(435) 292-5548
 Medicare News
Home  ›  Prescription Assistance  ›  Leqvio

Cholesterol

Leqvio Assistance Programs & Grants

Assistance information last verified: August 2026

AltaMedicare is an independent Medicare agency in Alpine, Utah, founded by Bret Swope, a licensed Medicare agent. We provide educational, no-pressure help comparing Medicare Advantage, Medigap (Medicare Supplement), and Part D at no cost, serving the entire state of Utah. Call or text (435) 292-5548.

Manufacturer programs, charitable grants and Medicare routes for Leqvio (inclisiran) — each checked on its official source.

Can I get help paying for Leqvio?

Yes — but start with your Medicare coverage itself, because Leqvio is a Part B drug. If you have traditional Medicare with a Medigap policy, or a Medicare Savings Program or Medicaid, your 20% coinsurance is largely or fully covered already. If you are exposed to the coinsurance, TotalAssist's Hypercholesterolemia fund was open on August 26, 2026 and lists Leqvio, and the Novartis Patient Assistance Foundation lists Leqvio and accepts patients with government insurance who meet its income guidelines. The LEQVIO Co-pay Program excludes Medicare, HealthWell's cholesterol fund was closed, and Good Days has no cholesterol fund.

  • Medicare Part B: Novartis says Leqvio "is covered under traditional Medicare, also called Part B," with no prior authorization for Medicare patients; you owe 20% coinsurance unless Medigap, a Medicare Savings Program, Medicaid or your Medicare Advantage plan's rules change that.
  • Novartis Patient Assistance Foundation: Leqvio is on the supported-medications list; NPAF serves patients who "are uninsured or have government insurance" and meet income guidelines, and may ask for an Extra Help denial letter. Income limits are not published as a table — check eligibility at pap.novartis.com or call 1-800-277-2254.
  • TotalAssist Hypercholesterolemia fund: open on August 26, 2026 — $1,900 guaranteed award, up to $3,800, government insurance required (Medicare counts), income at or below 500% FPL. Leqvio is on its list.
  • LEQVIO Co-pay Program: commercial insurance only — "Offer not valid under Medicare, Medicaid, TRICARE, VA, DoD, or any other federal or state program."
  • Extra Help and the $2,100 Part D cap do not apply to Leqvio, because it is not a Part D drug; not a negotiated-price drug through 2028.

4 of the 6 programs we checked for Leqvio were accepting applications when verified in August 2026.

About Leqvio (inclisiran)

Leqvio is a twice-yearly cholesterol injection given in a doctor's office — an siRNA that switches off the liver's production of PCSK9 so the liver clears more LDL cholesterol. Because a healthcare professional administers it, Medicare pays for it under Part B, not Part D, which changes every rule about what help applies.

Approved uses

  • Lowering LDL cholesterol, with diet and exercise, in adults with hypercholesterolemia
  • Lowering LDL cholesterol in adults and children 12 and older with heterozygous familial hypercholesterolemia (HeFH)
  • Lowering LDL cholesterol in children 12 and older with homozygous familial hypercholesterolemia (HoFH)

Manufacturer: Novartis

Why Leqvio can be expensive on Medicare

Novartis states a list price of $3,587.73 per dose for uninsured patients — three doses in the first year, then two a year. Under Medicare Part B you owe 20% coinsurance on the Medicare-approved amount after the Part B deductible unless a Medigap policy, a Medicare Savings Program or Medicaid picks it up, and Medicare Advantage plans set their own cost-sharing. The Part D $2,100 cap and Extra Help do not apply to a Part B drug, and the manufacturer copay program excludes Medicare.

Medicare coverage context

Novartis's patient FAQ: "LEQVIO is a medication that is administered by a doctor or other health care provider, so it is covered under traditional Medicare, also called Part B." With traditional Medicare and no supplement, "you would be responsible for a 20% coinsurance payment"; with a Medigap or retiree supplement Novartis says you "may pay as little as $0"; on Medicare Advantage "your out-of-pocket costs will vary." Novartis also says no prior authorization is required for Medicare patients (its own data on file). Because it is a Part B drug, the Part D out-of-pocket cap and Extra Help are not involved — the relevant help is a Medigap policy, a Medicare Savings Program or Medicaid, and charitable funds that pay Part B cost-sharing. Inclisiran has not been selected for Medicare price negotiation for 2026, 2027 or 2028, the first year Part B drugs were eligible.

