For US Health Care Professionals Only
With LEQVIO, eligible patients with commercial (or private) insurance may pay as little as $0 for each LEQVIO treatment. Subject to terms and conditions. Limitations apply.*
This portal is designed to help you enroll your patients in co-pay savings, submit co-pay claims for reimbursement, and track payment status.
Please note that you must register to use this service. For help registering, please call 833-277-7542.
I am a health care provider
I work at an alternate injection center
I work on behalf of a specialty pharmacy
Patients can directly enroll in co-pay services by signing up via LEQVIO.com or by calling 833-LEQVIO2 (833-537-8462).
For additional patient access support including benefits verification, enroll your patients via our Service Center by completing and faxing the start form or signing up via our full-service portal.
*Limitations apply. Valid only for those with commercial insurance. The Program may include the Co-pay Card, Payment Card (if applicable), and Rebate. Per treatment maximums and an annual benefit cap apply. 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.