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Help coordinate insurance coverage for, access to, and receipt of my medication. Communicate with me about possible financial assistance, including Novartis Co-Pay or NPAF programs, and, if I am enrolled, administer my participation in those programs.
For New Patients: Apply through Novartis Patient Support at 1 866 433 8000 or visit the website at www.scemblix.com. Prescribers need to complete Scemblix Start Form found on www.scemblix-hcp.com and send the form to Novartis Patient Support, fax number: 1 800 368 5564. For Reenrolling Patients: Download the NPAF application form
• Meet income guidelines for the medication for which the patient is seeking assistance. Visit www.PAP.Novartis.com • Have a valid prescription for the Novartis medication
Novartis Patient Assistance Foundation (NPAF) provides Novartis medication free of cost to eligible patients without insurance coverage or who cannot afford the cost of the medication. To be eligible, patients must: Reside in the United States or a US Territory. Be treated by a licensed US health care provider (HCP) on an outpatient basis.
If you have limited or no insurance coverage, the Novartis Patient Assistance Foundation, Inc. provides medicines at no cost to eligible US patients who are experiencing financial hardship.
Enrollment Application for the Novartis Patient Assistance Foundation, Inc. Information. P.O. Box 52029, Phoenix, AZ 85072-2029 | Phone: 1-800-277-2254 | Fax: 1-855-817-2711. Dear Patient and Health Care Professional (HCP): Thank you for your interest in the Novartis Patient Assistance Foundation, Inc. To be eligible, a patient must:
NOVARTIS PATIENT ASSISTANCE FOUNDATION, INC (NPAF) Patient Consent SIGNATURE REQUIRED FOR PATIENTS APPLYING FOR Patient Assistance Program (PAP) – MANDATORY FOR PROCESSING.