Check typical Part D coverage · Estimate your drug costs · Compare Part D drug plans

Leqvio assistance options at a glance

Every program we checked, what kind of help it is, whether people with Medicare can use it, and its status when we verified it. A medication being listed by a program is not the same as the program accepting applications.

About the income limits below: Income limits can differ between assistance programs even when both describe their eligibility as the same percentage of the federal poverty level. The dollar limits shown here come from each program's own published income table, and each program decides which year's poverty guidelines that table is built from and when it takes effect. Treat the figures as belonging to the program they are listed under — they are not interchangeable, and only the program can tell you which table it is applying to your application today.

Leqvio assistance programs compared
ProgramType of helpPeople with MedicareStatus (August 2026)
Medicare Part B coverage (traditional Medicare or Medicare Advantage) Government program may apply Accepting applications
Novartis Patient Assistance Foundation (NPAF) Manufacturer patient assistance with conditions Accepting applications
LEQVIO Co-pay Program Commercial copay / savings card not eligible Accepting applications
TotalAssist — Hypercholesterolemia fund Charitable grant may apply Accepting applications
HealthWell Foundation — Hypercholesterolemia – Medicare Access fund Charitable grant may apply Closed to new applicants
Good Days Charitable grant not stated No program found
Medicare Extra Help (Part D Low-Income Subsidy) Government program may apply Accepting applications

Manufacturer programs from Novartis

A patient assistance program (free or low-cost drug by income) is not the same as a copay card (a commercial discount that usually excludes Medicare). Both are listed so you can see which one applies to you.

Manufacturer patient assistance

Novartis Patient Assistance Foundation (NPAF)

Novartis Patient Assistance Foundation, Inc.

Accepting applications Medicare: with conditions

Status: LEQVIO (inclisiran) is on NPAF's supported-medications list (checked August 26, 2026). NPAF introduced a patient enrollment portal for applications made on or after July 27, 2026, and says you receive a decision letter "within 4 weeks."

Novartis's independent charitable foundation supplies Leqvio free to eligible patients treated as outpatients by a U.S. provider. It will not enrol patients whose insurance uses an "alternate funding program" that conditions coverage on applying to NPAF, and only the patient, a legal guardian or a caregiver may apply — not a health plan or pharmacy.

If you have Medicare: NPAF provides medications "to eligible patients who cannot afford the cost of their Novartis medication, are uninsured or have government insurance, and meet income guidelines and other eligibility criteria." Applicants "must submit all required documentation, including proof of income and evidence of Extra Help denial as deemed necessary." NPAF publishes no income table on its site — the figures sit inside its eligibility checker, and Alaska and Hawaii have different limits — so we do not print one.

What it can cover: Leqvio at no cost for approved patients; refills are requested through the patient portal.

Who may qualify

  • Reside in the United States or a U.S. territory
  • Treated by a licensed U.S. healthcare provider on an outpatient basis
  • Uninsured, or insured through a government program such as Medicare
  • Meet NPAF's income guidelines (not published as a table; Alaska and Hawaii differ) — use the eligibility checker at pap.novartis.com
  • Not covered by an alternate funding program that adjusts coverage based on an NPAF application

What the application asks for

  • Patient section and healthcare-provider section of the application
  • Proof of income
  • Evidence of an Extra Help denial "as deemed necessary"

How to apply

Check eligibility at pap.novartis.com; if you may qualify, you and your provider each complete your section of the application (online through the patient portal for applications from July 27, 2026). Incomplete applications get a letter with next steps; the decision arrives by letter within about 4 weeks. Questions: 1-800-277-2254. The LEQVIO Service Center (1-833-537-8462) can also refer you to NPAF.

NPAF — check eligibility and apply → 1-800-277-2254

Commercial copay / savings card

LEQVIO Co-pay Program

Novartis

Accepting applications Medicare: not eligible

Status: Active for commercially insured patients on August 26, 2026 — "you may pay as little as $0." Novartis says per-treatment maximums and an annual benefit cap apply; the full terms page (start.leqvio.com) could not be reached, so the amounts are not published here.

A commercial copay program that may include a co-pay card, a payment card and a rebate, for people with private insurance. Not for Medicare.

If you have Medicare: Novartis: "Offer not valid under Medicare, Medicaid, TRICARE, VA, DoD, or any other federal or state program." Federal anti-kickback rules are the reason manufacturer copay programs exclude government insurance.

