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FOR US RESIDENTS ONLY
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Reimbursement
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Treatment Reimbursement Support
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The GIST ALLIANCE is committed to providing access to Kit+ GIST medications available from Novartis Oncology to those patients meeting financial eligibility requirements. In addition, we provide resources to facilitate the reimbursement process for physicians and their patients.
Through a variety of programs, including the Novartis Patient Assistance Program (PAP) and the Novartis Oncology Reimbursement Hotline, we have made a firm commitment to ensuring that patients get the treatments they need.
Novartis Oncology Reimbursement Hotline
1-800-282-7630*
By calling 1-800-282-7630, providers and patients can receive assistance in resolving reimbursement issues and concerns.
The following are the support services provided through this hotline:
Insurance Verification - The program verifies patients' medical benefits, helps determine insurance coverage, and clarifies co-payment obligations.
Denials/appeals - The program assists providers in obtaining appropriate reimbursement.
Coding/billing questions - Program staff can assist providers with questions regarding coding and billing.
Alternative funding searches - Program staff can search for possible assistance for patients with insufficient or no drug coverage and refer patients to other sources of funding that may help alleviate or reduce costs.
Novartis Patient Assistance Program (PAP)
In 2007, Novartis Oncology was proud to provide $88 million of free product to over 9,000 patients in need in the US through the Novartis PAP. The program provides assistance to US residents meeting eligibility requirements.
Patient eligibility requirements:
• US residency
• Meets financial eligibility requirements
• No prescription drug coverage (public or private)
- Exception process exists for patients who cannot afford their Medicare Part D cost share
Program enrollment:
Patients must reapply/requalify annually.
Phone the Novartis Oncology Reimbursement Hotline at:
1-800-282-7630*
Web site: www.pap.novartis.com
Co-Pay Assistance
Financial assistance may be available from independent charitable foundations for eligible patients who are unable to afford their co-pay costs. Below is a list of foundations that may be able to provide financial support.
Healthwell Foundation
1-800-675-8416
http://www.healthwellfoundation.org
Patient Services, Inc.
1-800-366-7741
http://www.uneedpsi.org
Patient Advocate Foundation
1-866-512-3861
http://www.copays.org
Patient Access Network Foundation
1-800-316-7263
http://www.patientaccessnetwork.org
National Organization for Rare Disorders (NORD)
11-800-999-6673
http://www.rarediseases.org
Chronic Disease Fund (CDF)
1-877-968-7233
http://www.cdfund.org
*The Reimbursement Hotline and Novartis Pharmaceuticals Corporation do not guarantee success in obtaining reimbursement, nor do we submit appeals on behalf of providers or patients. Third-party payment for medical products and services is affected by numerous factors, not all of which can be anticipated or resolved by Reimbursement Hotline staff.
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