Paying for GILENYA

GILENYA cost

GILENYA has the best overall coverage* of any pill for relapsing MS

95% of people in the US with health insurance have coverage for GILENYA*

  • 96% of people with Commercial Insurance have coverage for GILENYA*
  • 94% of people with Medicare have coverage for GILENYA*
  • 91% of people with State Medicaid have coverage for GILENYA*

GILENYA also offers comprehensive co-pay assistance

Most eligible people paid a $0 prescription co-pay for GILENYA. It's true. After your health care professional submits your GILENYA Start Form, the GILENYA Support Team will call to discuss your insurance coverage and explain our co-pay programs to you.

We've also got you covered if you're on Medicare

If you have Medicare Part D, chances are you're covered. Most people with Medicare Part D pay $0 for their GILENYA prescription each month. In fact, GILENYA is covered for 94% of people with Medicare. The GILENYA Support Team can help you find out:

  • If the cost of your medicine is covered
  • If you need prior authorization or approval
  • If you are eligible for any other money-saving offers

We offer two co-pay support programs to help you get started on - and stay on - GILENYA:

*As of February 2018. Novartis Pharmaceuticals Corporation does not endorse any particular plan. Check with your individual health plans.

In 2016, most eligible patients paid a $0 co-pay. Call 1-800-GILENYA for details. People for whom GILENYA has been prescribed are required to report any benefits they receive through the GILENYA Prescription Co-Pay Support Program to their commercial insurance company. Limitations apply. Valid only for those with commercial insurance. Offer not valid under Medicare, Medicaid or any other federal or state program. Not valid for cash-paying patients, where product is not covered by patient's commercial insurance, or where plan reimburses you for entire cost of your prescription drug. Offer is not valid where prohibited by law. Valid only in the US and Puerto Rico. This program is not health insurance. Offer may not be combined with any other rebate, coupon, or offer. This program is subject to termination or modification at any time.

Medical co-pay support for covered initial assessments/examinations or for First-Dose Observations (FDO) is provided without regard to whether the patient continues on with GILENYA therapy. People for whom GILENYA has been prescribed are required to report any benefits they receive under the GILENYA Medical Co-Pay Support Program to their insurance company. This offer is not valid for prescriptions and medical assessments for which payment may be made in whole or in part under federal or state health programs, including but not limited to Medicare or Medicaid, or for residents of RI. Valid only for those with commercial insurance. This program is subject to termination or modification at any time.

§Excludes public holidays.

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Leslie's First Day on GILENYA

GILENYA Guide Leslie takes you through her first day on GILENYA.

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Speak up and share your message. Tell multiple sclerosis (MS) how you really feel by posting your message on our "HEY MS" message board.

Make sure your voice is heard. We love that you want to say "Take This!" to relapsing MS, but there are still some words even we can't use—words that might not be appropriate. They're defined in the Community Guidelines below. But have no fear; we'll give you a heads up if you use any problematic words by highlighting them after you hit submit. So, go for it, and tell relapsing MS how you really feel!

  • Do not include medical advice or any non-approved use of GILENYA

  • No profane, indecent, or inappropriate language in your message or image, please (a no-no)

  • Avoid using your full name and/or e-mail address in your message, so this personal information remains private and protected

  • Do not include spam, such as links to or URLs for other websites or social networks in your message

  • Refrain from sharing any treatment and/or dosage information, as well as names of specific medicines (brand name or generic) and product manufacturers

  • Avoid mention of side effects from GILENYA. We take drug product safety seriously. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call
    1-800-FDA-1088

Please note that in order to comply with our Community Guidelines as well as the FDA's Prescription Drug Advertising Guidelines, your statement may be subject to modification, while maintaining the spirit of your message. Your photo and statement may be used in other GILENYA marketing materials

 
 

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