Kesimpta

Indicated For

Relapsing forms of multiple sclerosis

About This Medication

# Novartis Patient Assistance Foundation Patient Guide: How to Get Kesimpta at Low or No Cost ## About This Program The **Novartis Patient Assistance Foundation, Inc. (NPAF)** is a program designed to help uninsured and underinsured patients access Novartis medications, including Kesimpta (ofatumumab), at no cost or reduced cost. If you struggle to afford your prescription medications, this program may be able to help you get the treatment you need. ## About Kesimpta (Ofatumumab) Kesimpta is a prescription medication manufactured by Novartis Pharmaceuticals Corporation. Before applying for assistance, discuss with your healthcare provider whether Kesimpta is the right treatment for your condition and medical needs. ## Who Can Qualify? To be eligible for the Novartis Patient Assistance Foundation program, you must meet **all** of the following requirements[1][2][5]: - **U.S. Residency**: You must be a U.S. resident or reside in a U.S. Territory - **Healthcare Provider**: You must be treated by a licensed U.S. healthcare provider on an outpatient basis - **Insurance Status**: You must have **limited or no private or public prescription coverage**. This means you cannot have active prescription drug insurance, including Medicaid, Medicare Part D, or other public or private assistance programs - **Income Requirements**: You must meet the income guidelines for Kesimpta. Income thresholds vary based on your household size and the specific medication. To learn the exact income limits that apply to you, visit the NPAF website or call the program directly - **Valid Prescription**: You must have a valid prescription from your licensed healthcare provider for Kesimpta ## Income Eligibility The NPAF program uses **income guidelines that vary by medication and household size**[2][5]. Unfortunately, specific income thresholds are not publicly published in advance. This means you'll need to check your eligibility directly through the program. **How to Check Your Income Eligibility:** 1. Visit the NPAF eligibility checker at www.PAP.Novartis.com 2. Call the NPAF at **(800) 277-2254** (Monday-Friday, 9 AM-6 PM EST) to speak with a representative who can tell you the exact income limits for your household size 3. Your healthcare provider can also help you determine if you may qualify **Important Note**: If your household includes multiple people, you'll need to provide your total household size as it appears on your most recent federal tax return (Form 1040). ## Insurance Requirements To qualify for NPAF assistance, you must have **limited or no prescription drug coverage**[1][3][5]. This means: - You cannot have private prescription insurance - You cannot have Medicare Part D coverage - You cannot have Medicaid prescription coverage - You cannot have any other public or private prescription assistance programs active **If your insurance status changes** after you enroll, you must notify the program immediately by calling **(800) 277-2254**. ## Step-by-Step Application Process Applying for NPAF assistance involves four main steps[1][3][5]: ### Step 1: Check Your Eligibility Before completing a full application, verify that you may qualify by visiting www.PAP.Novartis.com or calling **(800) 277-2254**. ### Step 2: Complete Your Patient Section You will need to: - Fill out all sections of the patient application form completely and accurately - Sign and date the form - Provide your permission for your healthcare providers and insurers to share your health and insurance information with NPAF (required for processing) - List all household members living with you ### Step 3: Gather Required Financial Documentation You must attach **copies** (not originals) of one of the following to prove your household income[1][3][5]: - Your most recent year's **federal income tax return** (first two pages), OR - **3 months of recent paycheck stubs**, OR - **3 months of bank statements**, OR - **Unemployment benefit statements** You will also need to provide **copies of the front and back of ALL insurance cards**, including: - Primary insurance - Secondary insurance - Any prescription insurance cards - If you have Medicare, include your traditional Medicare Red/White/Blue card plus any Part D or Advantage plan cards[5] ### Step 4: Have Your Healthcare Provider Complete Their Section Your licensed healthcare provider must: - Complete the Prescriber Application Section - Provide their **DEA and State NPI license numbers**[1] - Sign and date the prescription section - **Fax the prescription separately** along with the prescriber application - If your insurance requires Prior Authorization (PA), include copies of any PA denial or appeal results ### Step 5: Submit Your Application Once everything is complete, submit your application by: **Fax** (Preferred): Send pages to **(855) 817-2711** - The application must be faxed from your healthcare provider's office - Include a healthcare professional fax cover sheet **OR Mail**: Send to: Novartis Patient Assistance Foundation, Inc. P.O. Box 2529 Columbus, OH 43216 **Important**: Do not send original documents. Send copies only. ## Application Timeline and Medication Delivery **Processing Time**: You will receive a letter with the outcome of your application **within 4 weeks** of submission[2]. If your application is incomplete, you will receive a letter explaining what additional information is needed. **Medication Delivery**: Once approved, your medication will be **shipped directly to you**[1]. Your approval letter will include instructions on how to receive your medication. **Text Message Updates**: If you opt in during your application, you may receive text message updates about your application status. ## What Happens If Your Application Is Denied? If your application is denied, you have options[8]: 1. **Contact NPAF**: Call **(800) 277-2254** to understand why your application was denied 2. **Appeal or Reapply**: Ask about the process for appealing a denial or reapplying if your circumstances have changed 3. **Explore Other Resources**: NPAF representatives can provide information about other programs that might help you pay for your medications ## Reauthorization and Ongoing Enrollment Your enrollment in the NPAF program is not permanent. **Reauthorization is required**, which means you may need to reapply or provide updated information periodically to continue receiving assistance. The program will notify you when reauthorization is needed. **If your income or health coverage changes**, you must call **(800) 277-2254** immediately to report the change. ## Important Program Terms - Only you, your legal guardian, or your caregiver may enroll you in the program. Healthcare plans, specialty pharmacies, and pharmacy benefit managers cannot enroll you. - The Novartis Patient Assistance Foundation reserves the right to modify or discontinue the program at any time - All information you provide must be complete and accurate. Incomplete or inaccurate applications will result in processing delays or denial - You must be treated by a licensed U.S. healthcare provider on an outpatient basis to qualify ## Contact Information **Phone**: **(800) 277-2254** Monday-Friday, 9 AM-6 PM EST **Fax**: **(855) 817-2711** **Website**: www.PAP.Novartis.com **Mailing Address**: Novartis Patient Assistance Foundation, Inc. P.O. Box 2529 Columbus, OH 43216 ## Disclaimer This guide provides general information about the Novartis Patient Assistance Foundation program based on publicly available program materials. Program eligibility requirements, income thresholds, and terms may change at any time. For the most current and accurate information, please visit www.PAP.Novartis.com or contact the program directly at **(800) 277-2254**. This guide is not a guarantee of program eligibility or approval. Always consult with your healthcare provider about whether Kesimpta is appropriate for your medical condition.

Program information last verified: March 25, 2026