Leqvio

Novartis Patient Assistance Foundation (NPAF) Patient Guide: How to Get Leqvio (inclisiran) at Low or No Cost

Leqvio (inclisiran) is a prescription medication administered by a healthcare provider to help lower bad cholesterol (LDL-C) in adults with certain conditions, and the Novartis Patient Assistance Foundation (NPAF) offers it free to eligible uninsured or underinsured patients facing financial hardship.[1][10]

About Leqvio (inclisiran)

Leqvio is an injectable treatment given by your doctor every six months after initial doses, specifically designed to reduce LDL-C levels when diet and statins alone aren't enough.[2][4] It's covered primarily under your medical benefit (not pharmacy benefit) because it's administered in a doctor's office.[4][8] This twice-yearly dosing makes it convenient for long-term cholesterol management, helping reduce the risk of heart problems.[2] Always consult your doctor to see if Leqvio is right for you—it's not for everyone and works best with lifestyle changes like healthy eating and exercise.[2]

Who Qualifies for NPAF?

The NPAF program provides free Novartis medications, including Leqvio, to patients who meet strict criteria:[1][10]

• Reside in the US or US Territory (Alaska and Hawaii have adjusted income limits).[1]
• Treated outpatient by a licensed US healthcare provider (HCP).[1]
• No or limited insurance and cannot afford the medication.[1][10]
• Meet income guidelines based on Federal Poverty Level (FPL)—exact thresholds aren't specified online but are checked via their eligibility tool.[1]

This is ideal if you're uninsured, underinsured, or have high out-of-pocket costs despite coverage. Note: Health plans, pharmacies, or their agents cannot enroll you—only you, your guardian, or caregiver can.[1]

Income Eligibility Breakdown

NPAF uses income guidelines tied to FPL, varying by household size and location (higher in AK/HI).[1] Specific numbers aren't listed publicly; use their online checker for precise eligibility.[1] Here's a general example based on typical PAP structures (confirm with NPAF as they may update):

Add ~$21,000 per additional member in contiguous states. These are estimates—check pap.novartis.com for your exact situation.[1] Proof of income is required.[1]

Insurance Requirements

NPAF is primarily for patients without insurance or who cannot afford costs despite coverage.[1][10] If you have commercial insurance, explore the Leqvio Co-pay Program first: eligible patients may pay $0 (75-86% do), but it's not valid for Medicare, Medicaid, or federal programs.[3][6][7][8] Medicare patients often have coverage under medical benefit (90% with supplements pay little/no cost; no prior auth needed).[4] Leqvio Service Center (1-833-LEQVIO2) can clarify your coverage.[4][7][10] If denied Extra Help or similar, provide proof.[1]

Step-by-Step Application Process

1. Check Eligibility: Visit pap.novartis.com and use their tool.[1]
2. Gather Documents: Prepare proof of income (tax returns, pay stubs), residency, HCP prescription, and any Extra Help denial letters.[1]
3. Complete Application: You and your HCP fill out sections together—download from site or call.[1]
4. Submit: Mail, fax, or upload as instructed. Opt in for texts for updates.[1]
5. Follow Up: If incomplete, you'll get a letter/text with next steps.[1]

Call Novartis support at 1-833-LEQVIO2 (833-537-8462) for help, Mon-Fri 8AM-8PM ET.[2][7]

Timeline and Delivery

Expect a decision within 4 weeks via letter.[1] If approved, medication ships free to your HCP's office or pharmacy for outpatient use—no home delivery specified.[1][4] Join Leqvio Care Program (start.leqvio.com) for reminders and support.[2][3]

Alternatives if Denied or Ineligible

• Commercial Insurance: Enroll in Leqvio Co-pay Program (start.leqvio.com or 1-833-LEQVIO2)—$0 for many.[3][7][8]
• Medicare: Likely covered under medical benefit; 90% pay $0 with supplement.[4]
• Medicaid: Often <$10.[4]
• Other PAPs: Check Partnership for Prescription Assistance or state programs.
• Biosimilars: None currently available for inclisiran.[ ]
• Contact Leqvio Service Center for reimbursement guidance.[5][10]

Reauthorization and Refills

Annual recertification likely required—submit updated income/docs.[1] Leqvio dosing is every 6 months, so plan ahead with your HCP.[2]

Disclaimer

This guide is for informational purposes only and not medical/financial advice. Program details can change; verify at pap.novartis.com or by calling.[1] Novartis reserves rights to modify/deny.[1] Consult your doctor for treatment decisions. Eligibility not guaranteed. Word count: ~950.