Frequently Asked Questions

Yes, Novartis provides a patient support program for FABHALTA, called Novartis Patient Support, that helps eligible patients:

• Initiate treatment

• Navigate insurance coverage requirements

• Manage out-of-pocket costs

• Receive resources for ongoing support

You can enroll your patients in Novartis Patient Support for FABHALTA in a few simple steps:

1. Complete the Start Form on the CoverMyMeds® portal by visiting www.covermymeds.health ↗.
   
   Quickly enroll patients and track their progress.
   
   OR
   
   Download the FABHALTA Start Form at FABHALTA.com ↗. Fill out the required sections with your patient, and ensure both you and your patient sign and date the form to capture consent.
   
   Fax the completed form to Novartis Patient Support at fax 833-99FABHA (833-993-2242).

2. Connect with us.
   
   Our Novartis Patient Support team is available to work alongside you and your patients every step of the way. Call us at: 833-99FABHA (833-993-2242), Monday-Friday, 8:00 AM-8:00 PM ET, excluding holidays.

To sign up for Novartis Patient Support, your patients must:

• Be 18 years of age or older

• Live in the United States or Puerto Rico

• Be prescribed FABHALTA for an on-label indication

Yes, Novartis Patient Support provides you and your patients with a dedicated Novartis team member to help navigate access and reimbursement for FABHALTA.

If additional support is needed, any Novartis Patient Support team member can assist you and your patients on their treatment journey by calling us.
Phone: 833-99FABHA (833-993-2242)
Availability: Monday-Friday, 8:00 AM-8:00 PM ET, excluding holidays

Yes, once your patient is enrolled in Novartis Patient Support, our team will work with their insurance provider and your office to help patients conduct a benefits verification to better understand your eligible patient’s coverage.

Novartis Patient Support can help with prior authorization requests or letters of appeal by working directly with you and your office. We provide helpful resources, such as the PA and Appeals Guide, which includes:

• PA Checklist

• Exception Request Checklist

• Appeal Submission Checklist

• Sample Letters

Yes, Novartis Patient Support provides field reimbursement managers who can work with you and your office to help patients. For questions or support, you can reach out to a dedicated Novartis Access and Reimbursement team member by calling 833-99FABHA (833-993-2242).

The Novartis Patient Support Co-Pay Plus* offer helps make treatment affordable. Eligible, privately insured patients may pay as little as $0 for FABHALTA. To sign up, patients and their providers can fill out the electronic Start Form on the CoverMyMeds® portal: www.covermymeds.health ↗.

*Limitations apply. Patients with private insurance coverage for FABHALTA may receive up to $20,000 in annual co-pay benefits for the cost of FABHALTA and up to $1,000 for qualifying vaccination costs (excluding administrative fees). Patient is responsible for any costs once the limit is reached in a calendar year. Program not valid (i) under Medicare, Medicaid, TRICARE, VA, DoD, or any other federal or state health care program, (ii) where patient is not using insurance coverage at all, (iii) where the patient’s insurance plan reimburses for the entire cost of the drug, or (iv) where product is not covered by patient’s insurance. The value of this Program is exclusively for the benefit of patients and is intended to be credited towards patient out-of-pocket obligations and maximums, including applicable co-payments, coinsurance, and deductibles. Patient may not seek reimbursement for the value received from this Program from other parties, including any health insurance program or plan, flexible spending account, or health care savings account. Patient is responsible for complying with any applicable limitations and requirements of their health plan related to the use of the Program. Valid only in the United States, Puerto Rico, and select territories. Void where prohibited by law. Additional restrictions may apply. This Program is not health insurance. Program may not be combined with any third-party rebate, coupon, or offer. Proof of purchase may be required. Novartis reserves the right to rescind, revoke, or amend this Program and discontinue support at any time without notice.

Novartis Patient Assistance Foundation, Inc. (NPAF) is an independent, 501(c)(3) non-profit entity that provides certain medications at no cost to eligible patients who cannot afford the cost of their Novartis medication, are uninsured or have government insurance, and meet income guidelines and other eligibility criteria. NPAF does not provide product to individuals having insurance associated with any type of alternative funding program that conditions, restricts, or adjusts coverage based on application to NPAF or any other free goods program. Other terms and conditions may apply. Please visit www.PAP.Novartis.com ↗ or call NPAF at 1-800-277-2254 for more information.

Bridge Program: Yes, Novartis Patient Support has the Bridge Program,^† which provides eligible patients up to 12 months of FABHALTA for free while coverage is pursued. Once they sign up for Novartis Patient Support, we automatically identify if your patients are eligible for the Bridge Program, based on the results of the benefits verification.

^†The Bridge Program applies to FABHALTA only. Eligible patients must have private insurance and a valid prescription for FABHALTA, and a prior authorization or an initial denial of coverage. Program requires the submission of a prior authorization or an appeal of the coverage denial within the first 45 days of enrollment to remain eligible. Program provides FABHALTA for free to eligible patients for up to 12 months, or until they receive insurance coverage approval, whichever occurs earlier. A valid prescription consistent with FDA-approved labeling is required. Program is not available to patients whose medications are reimbursed in whole or in part by Medicare, Medicaid, TRICARE, or any other federal or state program. Patients may be asked to reverify insurance coverage status during the course of the Program. No purchase necessary. Program is not health insurance, nor is participation a guarantee of insurance coverage. Additional limitations may apply. Novartis Pharmaceuticals Corporation reserves the right to rescind, revoke, or amend this Program without notice.

Novartis Patient Support offers a range of patient support materials to help patients start and stay on track with FABHALTA, including:

• A dedicated support team that provides ongoing assistance and answers questions throughout treatment

• A Welcome Kit that includes educational resources to help patients get started

• Adherence support tools offer tips and reminders to help patients maintain their dosing

You can access patient support materials for FABHALTA at FABHALTA.com, where you’ll find resources designed for use in health care provider offices, including educational materials and patient support information.

You can enroll patients who wish to participate in Vaccination Support using the current Start Form and completing Vaccination Support in Section 6 (Vaccination Information). Patient Navigators will then work with patients to determine their preference of support and work with the patients accordingly.

All patients 18 years or older who have been prescribed on-label FABHALTA will be eligible for in-home vaccination regardless of insurance type.