Your dedicated team provides
sources of support
SERVICE CENTER
SERVICE CENTER
Service Center Representatives are available 5 days a week, 8:00 AM to 8:00 PM (ET)
Access Specialist
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Provide information regarding insurance verification
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Explain patient affordability solutions
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Advise on prior authorization research and offer appeals support
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Address billing support and coding questions
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Explain patient affordability solutions
Field Reimbursement Manager
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Provide payer coverage information
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Provide reimbursement support
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Explain specific product acquisition options for LEQVIO
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Answer questions regarding patient support program offerings, including co-pay and adherence support
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Provide information on local payer billing/coding/claim submission policies and procedures
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Provide reimbursement support
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Answer questions regarding patient support program offerings, including co-pay and adherence support
CALL 1-833-LEQVIO2 (1-833-537-8462)
CALL 1-833-LEQVIO2(1-833-537-8462)
Self-Service Website
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Comprehensive resources on acquisition, affordability, reimbursement, and all patient support programs
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Alternate Injection Center Locator Tool
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Live Click-to-Chat
LEQVIO-ACCESS.COM
SALES SPECIALIST
SALES SPECIALIST
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Provide clinical product information
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Sales Specialists do not have access to patient-level data
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Review general acquisition information
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Offer information regarding co-pay and adherence support options
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Sales Specialists do not have access to patient‑level data
SPECIALIST
LEQVIO aims to be affordable for your appropriate patients
Medicare Part B
Nearly 80% of patients with Medicare Part B fee-for-service coverage also have supplemental (ie, Medigap or secondary) insurance and may pay as little as $0 out-of-pocket for LEQVIO.
Commercial
Eligible commercially insured patients may pay as little as $0 for each LEQVIO treatment with the co‑pay card. Subject to terms and conditions. Limitations apply.*
Eligible commercially insured new patients may be able to receive the first dose free if coverage is delayed or denied. Limitations apply.†
For commercially insured patients
*Limitations apply. Valid only for those with commercial insurance. For patients covered under the medical benefit, rebate for out-of-pocket costs will be assigned directly to provider, unless patient requests direct reimbursement. Patient is responsible for any costs once limit is reached in a calendar year. Program not valid (i) under Medicare, Medicaid, TRICARE, VA, DoD, or any other federal or state health care program, (ii) where patient is not using insurance coverage at all, (iii) where the patient's insurance plan reimburses for the entire cost of the drug, or (iv) where product is not covered by patient's insurance. The value of this program is exclusively for the benefit of patients and is intended to be credited towards patient out-of-pocket obligations and maximums, including applicable co-payments, coinsurance, and deductibles. Program is not valid where prohibited by law. Patient may not seek reimbursement for the value received from this program from other parties, including any health insurance program or plan, flexible spending account, or health care savings account. Patient is responsible for complying with any applicable limitations and requirements of their health plan related to the use of the Program. Valid only in the United States and Puerto Rico. This Program is not health insurance. Program may not be combined with any third-party rebate, coupon, or offer. Proof of purchase may be required. Novartis reserves the right to rescind, revoke, or amend the Program and discontinue support at any time without notice.
†Terms & Conditions
Eligible patients must have commercial insurance, a valid prescription for LEQVIO, and a prior authorization that has been denied or pending for greater than 14 calendar days. Program provides up to one (1) dose of free medication. Program is not available to patients who are uninsured or whose medications are reimbursed in whole or in part by Medicare, Medicaid, TRICARE, or any other federal or state program, or where prohibited by law. No purchase necessary. Program is not health insurance, nor is participation a guarantee of insurance coverage. Other limitations may apply. Novartis reserves the right to rescind, revoke, or amend the Program and discontinue support at any time without notice.
You can enroll your patients in 3 different ways:
Download and fax our 1-page
start form to 1-877-LEQVIO8
(1-877-537-8468)
Patient Start Form
Enroll your patients electronically
via ServiceCenterPortal.com
for
all services, including co-pay
CENTER PORTAL
Enroll your patients electronically
via LEQVIO-CoPayPortal.com
for
co-pay–only support
PORTAL.COM
LOOKING FOR MORE
INFORMATION
FOR
YOUR PATIENTS?
LEQVIO supports your practice through flexible acquisition
You can acquire LEQVIO in 3 ways
Buy-and-bill with in-office administration
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Primary method for specialty drugs covered under the medical benefit
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Office purchases LEQVIO from an authorized distributor and then submits a claim for reimbursement for the cost of product and administration
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Allows for flexible inventory management for all patients
ABOUT BUY-AND-BILL
Referral to an alternate injection center (AIC) for administration
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Office does not purchase LEQVIO
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AIC handles ordering, administration, and reimbursement for all services
Visit LEQVIO-locator.com to find an AIC.
Specialty pharmacy with
in-office administration
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For instances where the payer mandates it, or if your office declines to purchase and carry the drug, a specialty pharmacy may dispense the product for administration by your office
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Office submits a LEQVIO prescription to the specialty pharmacy and then submits a claim for cost of administration, not cost of the product
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Delivery of product is for specific patient only
SERVICE CENTER
*May include a clinic, hospital outpatient department, or another physician's office.