Who may qualify

  • Private (commercial) insurance
  • Not enrolled in Medicare, Medicaid, TRICARE, VA, DoD or any other federal or state program

How to apply

Commercially insured patients enrol at start.leqvio.com, through their provider's office, or by calling the LEQVIO Service Center at 1-833-537-8462. Not applicable to Medicare beneficiaries.

LEQVIO savings and insurance information → 1-833-537-8462

Charitable grants for Leqvio

One charitable fund covering Leqvio was open on August 26, 2026: TotalAssist's Hypercholesterolemia fund ($1,900 guaranteed, up to $3,800, government insurance required, income at or below 500% FPL). HealthWell's Hypercholesterolemia – Medicare Access fund lists Leqvio but was closed, TotalAssist's other cardiovascular funds that list Leqvio were closed, and Good Days has no cholesterol fund. Because Leqvio is billed under Part B, confirm with the fund that office-administered cost-sharing qualifies before you count on a grant.

Charitable grant

TotalAssist — Hypercholesterolemia fund

Patient Advocate Foundation · Hypercholesterolemia

Accepting applications Medicare: may apply

Status: Open and accepting applications on August 26, 2026. "Leqvio (Inclisiran Sodium)" is on the approved-medication list. TotalAssist's other cardiovascular funds that list Leqvio — coronary artery disease health equity and stroke — were closed.

Patient Advocate Foundation's TotalAssist (which absorbed the PAN Foundation's funds on July 1, 2026) runs an open hypercholesterolemia fund that lists Leqvio. Apply while it is open — funds close when the money is committed, and there is no waitlist.

If you have Medicare: Requires "government-insured coverage that covers your qualifying expenses" — Medicare, Medicaid or TRICARE. Whether Part B coinsurance on an office-administered drug is a qualifying expense is not spelled out on the fund page; ask when you apply.

What it can cover: $1,900 guaranteed award, up to $3,800 maximum, for eligible out-of-pocket costs. One grant per condition.

Who may qualify

  • Confirmed hypercholesterolemia diagnosis, in treatment (or starting within 60 days, or treated in the past 6 months)
  • Government-insured coverage (Medicare, Medicaid or TRICARE) that covers your qualifying expenses
  • Household income at or below 500% of the federal poverty level, adjusted for your regional cost-of-living index
  • Confirmed diagnosis matching the fund, and in treatment (or starting within 60 days, or treated in the past 6 months)
  • Legal U.S. resident receiving treatment in the U.S. or a U.S. territory

What the application asks for

  • Contact information and Social Security number (or alien number)
  • Annual household income (for pre-screening; proof of income due within 30 days of approval)
  • Health insurance carrier, plan type, policy ID and group number; Medicare supplement or secondary insurance if you have one
  • Copay or coinsurance amounts
  • Your provider's name and contact information, diagnosis (exact date if within 6 months), prescribed medications and treatment plan

How to apply

You (the patient) apply online — it takes about 15 minutes and you learn immediately whether you are approved — or call 866-512-3861, Monday–Friday 8:30am–5:30pm ET. Patient Advocate Foundation verifies your diagnosis and treatment plan directly with your provider and verifies income automatically; you have 30 days after approval to provide proof of income.

Check eligibility and apply — TotalAssist → 866-512-3861

Charitable grant

HealthWell Foundation — Hypercholesterolemia – Medicare Access fund

HealthWell Foundation · Hypercholesterolemia – Medicare Access

Closed to new applicants Medicare: may apply

Status: The fund was "temporarily closed to new patients due to lack of sufficient funding" on August 26, 2026. Leqvio and inclisiran are on its treatments-covered list.

HealthWell lists Leqvio on its Hypercholesterolemia – Medicare Access fund. HealthWell states that closed funds reopen as funding is replenished and offers real-time alerts for each fund.

If you have Medicare: This is a Medicare Access fund — for Medicare patients only. It can also pay Medicare Part B premiums, which is the part of Medicare that covers Leqvio.

What it can cover: When open: up to $2,500 per grant as a pharmacy card, or Medicare Part B premium assistance; household income up to 500% of the federal poverty level.

Who may qualify

  • Medicare coverage that pays part of the cost of Leqvio
  • Household income up to 500% of the federal poverty level (adjusted for household size and cost of living)
  • Hypercholesterolemia diagnosis, verified by your provider

What the application asks for

  • Some form of health insurance (Medicare qualifies) that covers part of the cost of the drug — discount cards do not count
  • Social Security number (used to prevent duplicate applications)
  • Diagnosis verified by a physician's, nurse practitioner's or physician assistant's signature
  • Treatment in the United States

How to apply

When a fund is open, apply online or by phone; your provider verifies the diagnosis by signature. When a fund is closed, sign up for that fund's real-time alerts — HealthWell says replenished funds reopen "as quickly as possible."

