SAVINGS AND SUPPORT REGISTRATION

  • Name and address
  • Contact information
  • Personal information
  • Profile
  • Product information
  • Coverage
  • Savings
  • Review

Register for ENTRESTO® Central

To enroll in ENTRESTO Central, a support program designed to guide people with HF and their loved ones through treatment, please answer the following questions, and click "submit" when finished. As part of this registration, you agree to receive information about ENTRESTO and related communications from Novartis Pharmaceuticals Corporation.

This information must be agreed to by the patient or caregiver and cannot be entered by a third party.

Please review all of your information for accuracy and then click submit to complete your registration.

Privacy Notice

The personal information you supply to us will be shared with and among our business partners to provide you with products, programs, and services regarding heart failure, cardiovascular products and programs, and to conduct market research. Your information may be combined with additional information from this or other programs in which you participate, such as prescription information when you redeem savings cards or free trial offer vouchers. We do not permit our business partners to use or share your personal information for their own separate marketing purposes. You have the right to cancel participation at any time by calling 1-888-NOW-NOVA (1-888-669-6682). For further information about Novartis privacy practices, please review our privacy statement.

*Required fields

*State

If you would like to receive personalized e-mails and phone calls from ENTRESTO® Central, please provide us with your contact information below. Please note that, while this information is not required for enrollment, if you do provide a home and/or mobile phone number, you must agree to the consent outlined below.

I consent to receive marketing calls and text messages from Novartis Pharmaceuticals Corporation or on its behalf, including calls and text messages made with an auto dialer or prerecorded voice messages, at the telephone number(s) above. I understand that my carrier's standard rates may apply. I understand that my consent is not a condition of any purchase from Novartis Pharmaceuticals Corporation.

Okay to leave message.

*Date of birth

mm
yyyy

*Gender

Male

Female

*I am

Living with HF

Caring for someone with HF

Seeking information about HF

*Below are a number of paired statements. For each pair, please pick the statement that you feel describes you best.

1.

I am frustrated I can't take better care of my loved one's HF.

I am satisfied with how I am taking care of my loved one's HF.

2.

I am constantly looking for new and better ways to treat my loved one's HF.

I am not looking for new treatments for my loved one's HF.

3.

I proactively search for the best medications for my loved one's HF.

I wait for my loved one's doctor to tell me about the best medications for HF.

4.

I try to keep up with the latest information about my loved one's HF treatment options.

I don't pay much attention to new information about HF treatments.

5.

I proactively talk to my loved one's doctor about what I hear/learn about HF medications.

I let my loved one's doctor do most of the talking when it comes to HF medications.

6.

I often use the Internet to find information about HF medications.

I don't do much Internet research on HF medications.

7.

How interested are you in finding new resources/tools/apps that would help you manage your loved one's HF?

Extremely interested

Somewhat interested

Somewhat uninterested

Completely uninterested

Please take a moment to answer these remaining few questions so that we can better understand how to help you. If you are filling out this form as someone caring for a loved one with HF, please answer each question on his or her behalf.

*Have you been prescribed ENTRESTO?

Yes

No

Did you receive an ENTRESTO sample kit from your doctor?

Yes

No

What mg dosage strength of ENTRESTO did your doctor prescribe?

24/26 mg

49/51 mg

*What type of prescription coverage do you have?

I have 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 Novartis Co-Pay Card, you acknowledge and confirm that, at the time of usage, the card is valid only for those with commercial insurance. 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 Novartis Co-Pay Card, you acknowledge and confirm that, at the time of usage, the card is valid only for those with commercial insurance. 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. Offer is not valid where prohibited by law. Valid only in the US and Puerto Rico. This program is only valid for those patients 18 years and older with a valid prescription. This program is not health insurance. Offer may not be combined with any other rebate, coupon, or offer. This card is the property of Novartis Pharmaceuticals Corporation and must be returned upon request. Novartis reserves the right to rescind, revoke, or amend the program without notice. Patient certifies responsibility for complying with applicable limitations. Patient is responsible for the first $10, and the Program pays up to the next $100 per month. If patient exceeds the monthly maximum of $100, patient is responsible for the difference. This offer expires on December 31, 2016. When you use this offer, you are certifying that you understand the program rules, regulations, and terms and conditions, and that you will comply with them. You may not use this card if prohibited by your insurer. You are responsible for any reporting of the use of this card required by your insurer. You are not eligible if prescriptions are paid by any federal or state program, or where prohibited by law. Questions should be directed to: 1-888-ENTRESTO (1-888-368-7378), Monday through Friday 9:00 AM to 8:00 PM ET (excluding holidays).

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The Novartis Co-Pay Card requires patients to annually re-enroll and re-attest to the program terms and conditions.

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

I pay 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, 9:00 AM to 8:00 PM ET (excluding holidays).

*Did you receive an ENTRESTO savings offer from your doctor?

Yes

No

*To activate your ENTRESTO savings offer, please enter your 10-digit code here:

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.

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; 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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