Registered Users Log-in:

E-mail Address:
 

Password:
 

  
Forgot Password?
Registration
 
Patient Assistance Information

 
 
 
GILENYA Go Program

Customer Interaction CenterNovartis
Pharmaceuticals Corporation
East Hanover, NJ 07936
Phone : (800)445-3692
Fax: (877)428-5889
Eligibility
> This program provides brand name medications at no or low cost to patients. Patients, including Medicare Part D recipients, are eligible. Income requirements for this program have not been disclosed. Patients must have an FDA-approved diagnosis and be a US resident.
Who Can Apply
> Patients or doctors can call or download an application.
Required
> Doctors must complete and sign a section of the application. Patients must complete and sign a section of the application and attach insurance information. The application can then be faxed.
Supply
> Varies
Ship To
> Varies
Note
> Eligibility determined on a case-by-case basis.
 
Includes Support for This Drug
NOTE: Linked drugs are available for Prescribers to Apply Online now.
Click drug logo or drug name to start online application.
 
Gilenya capsule