HealthWell Hypercholesterolemia fund (sign up for alerts) → (800) 675-8416

Charitable grant

Good Days

Good Days

No program found Medicare: not stated

Status: Good Days lists no hypercholesterolemia, lipid, coronary, stroke or other cardiovascular program among its 49 funds (checked August 26, 2026).

An honest negative: we looked, and there is no Good Days program covering Leqvio's diagnoses. Nor is Leqvio sold at a cash price on TrumpRx.

If you have Medicare: Not applicable — no matching program.

How to apply

Not applicable.

Good Days — diseases covered →

Other government routes

Medicare and state programs that lower prescription costs for people with limited income and resources.

Government program

Medicare Part B coverage (traditional Medicare or Medicare Advantage)

Centers for Medicare & Medicaid Services / your Medicare Advantage plan

Accepting applications Medicare: may apply

Status: Covered under the Part B medical benefit because a healthcare professional administers it (Novartis, checked August 26, 2026). Novartis: "For all Medicare patients, no prior authorization is required" — its own coverage data, not a CMS statement.

Not an assistance program — the coverage itself, listed first because for Leqvio it decides everything else. A Medigap policy pays the Part B coinsurance in full on most plan types; a Medicare Savings Program (QMB) or Medicaid pays it for people with limited income; Medicare Advantage plans set their own copay or coinsurance for Part B drugs, with a yearly out-of-pocket maximum.

If you have Medicare: Novartis: "If you have traditional Medicare and do not have a supplemental plan (Medigap or retiree plan), you would be responsible for a 20% coinsurance payment. If you have a Medicare Advantage plan, your out-of-pocket costs will vary, depending upon your plan." Medicare.gov's general rule: Part B "covers drugs you wouldn't typically give to yourself, like those you get at a doctor's office."

What it can cover: Medicare pays 80% of the Medicare-approved amount after the Part B deductible; the remaining 20% is where Medigap, a Medicare Savings Program, Medicaid or a charity fund comes in.

Who may qualify

  • Medicare Part B, with the drug administered in a doctor's office or outpatient setting
  • A Leqvio prescription for an approved use

How to apply

No application — your doctor's office bills Medicare Part B (or your Medicare Advantage plan). Your doctor can have the LEQVIO Service Center verify your benefits first: 1-833-LEQVIO2 (1-833-537-8462), Monday–Friday 8am–8pm ET.

Leqvio FAQs — "Is LEQVIO covered by Medicare?" → 1-833-537-8462

How to apply for Leqvio assistance

  1. Step 1 — Find the applicable assistance program

    Because Leqvio is a Part B drug, the order is different from a pharmacy drug: coverage first, then income-based help with the Part B coinsurance, then charity and the manufacturer foundation.

    • Traditional Medicare with a Medigap policy → your coinsurance is normally covered; no application needed. Medicare Advantage → ask the plan what it charges for Part B drugs.
    • Limited income and resources → a Medicare Savings Program (QMB pays Part B coinsurance) or Medicaid, through Utah's Medicaid office.
    • On Medicare, hypercholesterolemia diagnosis, exposed to the 20% coinsurance → TotalAssist Hypercholesterolemia fund (open when checked; income at or below 500% FPL).
    • Cannot afford the drug, uninsured or on Medicare, within NPAF income guidelines → Novartis Patient Assistance Foundation.

  2. Step 2 — Check whether applications are currently open

    Fund status changes without notice:

    • TotalAssist: totalassist.org/funds shows "Open" or "Closed" for the Hypercholesterolemia fund — open on August 26, 2026.
    • HealthWell: the Disease Funds page shows the Hypercholesterolemia – Medicare Access fund status; closed when checked, and closed funds reopen as money is replenished.
    • NPAF: Leqvio was on the supported list; NPAF reserves the right to modify or discontinue the program at any time.

  3. Step 3 — Check eligibility

    For the routes that were open:

    • Medicare Savings Programs: income and resource limits set by Medicaid; QMB is the level that pays Part B coinsurance.
    • TotalAssist: government insurance covering the expense; income at or below 500% FPL, cost-of-living adjusted; hypercholesterolemia in treatment.
    • NPAF: U.S. resident treated as an outpatient by a licensed U.S. provider; uninsured or government-insured; within NPAF income guidelines (use the eligibility checker); not in an alternate funding program.

