Arranon

Indicated For

T-cell acute lymphoblastic leukemia, T-cell lymphoblastic lymphoma

About This Medication

# Novartis Patient Assistance Foundation Patient Guide: How to Get Arranon (nelarabine) at Low or No Cost Arranon (nelarabine) is a chemotherapy medication used to treat certain types of leukemia, and the **Novartis Patient Assistance Foundation (NPAF)** offers it at low or no cost to eligible patients who meet income and insurance criteria.[1][2][3] This guide explains everything you need to know about qualifying, applying, and receiving your medication. ## About Arranon (nelarabine) **Arranon (nelarabine)** is an intravenous chemotherapy drug primarily prescribed for patients with relapsed or refractory T-cell acute lymphoblastic leukemia (T-ALL) and T-cell lymphoblastic lymphoma (T-LBL).[1] It works by interfering with cancer cell DNA synthesis to slow or stop their growth. Administered in a hospital or clinic setting by a healthcare professional, it's typically used when other treatments have failed. Common side effects include nausea, fatigue, neurological issues like confusion or seizures, and low blood counts—discuss risks with your doctor.[1][2] The high cost of Arranon can be a barrier, but NPAF helps uninsured or underinsured patients access it free if approved.[3] ## Who Qualifies for the Program? To qualify for free Arranon through NPAF, you must: - Reside in the United States or a U.S. territory.[2][5] - Have limited or no prescription insurance coverage (uninsured or government insurance accepted; no commercial coverage or alternate funding).[1][2][7] - Meet income guidelines, which vary by product, household size, state, and are based on Federal Poverty Level (FPL)—typically up to 400-500% FPL, higher in Alaska/Hawaii.[5] - Have a valid prescription from a licensed U.S. healthcare provider for outpatient treatment.[2][4] Patients with Medicare Part D may qualify if they receive an Extra Help denial or meet other criteria.[1] ## Income Eligibility Breakdown NPAF income limits are **not fixed** and vary by medication (including Arranon), household size, state, and FPL. Check exact thresholds at www.PAP.Novartis.com, as they adjust annually.[2][3][5] Guidelines are generally a percentage of FPL (e.g., 400%+), with adjustments for larger families or high-cost states. Here's a **sample table** based on typical FPL structures (2023-2026 estimates; verify current at PAP site): | Household Size | Continental U.S. (e.g., 400% FPL) | Alaska (e.g., 500% FPL) | Hawaii (e.g., 500% FPL) | |----------------|-----------------------------------|--------------------------|--------------------------| | 1 (Individual) | ~$60,000 | ~$75,000 | ~$69,000 | | 2 (Couple) | ~$81,000 | ~$101,000 | ~$93,000 | | 3 | ~$102,000 | ~$128,000 | ~$117,000 | | 4 | ~$123,000 | ~$154,000 | ~$141,000 | *Notes: Household size from tax return (Form 1040). Provide first 2 pages of 1040 or alternatives like W-2, paystubs, 1099. Contact NPAF for precise Arranon limits: 1-800-277-2254.[1][5][7] Incomplete income proof causes delays/denials.[1][2]* ## Insurance Requirements - **Uninsured or government insurance** (e.g., Medicare, Medicaid) preferred; no active commercial prescription coverage.[2][7] - Submit front/back copies of **all** insurance cards (primary, secondary, Rx).[1][2] - If insured, include Prior Authorization (PA) approval/denial or appeal outcome.[1] - **No alternate funding** (e.g., other PAPs, copay cards).[1] - Medicare Extra Help denial required if applicable.[1] ## Step-by-Step Application Process 1. **Check Eligibility**: Visit www.PAP.Novartis.com to confirm Arranon coverage and your income/HCP details.[2][3][5] 2. **Download Form**: Get the application from PAP.Novartis.com or call 1-800-277-2254 (M-F, 9am-6pm EST).[3][4] 3. **Patient Section**: Complete personal info, income (attach 1040 pages 1-2 or proof), insurance cards, residency proof, sign authorization.[1][2][9] 4. **Healthcare Provider (HCP) Section**: Your doctor completes prescription, medical info, signs Rx and authorization (include PA denial if needed).[4][5] 5. **Gather Documents**: - Proof of income (1040, W-2, paystubs).[1][5][7] - Proof of residency (utility bill, etc.).[1] - Prescription (original preferred).[7] - Insurance cards (front/back), Extra Help denial.[1][2] 6. **Submit**: Fax to 1-855-817-2711 or mail to NPAF, PO Box 2529, Columbus, OH 43216 (or current PO Box).[1][5][9] **Tip**: Applications must be **complete**—missing info causes delays/denials. Use checklists in forms.[2][4] ## Timeline and Delivery - **Processing**: Up to **4 weeks** for decision letter (text if opted in).[3] - If approved, medication shipped free to your home or doctor's office.[1] - Annual re-enrollment required; reauthorization for refills.[1][8] ## Alternatives if Denied - Appeal with more docs or call 1-800-277-2254.[6] - Explore PANO (Oncology), copay programs, or Simplefill.[10] - State programs, NeedyMeds, RxAssist, or generic options (no biosimilars for Arranon).[1] - Medicare Extra Help, 340B clinics. ## Disclaimer This guide is for informational purposes; eligibility/rules change. Verify at www.PAP.Novartis.com or call NPAF. Not medical/financial advice—consult your doctor/HCP. Novartis/NPAF can modify program anytime. Word count: ~950.

Program information last verified: March 30, 2026