For US residents only.

Financial Resources

AFINITOR DISPERZ

AS A MEMBER OF AfiniTRAC, THERE ARE SEVERAL RESOURCES AVAILABLE TO YOU, INCLUDING:

CoPay card

FREE TRIAL PROGRAM—Eligible patients can receive a free 7-day supply of AFINITOR DISPERZ® (everolimus tablets for oral suspension) until coverage reviews are complete (if eligible; limitations apply).

 

AFINITOR DISPERZ CO-PAY CARD—You may be eligible for immediate co-pay savings on your next prescription.

  • With the AFINITOR DISPERZ Co-pay Card, commercially insured patients pay $0 per month
  • Novartis will pay the remaining co-pay for AFINITOR DISPERZ, up to $15,000 per calendar year
  • Limitations apply. See program terms and conditions. This offer is not valid under Medicare, Medicaid, or any other federal or state program. Novartis reserves the right to rescind, revoke, or amend this program without notice

 

FINANCIAL ASSISTANCE—There are other ways we can help to make treatment with AFINITOR DISPERZ as affordable as possible. 

To find out if you are eligible to save on your next prescription, call 1-877-577-7756 or visit us at www.CoPay.NovartisOncology.com

Terms and conditions

This offer is valid only for those with commercial insurance. Offer not valid under Medicare, Medicaid, or any other federal or state program. Not valid for cash-paying patients, where product is not covered by patient's commercial insurance, or where plan reimburses you for entire cost of your prescription drug. Offer is not valid where prohibited by law. Valid only in the United States and Puerto Rico. This program is not health insurance. Offer may not be combined with any other rebate, coupon, or offer. The card is the property of Novartis Pharmaceuticals Corporation and must be returned upon request. Novartis reserves the right to rescind, revoke, or amend the program without notice. Patient certifies responsibility for complying with applicable limitations, if any, of any commercial insurance and reporting receipt of program rewards, if necessary, to any commercial insurer. This offer expires on December 31, 2018.

Patient Instructions

Patients with commercial insurance will be responsible for $0 and the program pays the remaining co-pay or coinsurance until you reach the yearly maximum of $15,000. After the program maximum, you will be responsible for the difference. Questions should be directed to: 1-877-577-7756. When you use this offer, you are certifying that you understand the program rules, regulations, and terms and conditions, and that you will disclose and report the use of this offer as may be required by your insurer. You are not eligible if prescriptions are paid by any federal or state program, or where prohibited by law; and you will otherwise comply with the terms and conditions above.