Ilaris

Indicated For

Systemic Juvenile Idiopathic Arthritis (SJIA), Still's Disease

About This Medication

# Ilaris (Canakinumab) Patient Assistance Guide ## About This Guide Ilaris is an expensive biologic medication used to treat Systemic Juvenile Idiopathic Arthritis (SJIA) and Still's Disease. This guide explains how to access affordable Ilaris through available assistance programs. ## Current Assistance Options **Important Update:** Novartis does not currently operate an active manufacturer patient assistance program (PAP) for Ilaris. However, you have other options to reduce your costs: ### Novartis Savings Card Novartis offers a savings card that can significantly reduce your out-of-pocket costs. This is your primary resource for getting Ilaris at a lower price. **How the savings card works:** - Reduces your copayment amounts at the pharmacy - Works with most commercial insurance plans - Does not require a separate application - Can be used immediately once obtained ## Eligibility Requirements To use the Novartis savings card, you typically need: - Active prescription for Ilaris from your doctor - Commercial insurance coverage (most plans accepted) - U.S. residency - Age 18 or older (or parent/guardian consent for minors) Income limits vary depending on your specific insurance plan and state of residence. Contact Novartis directly for your exact income threshold. ## Insurance Coverage Information Coverage requirements depend on your insurance type: **Commercial Insurance:** Most plans cover Ilaris with prior authorization from your doctor. Your rheumatologist's office typically handles this step. **Medicare:** Coverage varies by plan type. Contact your plan directly to verify Ilaris coverage and cost-sharing requirements. **Medicaid:** Coverage varies significantly by state. Check with your state's Medicaid program for eligibility. **Uninsured Patients:** If you lack insurance entirely, ask your doctor's office about hospital financial assistance programs or community health resources. ## Documents You'll Need Have these items ready: - Valid prescription for Ilaris from your rheumatologist - Insurance card (front and back) - Proof of income (recent tax return, pay stub, or benefits letter) - Government-issued ID - Contact information for your pharmacy and doctor ## Getting Your Ilaris at Low Cost: 4 Steps **Step 1: Talk to Your Doctor** Discuss Ilaris with your rheumatologist. They'll determine if it's appropriate for your condition and write a prescription. **Step 2: Obtain the Savings Card** Ask your doctor's office for the Novartis savings card or request one directly from Novartis. You can also check the Novartis website for digital card options. **Step 3: Submit Insurance Prior Authorization** Your doctor's office will submit a prior authorization request to your insurance company. This typically takes 3-7 business days. **Step 4: Fill Your Prescription** Once approved, take your prescription and savings card to your pharmacy. The card will automatically reduce your copayment at the register. ## Timeline Expectations - **Prior authorization:** 3-7 business days - **Savings card processing:** Same day to 3 days - **First prescription fill:** 1-3 days after authorization approval - **Ongoing refills:** Same as regular prescriptions (usually 30-90 days) ## Alternative Resources If you need additional help: - **Patient advocacy organizations:** Contact your local Arthritis Foundation chapter for resources - **Hospital financial assistance:** Ask your rheumatology clinic about charity care programs - **State pharmaceutical assistance programs:** Many states offer additional help for expensive medications - **Non-profit organizations:** Search for arthritis or disease-specific nonprofits offering medication assistance ## Important Notes - Re-authorization is typically not required after initial approval; refills continue automatically - The savings card has no income limits for use, making it accessible to many patients - Your costs depend on your specific insurance plan's copayment structure - Generic versions of Ilaris are not currently available ## Next Steps Contact your rheumatologist's office today to start the process. If you have questions about your specific situation, ask to speak with your doctor's financial counselor or call the pharmacy directly for cost estimates. Remember: Do not delay starting treatment due to cost concerns. Your medical team can help identify resources to make Ilaris affordable for you.

Program information last verified: March 25, 2026