For patients with private insurance, the out-of-pocket costs per KESIMPTA prescription typically fall into two ranges:
About 69% of prescriptions cost between $0 - $10*
About 80% of prescriptions cost under $500*
You may pay as little as $0 for KESIMPTA
If you are eligible and privately insured, you may pay as little as $0 on KESIMPTA with Co-Pay Plus.* The Co-Pay Plus offer can help pay for out-of-pocket costs related to your prescription, including refills.
To see if you are eligible for the Co-Pay Plus offer, you can either:
Visit Novartis Patient Support page
Call Novartis Patient Support for KESIMPTA at 855-KESIMPTA and a member of the team can assist you
Ask your healthcare provider to help you fill out a Start Form
What if I am still waiting for medication to be approved by my insurance?
If your private insurance coverage is denied or delayed, your costs may be covered during this period with our Bridge Program.† If eligible, you may get up to 15 doses of KESIMPTA for $0. This gives Novartis Patient Support time to work with your doctors and prescription health plan to seek insurance coverage.
What is the cost for most people with Medicare?
About 96% of patients with Medicare Part D paid $0 - $10 a month per KESIMPTA prescription.‡
Patient Assistance Options
You may be eligible for financial support through the Medicare Part D Extra Help program. It helps people with limited income and resources pay for prescription drugs covered by Part D. Visit the Medicare Part D Extra Help website for more information, and to apply
Novartis Patient Assistance Foundation
Novartis Patient Assistance Foundation, Inc. (NPAF) is an independent, 501(c)(3) non-profit entity that provides certain medications at no cost to eligible patients who cannot afford the cost of their Novartis medication, are uninsured or have government insurance, and meet income guidelines and other eligibility criteria. NPAF does not provide product to individuals having insurance associated with any type of alternative funding program that conditions, restricts, or adjusts coverage based on application to NPAF or any other free goods program. Other terms and conditions may apply.
Please visit Novartis Patient Assistance Foundation or call NPAF at 1-800-277-2254 for more information.
What is the cost for most people with Medicaid?
For most patients enrolled in Medicaid, prescription drugs like KESIMPTA typically range from $4 to $8.§ Some states allow even lower co-pays or eliminate the co pay requirement altogether.
Patient Assistance Options
To find out if you qualify for Medicaid, or for more information about co-payments in your state, please visit the Medicaid State overview website.
Novartis Patient Assistance Foundation
Novartis Patient Assistance Foundation, Inc. (NPAF) is an independent, 501(c)(3) non-profit entity that provides certain medications at no cost to eligible patients who cannot afford the cost of their Novartis medication, are uninsured or have government insurance, and meet income guidelines and other eligibility criteria. NPAF does not provide product to individuals having insurance associated with any type of alternative funding program that conditions, restricts, or adjusts coverage based on application to NPAF or any other free goods program. Other terms and conditions may apply.
Please visit Novartis Patient Assistance Foundation or call NPAF at 1-800-277-2254 for more information.