RESOURCES
Novartis Patient Support has helpful resources to support your patients through their treatment journey
Start Form
One simple form to get your patients started on SCEMBLIX.
Start Form Guide
Guide to completing the Start Form for SCEMBLIX.
Access and Support Guide
Highlights the PA and Appeals process for SCEMBLIX and includes helpful tips, checklists, and sample letters.
Co-Pay Plus Brochure
Highlights support and financial resources available for eligible patients starting SCEMBLIX.
ICD-10-CM Flashcard
Information on potential codes for SCEMBLIX.
Financial Assistance Brochure
Guide for financial support options to help patients start and stay on SCEMBLIX.
Sample Letter of Medical Necessity
Explains the clinical rationale for SCEMBLIX.
Sample Letter of Appeal
Explains why SCEMBLIX is needed when a PA or exception request is denied.
Sample Prior Authorization Request Letter
Explains why a PA request is needed for SCEMBLIX outside of health plan requirements.
Sample Appeal Letter for Specialty Exclusions
Explains the need for SCEMBLIX coverage when denial is based on potential alternate funding program participation.
Patient Letter Checklist
Guidance on how patients can write their own letters if coverage is denied.
Questions?
For more information on available resources, call Novartis Patient Support at 866-433-8000 Monday-Friday, 8:00 AM-8:00 PM ET, excluding holidays.