Submit your FABHALTA^® (iptacopan) prescription to a designated specialty pharmacy

FABHALTA is dispensed through a specialty pharmacy that ships the medication directly to your patient's door each month and guides your team through the process.

Pro-Tip: When e-prescribing, select Biologics by McKesson or CareMed from your EHR. Any listed location will route the prescription correctly.

What to expect: Submitting a FABHALTA perscription

• Both specialty pharmacies and Novartis Patient Support can help assess eligibility for the Co-Pay Plus Offer* and Bridge Program^†

• The pharmacies that dispense FABHALTA must be REMS-certified and will verify that prescribers are too

• A confirmation between your patient and the specialty pharmacy is required before FABHALTA can be delivered

^*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.

^†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.

What to do: Working with a specialty pharmacy

• Tell your patient which pharmacy will dispense their medication and to respond to calls to schedule delivery

• Verify your REMS certification with the specialty pharmacy

• Contact the pharmacy directly for coordination or support as needed
   

Tools to support the process