  4. Step 4 — Gather your information

    Have these ready so you can apply the day you decide to — TotalAssist applications are decided instantly.

    • Medicare card and any Medigap, Medicare Advantage or Medicaid card.
    • Your Leqvio prescription and the office that administers it (name, phone, address); your Explanation of Benefits showing the Part B coinsurance if you have had a dose.
    • Hypercholesterolemia diagnosis with the date of diagnosis if within the past 6 months.
    • Household size and annual household income, with proof (tax return, Social Security or pension statements, pay stubs).
    • For NPAF: an Extra Help denial letter if NPAF asks for one.
    • Social Security number (TotalAssist and HealthWell ask for it).

  5. Step 5 — Complete the application

    Who fills out what:

    • Medicare Savings Program: you apply through Utah Medicaid; AltaMedicare can help you with the form, free.
    • TotalAssist: you apply online in about 15 minutes or by phone; Patient Advocate Foundation verifies your diagnosis with your provider and verifies income automatically.
    • NPAF: you complete the patient section (through the patient portal for applications from July 27, 2026) and your provider completes the provider section; only the patient, a guardian or a caregiver may submit it.
    • HealthWell (when open): you apply online or by phone; your provider verifies the diagnosis by signature.

  6. Step 6 — Submit and wait for a determination

    What to expect:

    • TotalAssist: an instant decision when you submit; proof of income due within 30 days.
    • NPAF: a letter with the outcome within about 4 weeks; if the application is incomplete, a letter (and a text if you opted in) with next steps.
    • HealthWell: a decision after your provider verifies the diagnosis; assistance is issued as a pharmacy card.
    • Medicare Savings Program: Medicaid notifies you; once approved, Medicare stops billing the Part B premium and QMB covers cost-sharing.

  7. Step 7 — If the program is closed or you don't qualify

    Do not stop at "closed":

    • Sign up for HealthWell fund alerts and TotalAssist notifications — there is no waitlist, so being notified first matters.
    • Ask your doctor whether Repatha or Praluent is appropriate — both are Part D pen injections with different assistance routes, including a $225 TrumpRx cash price for Praluent and Amgen's foundation for Repatha.
    • If you are on Medicare Advantage, check the plan's Part B drug cost-sharing and yearly maximum, and compare plans in the fall.
    • If you are on traditional Medicare without a supplement, ask about Medigap eligibility — outside your initial enrollment window it may require medical underwriting in Utah.
    • Call AltaMedicare — we'll check every route above with you, free.

What you'll need

Only items the programs above actually ask for. Gather these before you start.

  • Medicare card and your Part D or Medicare Advantage drug-plan card — plan name, member ID and group number
  • Prescription details — medication name, strength and dose; prescriber name, office phone and address
  • Diagnosis and date of diagnosis — TotalAssist needs the exact date if diagnosed within the past 6 months
  • Household size and annual household income — and proof — tax return, Social Security or pension statements, or pay stubs
  • Medigap, Medicare Advantage or Medicaid card — determines your Part B coinsurance before any assistance
  • Part B Explanation of Benefits for a Leqvio dose — shows the coinsurance a charity fund would cover
  • Social Security number — TotalAssist and HealthWell
  • Extra Help denial letter — NPAF, "as deemed necessary"

If assistance is unavailable

A closed fund or a denial is not the end of the road. Check these next:

  1. A Medigap policy pays the Part B coinsurance on Leqvio in full on most plan types — worth understanding before you look for a grant. Medigap in Utah
  2. A Medicare Savings Program is the Part B equivalent of Extra Help: QMB pays your Part B premium and coinsurance if your income and resources are limited. Medicare Savings Programs in Utah
  3. Ask your doctor whether Repatha, a self-injected PCSK9 inhibitor covered under Part D, is appropriate — it has its own foundation and cash-price routes. Repatha assistance
  4. Sign up for TotalAssist fund notifications so you hear the moment a Leqvio fund reopens — there is no waitlist or queue, so speed matters. TotalAssist notifications
  5. Sign up for HealthWell fund alerts for the same reason; HealthWell says closed funds reopen as funding is replenished. HealthWell disease funds
  6. Ask your doctor's office — many practices have staff who handle assistance applications routinely and can request a formulary exception or a lower-cost alternative.

Could Medicare Extra Help reduce your Leqvio costs?

