Stalevo

Indicated For

Parkinson's disease

About This Medication

# Novartis Patient Assistance Foundation Patient Guide: How to Get Stalevo at Low or No Cost ## About This Program The **Novartis Patient Assistance Foundation, Inc. (NPAF)** is a program designed to help eligible patients access Stalevo (levodopa/carbidopa/entacapone) at reduced or no cost when they cannot afford their medication. Stalevo is a combination medication used to treat Parkinson's disease symptoms by helping to restore the balance of natural substances in the brain. ## About Stalevo Stalevo is a prescription medication that combines three active ingredients to manage motor symptoms of Parkinson's disease. It works by increasing dopamine levels in the brain, helping to reduce tremors, stiffness, and difficulty with movement. This medication is typically prescribed for patients who need more effective symptom control than levodopa/carbidopa alone can provide. ## Who Qualifies for NPAF Assistance To be eligible for the Novartis Patient Assistance Foundation program, you must meet ALL of the following requirements[2]: - **Reside in the United States or a U.S. Territory** - **Have limited or no prescription insurance coverage** (or have insurance that does not adequately cover Stalevo) - **Meet the income guidelines** for Stalevo (specific thresholds vary by medication) - **Have a valid prescription** for Stalevo from a licensed U.S. healthcare provider - **Receive treatment on an outpatient basis** (not in a hospital or institutional setting) ## Income Eligibility NPAF uses household income as a key eligibility factor[2]. Your household size is determined based on your most recent tax return (Form 1040)[1]. While specific income thresholds for Stalevo are not detailed in available materials, you can check your eligibility by visiting the NPAF website at www.PAP.Novartis.com, which provides a complete list of medications and their corresponding income requirements[2]. **Important:** If you are not required to file taxes, contact NPAF directly at 1-800-277-2254 to discuss your situation. ## Insurance Requirements NPAF assistance is designed for patients with **limited or no prescription insurance coverage**[2]. However, the program can work with your existing insurance: - If you have insurance that requires Prior Authorization (PA) for Stalevo, you must submit a copy of the PA decision or appeal outcome with your application[1] - You must provide copies of the front and back of ALL insurance cards (primary, secondary, and prescription insurance)[1] - If your insurance denies coverage, this strengthens your eligibility for NPAF assistance ## Step-by-Step Application Process ### Step 1: Check Your Eligibility Visit www.PAP.Novartis.com to review detailed eligibility requirements for Stalevo and confirm you may qualify for the program[2][5]. ### Step 2: Gather Required Documentation Before starting your application, collect the following documents[1][5]: - Copies of the front and back of all insurance cards - First 2 pages of your most recent federal income tax return (Form 1040) to verify income - A valid prescription for Stalevo from your healthcare provider - If applicable, any Prior Authorization denial documentation from your insurance company ### Step 3: Complete the Patient Application Fill out the NPAF application form completely and accurately[1]. An incomplete form will result in processing delays or denial[1]. The application includes sections for: - Personal information (name, address, date of birth, contact information) - Insurance information - Household income and size - Authorization for your healthcare providers to share medical information with NPAF **Important:** You must sign and date the application to authorize NPAF to process your request[2]. ### Step 4: Have Your Healthcare Provider Complete Their Section Your prescribing physician must complete the healthcare provider section of the application, which includes[4]: - Confirmation of your valid prescription for Stalevo - Medical information about your condition - Their signature and date Discuss the PAP enrollment and application submission with your healthcare provider before submitting[4]. ### Step 5: Submit Your Application Submit your completed application with all required documentation via one of these methods[1][5]: - **Fax:** 1-855-817-2711 - **Mail:** NPAF, P.O. Box 2529, Columbus, OH 43216 If faxing, the application must be sent from your healthcare provider's office[10]. ## Timeline and Medication Delivery After you submit your complete application, **you will receive a decision letter within approximately 4 weeks**[3][5]. If your application is incomplete, you will receive a letter with next steps and may also receive a text message if you have opted in[3]. Once approved, NPAF will provide information about how you will receive your medication. Contact NPAF at 1-800-277-2254 for specific details about delivery methods and how to obtain your Stalevo[5]. ## What to Do If Your Application Is Denied If your application is denied, you have options[6]: - Contact NPAF at 1-800-277-2254 to understand the reason for denial - Ask about the appeal process and what additional information might help - Explore other patient assistance programs or generic alternatives - Discuss other treatment options with your healthcare provider ## Contact Information - **Phone:** 1-800-277-2254 - **Fax:** 1-855-817-2711 - **Mailing Address:** NPAF, P.O. Box 2529, Columbus, OH 43216 - **Website:** www.PAP.Novartis.com ## Important Disclaimer This guide provides general information about the Novartis Patient Assistance Foundation program. Program requirements, income thresholds, and eligibility criteria may change. Always verify current eligibility requirements and application procedures by visiting www.PAP.Novartis.com or calling 1-800-277-2254. This information is not a guarantee of program enrollment or medication coverage. Your healthcare provider should be consulted regarding your treatment options and eligibility for assistance programs.

Program information last verified: March 30, 2026