Sign up for lifestyle, treatment, and co-pay support.*

Looking for a program to help guide you through your treatment? Sign up and get free access to resources and tools as part of the 12-Month Lifestyle and Treatment Support Program. You can count on calls from a dedicated support specialist who will provide you with lifestyle tips like exercise options, recipes, medicine trackers, and more to help you better manage your Heart Failure. Commercially insured patients can also benefit from a co‑pay support program.

If you've enrolled previously, please visit copayhelp.mckesson.com/copayselfservice to obtain your co‑pay card details and check your balance.

*Must be 18 or older to enroll in the 12-Month Lifestyle and Treatment Support Program.



Please answer the following questions and click "SUBMIT" when finished.

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12-Month Lifestyle Treatment and Support Program

This is a personalized support program delivered by a dedicated support specialist through direct mail and email where you will receive helpful reminders, education and lifestyle tips. You can also get these reminders and lifestyle and education tips via call and text by checking the box below.

I agree to receive recurring reminders, tips and more via calls and texts at the phone number provided. I understand calls or texts may be autodialed or pre-recorded and are not a condition of purchase.

You have opted not to receive phone calls. In order to optimize your support services, we'd like to be able to contact you via phone. If you do not want phone support, please click submit. If you would you like to receive helpful reminders, tools, resources, and live support via phone calls, please check the box and click submit.

*Patient Gender

Male

Female

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*What type of coverage does the patient have?

The patient has commercial (also known as private) insurance.

The patient is enrolled in a state- or federally-funded program (including, but not limited to, Medicare, Medicaid, VA, DoD, or TRICARE).

If you are uninsured or otherwise cannot afford the cost of your medication, you may be eligible to receive free medication through the Novartis Patient Assistance Foundation (NPAF). To apply, call NPAF at 1-800-277-2254 or visit their website at novartis.us/our-products/patient-assistance/patient-assistance-foundation-enrollment.

The patient pays cash for the full price of the prescription.

If you are uninsured or otherwise cannot afford the cost of your medication, you may be eligible to receive free medication through the Novartis Patient Assistance Foundation (NPAF). To apply, call NPAF at 1-800-277-2254 or visit their website at novartis.us/our-products/patient-assistance/patient-assistance-foundation-enrollment.

*Are you interested in co‑pay support?

Yes

No

*Does the patient already have an ENTRESTO co‑pay card that needs to be activated?

Yes

No


*In order to be eligible for co‑pay savings, please read and agree to all statements below:

I certify that I am the patient, or that I have the legal authority to act on the patient's behalf to proceed with enrollment into the Novartis Co‑Pay Card program.

Limitations apply. Valid only for those with private insurance. The Program includes the Co‑pay Card, Payment Card (if applicable), and Rebate, with a combined annual limit of $3250. 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 copayments, 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. Limitations may apply in CA and MA. 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.

*Has the patient received a free trial of ENTRESTO previously?

Yes

No

The ENTRESTO Free Trial Offer is limited to one per patient. Based on your response, you've already used your Free Trial Offer.

By clicking SUBMIT I agree to the Novartis Pharmaceuticals Corporation Terms of Use. I understand and agree that the information I provide will be used in accordance with the Novartis Pharmaceuticals Corporation Privacy Policy, including to provide me with marketing information, offers, and promotions, and to contact me for my opinions regarding products, programs, and services. I understand that unless I unsubscribe, by calling 1-888-669-6682 or clicking unsubscribe in a promotional email, my consent will remain valid. I agree to receive non-marketing calls and texts from Novartis, including through an autodialer or prerecorded voice, at the number(s) provided.

IMPORTANT SAFETY INFORMATION

What is the most important information I should know about ENTRESTO?

ENTRESTO can harm or cause death to your unborn baby. Talk to your doctor about other ways to treat heart failure if you plan to become pregnant. If you get pregnant while taking ENTRESTO, tell your doctor right away.

INDICATION

What is ENTRESTO?

ENTRESTO is a prescription medicine used to reduce the risk of death and hospitalization in adults with long-lasting (chronic) heart failure. ENTRESTO is usually used with other heart failure therapies, in place of an angiotensin-converting enzyme (ACE) inhibitor or other angiotensin II receptor blocker (ARB) therapy.

IMPORTANT SAFETY INFORMATION

What is the most important information I should know about ENTRESTO?

ENTRESTO can harm or cause death to your unborn baby. Talk to your doctor about other ways to treat heart failure if you plan to become pregnant. If you get pregnant while taking ENTRESTO, tell your doctor right away.

Who should not take ENTRESTO?

Do not take ENTRESTO if you

  • are allergic to sacubitril or valsartan or any of the ingredients in ENTRESTO
  • have had an allergic reaction including swelling of your face, lips, tongue, throat (angioedema) or trouble breathing while taking a type of medicine called an ACE inhibitor or ARB
  • take an ACE inhibitor medicine. Do not take ENTRESTO for at least 36 hours before or after you take an ACE inhibitor medicine.Talk with your doctor or pharmacist before taking ENTRESTO if you are not sure if you take an ACE inhibitor medicine
  • have diabetes and take a medicine that contains aliskiren

What should I tell my doctor before taking ENTRESTO?

Before you take ENTRESTO, tell your doctor about all of your medical conditions, including if you have kidney or liver problems or a history of hereditary angioedema; are pregnant or plan to become pregnant; are breastfeeding or plan to breastfeed. You should either take ENTRESTO or breastfeed. You should not do both.

Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Especially tell your doctor if you take potassium supplements or a salt substitute; nonsteroidal anti-inflammatory drugs (NSAIDs); lithium; or other medicines for high blood pressure or heart problems such as an ACE inhibitor, ARB, or aliskiren.

What are the possible side effects of ENTRESTO?

ENTRESTO may cause serious side effects including:

  • angioedema that may cause trouble breathing and death. Get emergency medical help right away if you have symptoms of angioedema or trouble breathing. Do not take ENTRESTO again if you have had angioedema while taking ENTRESTO. People who are Black or who have had angioedema and take ENTRESTO may have a higher risk of having angioedema
  • low blood pressure (hypotension). Call your doctor if you become dizzy or lightheaded, or you develop extreme fatigue
  • kidney problems
  • increased amount of potassium in your blood

The most common side effects were low blood pressure, high potassium, cough, dizziness, and kidney problems.

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.

INDICATION

What is ENTRESTO?

ENTRESTO is a prescription medicine used to reduce the risk of death and hospitalization in adults with long-lasting (chronic) heart failure. ENTRESTO is usually used with other heart failure therapies, in place of an angiotensin-converting enzyme (ACE) inhibitor or other angiotensin II receptor blocker (ARB) therapy.

This information is not comprehensive. Please see full Prescribing Information, including Boxed WARNING, and Patient Prescribing Information.

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