Leqvio

Indicated For

hypercholesterolemia, cardiovascular disease risk reduction

About This Medication

# 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): | Household Size | 48 Contiguous States (e.g., 400% FPL est.) | Alaska (est.) | Hawaii (est.) | |---------------|--------------------------------------------|---------------|---------------| | 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 | *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.

Program information last verified: March 30, 2026