Vijoice

Indicated For

PIK3CA-Related Overgrowth Spectrum (PROS)

About This Medication

# Novartis Patient Assistance Foundation (NPAF) Patient Guide: How to Get Vijoice (alpelisib) at Low or No Cost Vijoice (alpelisib) is a prescription medication used to treat certain types of advanced breast cancer in adults with specific genetic mutations. The **Novartis Patient Assistance Foundation (NPAF)** helps eligible patients get Vijoice at low or no cost if they meet income guidelines, have limited insurance, and live in the US.[1][2] ## About Vijoice (alpelisib) **Vijoice** is an oral tablet taken daily to target PIK3CA mutations in hormone receptor-positive, human epidermal growth factor receptor 2-negative (HR+/HER2-) advanced or metastatic breast cancer. It works by inhibiting the PI3K enzyme to slow cancer growth. Always take it as prescribed by your doctor, usually with food, and follow dietary restrictions like avoiding high-fat meals. Common side effects include high blood sugar, rash, diarrhea, and fatigue—your doctor will monitor these closely. Vijoice is not a cure but can help manage the disease when other treatments fail.[1][2] ## Who Qualifies for NPAF? To qualify for free or low-cost Vijoice through NPAF, you must: - Live in the **United States or a U.S. Territory**. - Be treated on an **outpatient basis** by a licensed U.S. healthcare provider. - Have a **valid prescription** for Vijoice. - Meet **income guidelines** (based on Federal Poverty Level, or FPL; higher limits in Alaska and Hawaii). - Be **uninsured** or have **government insurance** (like Medicare or Medicaid) with limited/no prescription coverage. NPAF does **not** cover patients with private/commercial insurance or insurance from alternative funding programs that restrict coverage based on PAP enrollment.[1][2][3] ## Income Eligibility Breakdown NPAF uses Federal Poverty Level (FPL) guidelines, adjusted for household size. Specific thresholds aren't listed here but are available at www.pap.novartis.com—**check there for Vijoice** as limits vary by drug. Provide proof like the first two pages of your 1040 tax return. If you don't file taxes, call NPAF.[1][3][6] Here's a general example table (visit pap.novartis.com for exact Vijoice limits): | Household Size | Max Annual Income (400% FPL example) | |----------------|-------------------------------------| | 1 | $60,240 | | 2 | $81,760 | | 3 | $103,280 | | 4 | $124,800 | *Add ~$21,520 per additional person. Alaska/Hawaii higher. Confirm current FPL at program site.*[2][6] ## Insurance Requirements - **Uninsured**: Fully eligible if other criteria met. - **Government insurance** (Medicare Part A/B, Medicaid): Eligible if no/low prescription coverage. - **Private/commercial insurance**: **Not eligible**. NPAF won't provide meds if you have coverage from plans tied to alternative funding. - Submit **front/back copies of all insurance cards** (primary, secondary, Rx). Include Prior Authorization (PA) denial or appeal outcome if insured.[1][2][3] ## Step-by-Step Application Process 1. **Check Eligibility**: Visit www.pap.novartis.com, enter Vijoice to confirm income limits and qualify.[2] 2. **Download Form**: Get the application from pap.novartis.com or call (800) 277-2254 / (800) 282-7630.[1][4][6] 3. **Gather Documents**: - Proof of income (first 2 pages of 1040 tax return, W-2, pay stubs, 1099, etc.). - Proof of residency (utility bill, etc.). - Proof of insurance status (insurance cards front/back; PA denial if applicable). - Valid Vijoice prescription.[1][3][6][8] 4. **Complete Patient Section**: Fill personal info, income, household size (per tax return), insurance, sign authorization.[1] 5. **Doctor Completes HCP Section**: Prescriber fills diagnosis, Rx, signs authorization. Fax/mail separately if needed.[3][4] 6. **Submit**: - **Fax**: 1-855-817-2711 - **Mail**: NPAF, PO Box 2529, Columbus, OH 43216 (or check form for latest: sometimes Phoenix, AZ).[1][6][10] **Tip**: Incomplete apps delay/deny—double-check![1][3] ## Timeline and Delivery - **Processing**: Up to **4 weeks** for decision letter (text if opted in).[2] - If approved, medication **ships directly to you** (your home). Free supply, typically 1-3 months per shipment.[1][2] - **Reauthorization required**: Renew before refill; resubmit updated docs.[provided] - Call (800) 277-2254 (M-F, 9am-6pm EST) for status.[4] ## Alternatives if Denied - **Appeal**: Review denial letter; resubmit missing info or contact NPAF.[2][7] - **Other Programs**: Check Novartis co-pay cards (if insured), PANO (oncology), or general aid like RxHope, Simplefill, NeedyMeds.[5][9] - **Extra Help** (Medicare): Apply if on Medicare; NPAF may require denial proof.[2] - **State programs**, PAN Foundations, or doctor for samples. - No biosimilars for Vijoice listed.[provided] ## Important Disclaimer This guide is for informational purposes only and based on publicly available NPAF details as of latest info. **Eligibility, guidelines, addresses, and processes can change**—always verify at www.pap.novartis.com or call NPAF. NPAF reserves right to modify/discontinue. Not medical/financial advice; consult your doctor and advisor. Novartis not liable for errors. Word count: ~950.

Program information last verified: March 30, 2026