Welcome to the Patient Co-pay Claim Portal
Submit co-pay claims for the payments you’ve made for certain drugs.

To submit a co-pay claim you will need:

• A Patient Co-pay Claim account (create account)
• Your insurance information
• Information to verify your drug purchase

To create your account you will need:

• A co-pay card
• An image of the front and back of your insurance card
• A signed co-pay authorization form, if submitting a claim for a prescription administered at your prescriber’s office  (download form)

Please note: You may only submit a claim if you have commercial insurance and are not a participant of Medicare Part D, VA, TriCare, CHAMPUS, Medicaid, or any other similar federal or state program. Your information will be shared with Novartis Pharmaceuticals Corporation and used in accordance with its Privacy Policy. Please click here to view the NPC Privacy Policy.

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