
| Sent To | Patient's home, unless otherwise noted | ||
| Delivery Time | Not specified | ||
| Refill Process | Patient must contact company | ||
| Limit | Not specified | ||
| Re-application | New application, new documentation yearly | ||
Additional Information |
|||
| For Focalin XR, Clozaril, and Ritalin LA, Clozarila pharmacy card will be issued. All other medication will be shipped directly to the patient, unless otherwise noted. *Additional products may be available. Please contact the program for a complete product listing. www.pap.novartis.com |
|||
| Updated July 12, 2022 | |||
