Save on ENTRESTO*

Need help paying for your medicine? A Co-Pay Card is available for commercially insured patients. Offer not valid under Medicare, Medicaid, or any other federal or state program.
*Limitations apply.



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

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*I am

Living with HF

Caring for someone with HF



I certify that I am the patient's caregiver and have the legal authority of the patient's consent to proceed with the enrollment.

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

Yes

No



*State

*Patient Gender

Male

Female

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Check here if the contact details are the same as above.

*State

*What type of coverage does the patient have?

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

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 am the patient's caregiver and have the legal authority of the patient's consent to proceed with the enrollment of the Novartis Co-Pay Card.

By using the ENTRESTO Co-Pay Card, you acknowledge and confirm that, at the time of usage, the card is valid only for those with commercial insurance. Up to a $2,500 annual cap. Offer not valid under Medicare, Medicaid, or any other federal or state program, 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...

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By using the ENTRESTO Co-Pay Card, you acknowledge and confirm that, at the time of usage, the card is valid only for those with commercial insurance. Up to a $2,500 annual cap. Offer not valid under Medicare, Medicaid, or any other federal or state program, 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. Novartis reserves the right to rescind, revoke, or amend the program without notice. Patient certifies responsibility for complying with applicable limitations, if any, of any commercial insurance and reporting receipt of program rewards, if necessary, to any commercial insurer. Patients with commercial insurance might pay as little as $10 out of pocket and may receive up to $2,500 in benefits per calendar year for the life of the program. If insured patient reaches the max annual cap per calendar year of $2,500, patient will be responsible for the difference. The Novartis Co-Pay Savings Program may require annual review of the program eligibility. The information you provide may be used to contact you about this program.

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

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

To see if you are eligible for assistance that may help you pay for your Novartis medicines, please call 1-888-ENTRESTO (1-888-368-7378), Monday through Friday, 8:00 AM to 8:00 PM ET (excluding holidays).


I am interested in receiving FREE patient resources and tools available as part of the ENTRESTO Central program, including a personalized welcome kit, treatment education, and helpful tools.


By clicking "SUBMIT" I agree to receive marketing information, offers, and promotions regarding heart failure and other cardiovascular products and programs, and also agree to be contacted for my opinion regarding products, programs, and services. I understand that the information I provide will be used in accordance with the aforementioned Privacy Notice and the Novartis Privacy Statement. I understand that unless I unsubscribe, my consent will remain valid. I understand that e-mails and text messages cannot be secured against unauthorized access.

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

Yes

No

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 people with certain types of long-lasting (chronic) heart failure. ENTRESTO is usually used with other heart failure therapies, in place of an ACE inhibitor or other 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 angiotensin-converting enzyme (ACE) inhibitor or angiotensin II receptor blocker (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 people with certain types of long-lasting (chronic) heart failure. ENTRESTO is usually used with other heart failure therapies, in place of an ACE inhibitor or other ARB therapy.

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

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