Afinitor

Indicated For

neuroendocrine tumors, renal cell carcinoma, breast cancer, subependymal giant cell astrocytoma

About This Medication

# Novartis Patient Assistance Foundation Patient Guide: How to Get Afinitor (Everolimus) at Low or No Cost ## About This Program The Novartis Patient Assistance Foundation (NPAF) helps eligible patients access Afinitor (everolimus) at reduced or no cost. Afinitor is a prescription medication used to treat certain types of cancer and other conditions. If you're struggling to afford this medication, this program may help you get the treatment you need. ## Who Qualifies for NPAF To be eligible for the Novartis Patient Assistance Foundation program, you must meet all of the following requirements[2][5]: - **Reside in the United States or a U.S. Territory** - **Have limited or no prescription insurance coverage** (uninsured or on government insurance programs) - **Meet income guidelines** based on household size and Federal Poverty Level thresholds - **Have a valid prescription** for Afinitor from a licensed U.S. healthcare provider - **Receive treatment on an outpatient basis** (not hospitalized) Income limits vary by household size and are adjusted for Alaska and Hawaii. The program evaluates applications on a case-by-case basis for patients with government insurance or no insurance coverage. ## Income Eligibility NPAF uses a sliding scale based on the Federal Poverty Level and your household size. Income thresholds vary depending on your specific situation[5]. To determine your exact eligibility, visit the NPAF website or call the program directly at 1-800-277-2254 (Monday-Friday, 9 AM-6 PM EST). | Household Size | Income Consideration | |---|---| | 1 person | Individual threshold | | 2 people | Couple threshold | | 3+ people | Family thresholds (varies by size) | Alaska and Hawaii have different income limits due to higher cost of living. If you receive government insurance (Medicare, Medicaid) or are uninsured, your application will be reviewed individually. ## Insurance Requirements NPAF is designed for patients who are **uninsured or covered by government insurance programs** (such as Medicare or Medicaid)[2][5]. The program requires that you do not have access to other funding sources for your medication. If you have private insurance, you may need to: - Exhaust your insurance coverage first - Provide documentation of insurance denial or prior authorization rejection - Demonstrate that your insurance does not cover Afinitor ## Step-by-Step Application Process ### Step 1: Check Your Eligibility Visit www.PAP.Novartis.com or call 1-800-277-2254 to review detailed eligibility requirements for Afinitor and confirm you may qualify[2][3]. ### Step 2: Gather Required Documentation Before starting your application, collect the following documents[1][4][5]: - **Proof of income**: First 2 pages of your most recent federal tax return (Form 1040). If you don't file taxes, contact NPAF directly. Acceptable alternatives include: - IRS Form 1040EZ - Social Security Statement (1099) - Recent paycheck stubs - W-2 forms - **Proof of residency**: Documentation showing you live in the U.S. or a U.S. Territory - **Insurance information**: Copies of front and back of ALL insurance cards (primary, secondary, and prescription insurance) - **Valid prescription**: Original prescription for Afinitor from your healthcare provider - **Prior authorization documentation** (if applicable): If your insurance denied coverage or required prior authorization, include copies of denial letters or appeal outcomes ### Step 3: Complete the Application You and your healthcare provider must each complete your sections of the NPAF application form[2][4]: - **Patient section**: Fill out all patient information, including household size, income details, and insurance information. Sign and date the patient authorization section. - **Healthcare provider section**: Your doctor must complete their section, including a valid prescription for Afinitor, and sign the healthcare provider authorization. Ensure all fields are completed accurately. Incomplete applications will result in processing delays or denial[1][2]. ### Step 4: Submit Your Application Submit your completed application with all required documentation via: - **Fax**: 1-855-817-2711 - **Mail**: NPAF, PO Box 2529, Columbus, OH 43216 - **Phone**: 1-800-277-2254 (for questions or to submit by phone) Alternatively, you can call the application phone line at (866) 884-5906 for additional support. ### Step 5: Receive Your Decision You will receive a decision letter within approximately **4 weeks** of submitting your complete application[3][5]. If your application is incomplete, you'll receive a letter with next steps. You may also receive a text message update if you've opted in. ## How You'll Receive Your Medication Once approved, your Afinitor will be **shipped directly to you or your physician's office**, depending on the program's standard procedures and your preference[5]. Your healthcare provider will work with NPAF to coordinate delivery. ## What Happens If Your Application Is Denied If your application is denied, you have options[6]: - **Request clarification**: Contact NPAF at 1-800-277-2254 to understand why your application was denied - **Appeal the decision**: You may be able to appeal if your circumstances have changed or if you believe an error was made - **Reapply**: If your income or insurance status changes, you can submit a new application - **Explore alternatives**: Ask your healthcare provider about other patient assistance programs or generic alternatives ## Reauthorization and Refills Your NPAF assistance requires **reauthorization** to continue receiving medication[5]. You will need to: - Reapply periodically (typically annually or as requested by NPAF) - Provide updated proof of income and insurance information - Maintain contact with your healthcare provider - Notify NPAF of any changes in your income, insurance, or residency Your healthcare provider can help coordinate reauthorization to ensure uninterrupted access to your medication. ## Biosimilar Alternatives If you are unable to access Afinitor through NPAF or if it is not appropriate for your condition, ask your healthcare provider about **Torpenz**, a biosimilar alternative that may have different assistance programs available. ## Important Reminders - **Complete accuracy is essential**: Incomplete or inaccurate applications will be delayed or denied - **Keep copies**: Retain copies of all documents you submit - **Stay in contact**: Notify NPAF immediately if your contact information, income, insurance, or residency changes - **Work with your provider**: Your healthcare provider is a key partner in the application process - **Ask questions**: Don't hesitate to call NPAF at 1-800-277-2254 if you need clarification ## Contact Information - **Phone**: 1-800-277-2254 (Monday-Friday, 9 AM-6 PM EST) - **Application Phone**: (866) 884-5906 - **Fax**: 1-855-817-2711 - **Mailing Address**: NPAF, PO Box 2529, Columbus, OH 43216 - **Website**: www.PAP.Novartis.com ## Disclaimer This guide provides general information about the Novartis Patient Assistance Foundation program for Afinitor. Program eligibility, requirements, and procedures are subject to change. For the most current and accurate information, visit www.PAP.Novartis.com or contact NPAF directly. This guide is not a guarantee of program eligibility or approval. Always consult with your healthcare provider about your treatment options and financial assistance programs.

Program information last verified: March 30, 2026