Promacta

Indicated For

ITP, thrombocytopenia

About This Medication

# Novartis Patient Assistance Foundation Patient Guide: How to Get Promacta (eltrombopag) at Low or No Cost Promacta (eltrombopag) is a prescription medication used to treat low platelet counts in adults and children with chronic immune thrombocytopenia (ITP), a condition where the immune system attacks platelets, leading to increased bleeding risk. It works by stimulating the bone marrow to produce more platelets. This guide explains how the **Novartis Patient Assistance Foundation (NPAF)** program can help eligible patients get **Promacta** for free or low cost if you face financial hardship.[1][2] ## Who Qualifies for the Program? The NPAF provides **Promacta** to U.S. residents (including territories) who meet specific criteria: - **Limited or no prescription insurance**: You must be uninsured for prescriptions or unable to afford the medication despite coverage. If insured, include copies of all insurance cards (front and back) and any prior authorization (PA) or appeal denials.[1][2][3] - **Income eligibility**: Household income must be at or below **400% of the Federal Poverty Level (FPL)**, which varies by household size. You must submit proof like the first two pages of your most recent federal tax return (Form 1040).[1][2][6] - **Valid prescription**: From a licensed U.S. healthcare provider for outpatient treatment.[2][6] - **U.S. residency**: Proof of residency is required.[1] **Note**: Eligibility is determined per medication, so check www.PAP.Novartis.com for Promacta specifics. The program does not cover inpatient use.[2] ## About Promacta (eltrombopag) **Promacta** is an oral tablet taken once daily to increase platelet production in conditions like: - Chronic ITP in patients who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy. - Thrombocytopenia in patients with chronic hepatitis C to allow interferon-based therapy. - Severe aplastic anemia (SAA). Common side effects include headache, nausea, diarrhea, and elevated liver enzymes. Always follow your doctor's dosing instructions, as it requires regular blood tests to monitor platelets and liver function. Promacta is not a cure but helps manage symptoms. Discuss risks with your healthcare provider.[1] ## Income Eligibility Breakdown Income limits are based on **400% FPL** and adjust annually. Here's a sample table for 2026 (estimates; verify current FPL at PAP.Novartis.com): | Household Size | Max Annual Income | |---------------|-------------------| | 1 (Individual) | $75,000 | | 2 (Couple) | $100,000 | | 3 | $125,000 | | 4 | $150,000 | | 5+ | Add ~$25,000 per person | **Notes**: Household size matches your tax return. Out-of-pocket costs may factor in. Submit full tax return for verification. If not required to file taxes, call (800) 277-2254.[1][2][6] ## Insurance Requirements - **Uninsured preferred**: Best for those with no prescription coverage.[2][7] - **Insured patients**: Must show you can't afford copays/out-of-pocket costs. Submit all insurance details and PA denials if applicable.[1][2] - **Medicare**: Generally ineligible if you have creditable prescription coverage, but exceptions for high costs—contact NPAF.[3] ## Step-by-Step Application Process 1. **Check eligibility**: Visit www.PAP.Novartis.com or call (800) 277-2254 (Mon-Fri, 9am-6pm EST) to confirm Promacta qualifies.[2][3] 2. **Download form**: Get the application from PAP.Novartis.com or Novartis site.[1][2] 3. **Complete patient section**: Fill in personal info, income, insurance. Sign patient authorization.[1][4] 4. **Gather documents**: - First 2 pages of recent tax return (or income proof). - Proof of residency (e.g., utility bill). - Insurance cards (front/back). - PA/denial letters if insured.[1][2][6] 5. **Doctor completes section**: Prescriber fills HCP section, includes prescription, signs authorization.[4] 6. **Submit**: - **Fax**: 1-855-817-2711 - **Mail**: NPAF, PO Box 2529, Columbus, OH 43216 (or PO Box 52029, Phoenix, AZ 85072-2029—use latest).[1][2][4][6] **Tip**: Incomplete apps delay or deny—double-check![1][2] ## Timeline and Delivery - **Processing**: 2-4 weeks. You'll get a letter (and text if opted in) with status or next steps.[3][6] - **If approved**: Medication shipped free to your home.[1] - **Reauthorization**: Required annually or per supply limits—resubmit docs.[1] ## Alternatives if Denied - **Appeal**: Contact NPAF for reasons and resubmit missing info.[5] - **Other programs**: Check NeedyMeds, RxAssist, or state assistance. Simplefill helps navigate.[10] - **Patient Access Network (PAN) Foundation** or **HealthWell Foundation** for copay help if insured. - **Manufacturer copay cards**: Novartis may offer savings for commercially insured (not via NPAF). - **Biosimilars**: None currently for Promacta.[1] ## Disclaimer This guide is for informational purposes only and not medical/financial advice. Eligibility/rules change—verify with NPAF at (800) 277-2254 or PAP.Novartis.com. Novartis reserves rights to modify program. Consult your doctor before starting Promacta. Word count: 950.

Program information last verified: March 30, 2026