
Alongside™ MAYZENT is here to help you understand financial assistance options

Alongside™ MAYZENT is here to help you understand
financial assistance options
Once your doctor submits a
Start Form
to begin treatment, you'll be automatically
enrolled in Alongside MAYZENT. A
dedicated Alongside MAYZENT Coordinator will be
there every step of the way, including helping you figure out how to pay for MAYZENT.
Once your doctor submits a
Start Form
to begin treatment, you'll be automatically
enrolled in Alongside MAYZENT. A
dedicated Alongside MAYZENT Coordinator will be
there every step of the way, including helping you figure out how to pay for MAYZENT.

INSURANCE COVERAGE
We'll contact your insurance company and fill you in on coverage details, including any out-of-pocket costs.

FREE BRIDGE PROGRAM
You may be eligible to receive up to 12 months of medication for free through the Alongside MAYZENT pharmacy while seeking insurance coverage.†

FINANCIAL SUPPORT FOR PRETESTS
Novartis offers options to help patients access and/or receive the pretests needed for onboarding on MAYZENT therapy. These options are designed to help cover or reduce the costs of the various tests and are subject to various eligibility requirements.

THE MAYZENT ACCESS CARD
If you have commercial insurance, you could pay as little
as $0 co-pay* for MAYZENT.
Ask your Alongside MAYZENT Coordinator for details.
If you have any questions about financial assistance or insurance coverage, give Alongside MAYZENT a call anytime at 1-877-MAYZENT (1-877-629-9368). 1-877-MAYZENT (1-877-629-9368) .

TALK TO YOUR DOCTOR TO SEE IF MAYZENT COULD BE RIGHT FOR YOU
MAYZENT HAS YOU COVERED
INSURANCE COVERAGE

While every case is different, 4 out of 5 people who have a commercial or government insurance plan will be eligible for MAYZENT prescription coverage, with potential plan-specific requirements.

Currently, more than 85% of patient
reimbursement claims are being approved‡
across all insurance providers.
‡As of June 16, 2020.
ADDITIONAL FINANCIAL SUPPORT
While MAYZENT is broadly available across both commercial and government insurance providers, sometimes approval challenges happen.
Should this occur, Novartis may be able to provide support as you begin treatment with MAYZENT:

For people who are eligible, the Novartis Patient Assistance Foundation (NPAF) can provide free medication to those who are experiencing financial hardship and have limited or no prescription coverage.§
MAYZENT HAS YOU COVERED
INSURANCE COVERAGE

While every case is different, 4 out of 5
people who have a commercial or
government insurance plan will be eligible
for MAYZENT prescription coverage, with
potential plan-specific requirements.

Currently, more than 85% of patient
reimbursement claims are being approved‡
across all insurance providers.
‡As of June 16, 2020.
ADDITIONAL FINANCIAL SUPPORT
While MAYZENT is broadly available across both commercial and government
insurance providers, sometimes approval challenges happen.
Should this occur, Novartis may be able to provide support as you begin treatment
with MAYZENT:

For people who are eligible, the Novartis Patient Assistance Foundation (NPAF) can provide free medication to those who are experiencing financial hardship and have limited or no prescription coverage.§
*Limitations apply. Valid only for those with private insurance. The Program includes the Co-Pay Card, Payment Card (if applicable), and Rebate, with a combined annual limit of $18,000. Patient is responsible for any costs once 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, or (iii) where the patient's insurance plan reimburses for the entire cost of the drug. 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. Program is not valid where prohibited by law. 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 and Puerto Rico. 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 the Program and discontinue support at any time without notice.
†Eligible patients must have commercial insurance and a valid prescription for MAYZENT. By participating, patient acknowledges intent to pursue insurance coverage for MAYZENT with their health care provider. Program requires the submission of a request for coverage within 9 months post-Program initiation in order to remain eligible. Patients will receive their maintenance drug supply each month for up to 12 months or until they receive insurance coverage approval, whichever occurs earlier. Program is not available to patients who are uninsured or whose medications are reimbursed in whole or in part by Medicare, Medicaid, TRICARE, or any other federal or state program, or where prohibited by law. Patients may be asked to re-verify 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. Other limitations may apply. Novartis reserves the right to rescind, revoke, or amend the Program and discontinue support at any time without notice.
§Limitations apply. Valid only for those with private insurance. The Program includes Medical reimbursement up to $900, after a $125 deductible is paid by the patient. Medical co-pay support offer is for covered initial assessments/examinations and first-dose observations (FDOs) provided without regard to whether the patient continues on with MAYZENT therapy. Patients are required to report any benefits they receive under the MAYZENT Medical Co-Pay Program to their insurance company. This offer is not valid for prescriptions or medical assessments for which payment may be made in whole or in part under a federal or state health care program, including but not limited to Medicare or Medicaid, or for residents of RI. Novartis reserves the right to rescind, revoke, or amend the Program and discontinue support at any time without notice.
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