Terms and Conditions
*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 $36,000. 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, (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. 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.
