ALONGSIDE MAYZENT IS HERE TO HELP YOU UNDERSTAND FINANCIAL ASSISTANCE OPTIONS
To help keep you focused on what matters most, your mind and your body, we’re here to help navigate insurance and financial support. Options include joining the Alongside™ MAYZENT support program, seeing if you are eligible for $0 co-pay,* and more!

THE MAYZENT ACCESS CARD
Pay as little as $0 co-pay* for MAYZENT if you have commercial insurance.
Activate your MAYZENT Access Card now.
Annual benefit limit and additional restrictions apply.

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 cover or reduce the costs of the various tests (subject to various eligibility requirements).‡
We’ll contact your insurance company and fill you in on coverage details, including any out-of-pocket costs. If you have any questions about financial assistance or insurance coverage, contact your Coordinator or give Alongside MAYZENT a call at 1-877-MAYZENT (1‑877‑629‑9368), Monday–Friday, 8 AM–8 PM ET.
When your doctor submits a Start Form to begin treatment, you’ll be enrolled in Alongside MAYZENT.

Taking MAYZENT but not yet an Alongside MAYZENT member? You can always enroll by calling 1-877-MAYZENT (1-877-629-9368), Monday–Friday, 8 AM–8 PM ET, or by completing this online form.

THE MAYZENT ACCESS CARD
Pay as little as $0 co-pay* for MAYZENT if you have commercial insurance.
Activate your MAYZENT Access Card now.
Annual benefit limit and additional restrictions apply.

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 cover or reduce the costs of the various tests (subject to various eligibility requirements).‡
We’ll contact your insurance company and fill you in on coverage details, including any out-of-pocket costs. If you have any questions about financial assistance or insurance coverage, contact your Coordinator or give Alongside MAYZENT a call at 1-877-MAYZENT (1‑877‑629‑9368), Monday–Friday, 8 AM–8 PM ET.
When your doctor submits a Start Form to begin treatment, you’ll be enrolled in Alongside MAYZENT.

Taking MAYZENT but not yet an
Alongside
MAYZENT member?
You can always enroll by
calling
1-877-MAYZENT
(1-877-629-9368),
Monday–Friday,
8 AM–8 PM ET, or by
completing
this online form.

“An Alongside Coordinator calls whoever they need to call with you,
so there’s
no lapse in getting your medication.”
LAUREN B.,
MAYZENT Patient

Individual results may vary.
*Limitations apply. Valid only for those with commercial 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.
SHARE YOUR STORY
Become a MAYZENT Mentor and find the opportunity to share your experience living with relapsing multiple sclerosis (RMS) and taking MAYZENT with others.
GET THE RESOURCES YOU NEED
MAYZENT has resources to help you throughout the treatment journey—educational brochures, videos, and more.