Alomide

Indicated For

vernal conjunctivitis, vernal keratoconjunctivitis

About This Medication

# Novartis Patient Assistance Foundation Patient Guide: How to Get Alomide (lodoxamide) at Low or No Cost Alomide (lodoxamide) is an eye drop medication used to treat allergic conjunctivitis, a condition causing itchy, red, and inflamed eyes due to allergies. The **Novartis Patient Assistance Foundation (NPAF)** offers this drug at low or no cost to eligible patients who meet specific income, residency, and insurance criteria.[1][2][3] ## Who Qualifies for the Program? To qualify for free or low-cost **Alomide (lodoxamide)** through NPAF, you must meet these key requirements: - **Reside in the United States** or a U.S. territory.[2][5] - **Have limited or no prescription insurance coverage**. The program is designed for uninsured patients or those with government insurance, but not for those with private insurance or coverage from alternate funding programs.[1][2][7] - **Meet income guidelines** based on Federal Poverty Level (FPL), which vary by household size and the specific medication. Exact thresholds are listed on www.PAP.Novartis.com—check there first.[2][5] - **Have a valid prescription** from a licensed U.S. healthcare provider for outpatient treatment.[2][5] - **Provide proof of income** and other required documents.[1][3] **Important**: If you have Medicare Part D and were denied Extra Help, include that denial letter.[1] The program reviews eligibility annually, so reapply as needed.[8] ## About Alomide (lodoxamide) **Alomide (lodoxamide)** is a mast cell stabilizer eye drop that prevents the release of histamine and other chemicals causing allergic eye symptoms. It's typically dosed as 1-2 drops in each eye up to four times daily. Common side effects include mild burning or stinging upon application. Always follow your doctor's instructions and report severe reactions. This program helps cover costs for those who can't afford it otherwise, providing medication shipped directly once approved.[2][5] ## Income Eligibility Breakdown NPAF uses income guidelines tied to the **Federal Poverty Level (FPL)**, often up to 400-500% of FPL depending on the drug—confirm exact limits for Alomide at www.PAP.Novartis.com, as they vary.[2][5] Household size is based on your tax return. Here's a general example table (based on 2026 FPL estimates; verify current guidelines): | Household Size | Max Annual Income (e.g., 400% FPL) | |----------------|-----------------------------------| | 1 (Individual) | ~$60,000 | | 2 (Couple) | ~$81,000 | | 3 | ~$102,000 | | 4 | ~$123,000 | *Notes*: Provide the first 2 pages of your most recent 1040 tax return. If not required to file taxes, call 1-800-277-2254.[1][5] Income includes all household sources. ## Insurance Requirements - **Uninsured or government insurance** (e.g., Medicare without adequate coverage) preferred.[1][7] - Submit front/back copies of **all insurance cards** (primary, secondary, prescription).[1][2] - **Not eligible** if you have private insurance or coverage from other assistance programs.[7] - If insured and need Prior Authorization (PA), include PA denial or appeal outcome.[1] ## Step-by-Step Application Process 1. **Check Eligibility**: Visit www.PAP.Novartis.com to confirm Alomide qualifies and review income limits.[2][3][5] 2. **Download and Complete the Form**: Get the application from the website or call 1-800-277-2254 (Mon-Fri, 9am-6pm EST).[3][4] - **Patient Section**: Fill in personal info, household size, income, insurance details, and sign authorizations.[1][9] 3. **Gather Documents**: - Proof of income (e.g., first 2 pages of 1040 tax return, W-2, pay stubs, 1099).[1][5][7] - Insurance cards (front/back).[1] - Evidence of Extra Help denial if applicable.[1] - Valid prescription from your doctor.[7] 4. **Doctor Completes Their Section**: Your healthcare provider (HCP) fills out the prescriber section, signs, and provides diagnosis/treatment info.[4][5] 5. **Submit**: Fax to 1-855-817-2711 or mail to NPAF, PO Box 2529, Columbus, OH 43216 (or current address on form).[1][5][9] - **Tip**: Double-check completeness—incomplete apps delay or get denied.[1][2][4] ## Timeline and Delivery - **Processing**: Expect a decision letter within **4 weeks**. If incomplete, you'll get a letter or text with next steps.[3] - **Approval**: Medication shipped to your doctor's office or pharmacy for pickup. Call for details on refills.[3][5] - **Support Hours**: 1-800-277-2254, Mon-Fri.[4][8] ## Alternatives if Denied - **Appeal**: Contact NPAF if more info is needed.[6] - **Other Programs**: Check RxHope.com, Simplefill (877-386-0206), or state assistance.[10] - **Generic Options**: No biosimilars listed; discuss alternatives like cromolyn with your doctor. - **Medicare Extra Help**: Reapply if denied before.[1] ## Disclaimer This guide is for informational purposes based on publicly available NPAF details as of 2026. Eligibility, guidelines, and processes can change—always verify at www.PAP.Novartis.com or by calling 1-800-277-2254. NPAF does not guarantee approval. Consult your healthcare provider for medical advice. Novartis reserves rights to modify the program.

Program information last verified: March 30, 2026