The Novartis Patient Assistance Foundation, Inc. (NPAF) is committed to providing access to Novartis medications for those most in need. If you are experiencing financial hardship and have limited or no prescription coverage, then you may be eligible to receive Novartis medications for free.
To be eligible for NPAF assistance, you must:
Be a US resident
Meet the income requirements below
Have limited or no private or public prescription coverage*
Household Size Annual Household Income Threshold
1 Person < $ 75,000 2 People < $100,000 3 People < $125,000 4 People < $150,000 >5 People Add $25,000 for each additional person
* Exceptions exist for patients with limited prescription coverage
To enroll, select your medication from the list below and follow the directions provided.
Novartis Patient Assistance Foundation, Inc. (NPAF) Enrollment Process
CALL 1-800-277-2254: You, your caregiver/family member or your physician can call the NPAF Monday through Friday, 9:00 AM - 6:00 PM ET to begin the process or to learn more.
COMPLETE THE APPLICATION: (instructions provided on the application)
Download the application by clicking the link below or request an application by calling 1-800-277-2254.
Patients complete page 2 - Signature and date are required
Patients need to provide income and insurance documentation
Patient can fax or mail the application
Health Care Professionals (HCPs) complete page 3 - Signatures and dates are required for Prescription and Authorization
HCP portion must be faxed from HCP office
The patient and HCP portions can be submitted together or separately
ELIGIBILITY PERIOD: Qualified patients are eligible for up to one year of medication, or until prescription drug coverage becomes available. Program eligibility is reviewed annually.