Extra Help is not a grant for Leqvio. It is a Medicare program that lowers what qualifying beneficiaries pay for their Part D premium, deductible and every covered prescription — so it is worth checking even when a charitable fund is closed, because it does not depend on fund balances.

Extra Help is a Part D program, and Leqvio is a Part B drug — so Extra Help does not reduce what you pay for Leqvio itself. The Part B equivalents are a Medicare Savings Program (which pays the Part B premium and, for QMB, the coinsurance) and Medicaid. If your income is limited, apply for a Medicare Savings Program first; Extra Help still lowers your other Part D drugs.

In 2026, people with full Extra Help generally pay no more than $12.65 for a covered brand-name drug. Income must be below about $23,940 a year for one person ($32,460 for a couple) and countable resources under $18,090 ($36,100 for a couple). Apply free through Social Security — online, by phone at 1-800-772-1213, or in person — and never pay anyone to apply for you.

Extra Help explained · Medicare Savings Programs · Estimate your drug costs · Free prescription cost review

Government program

Medicare Extra Help (Part D Low-Income Subsidy)

Medicare / Social Security Administration

Accepting applications Medicare: may apply

Status: Year-round federal program (figures for 2026)

Not a grant for one drug — a Medicare program that lowers what qualifying beneficiaries pay for their Part D premium, deductible and every covered prescription.

If you have Medicare: For people with Medicare Part D or a Medicare Advantage drug plan who have limited income and resources.

What it can cover: Part D premium and deductible (often to $0) and reduced copays — generally no more than $12.65 for a covered brand-name drug in 2026 with full Extra Help.

Who may qualify

  • Income below 150% of the federal poverty level — about $23,940 a year for one person or $32,460 for a married couple in 2026.
  • Countable resources (savings, investments — not your home or car) limited to $18,090 for an individual or $36,100 for a married couple living together in 2026 (Medicare.gov figures, which include a burial-expense allowance).
  • Automatic if you have Medicaid, Supplemental Security Income (SSI), or a Medicare Savings Program.

What the application asks for

  • Social Security number and Medicare number
  • Income (Social Security, pensions, wages) for you and a spouse you live with
  • Value of savings, investments and other countable resources

How to apply

You (or someone helping you) apply free through Social Security — online, by phone, or at a Social Security office. There is never a fee to apply.

Apply for Extra Help at SSA.gov → 1-800-772-1213

Key terms on this page

Patient assistance program (PAP)
A manufacturer program that provides its medication free or at low cost to people who meet income and insurance rules. Many PAPs accept Medicare Part D enrollees; each sets its own criteria.
Copay card / savings card
A manufacturer discount for commercially insured patients. Federal anti-kickback rules mean these cards generally cannot be used with Medicare, Medicaid or other government insurance.
Charitable copay grant
Money from a nonprofit foundation (for example HealthWell or Patient Advocate Foundation) that pays eligible copays or coinsurance for a specific diagnosis. A drug can be listed while the fund is closed to new applicants.
Federal poverty level (FPL)
A federal income measure that assistance programs use as a yardstick — "300% of FPL", "500% of FPL". The percentage is a rule, but the dollar figure behind it comes from a table each program publishes itself, built on a chosen year of the HHS poverty guidelines. Two programs can quote the same percentage in the same year and still list different dollar limits; compare each program against its own table, not against another program.
Medicare Extra Help
The Part D Low-Income Subsidy: a Medicare program that lowers or eliminates Part D premiums, deductibles and copays for beneficiaries with limited income and resources. You apply through Social Security.
Maximum Fair Price (MFP)
The price Medicare negotiated for a selected drug under the Medicare Drug Price Negotiation Program. It applies to Part D plans, not to the pharmacy cash price, and it lowers what plans and enrollees pay for that drug.

Related medication assistance guides

Repatha Assistance & Grants evolocumab Praluent Assistance & Grants alirocumab Entresto Assistance & Grants sacubitril/valsartan Eliquis Assistance & Grants apixaban All prescription assistance Directory & program finder
Common Questions

Leqvio assistance FAQ

Is Leqvio covered by Medicare Part B or Part D?
Part B. Novartis: "LEQVIO is a medication that is administered by a doctor or other health care provider, so it is covered under traditional Medicare, also called Part B." That means your doctor's office bills Medicare, you owe 20% coinsurance after the Part B deductible unless a Medigap policy, a Medicare Savings Program or Medicaid covers it, and Medicare Advantage plans apply their own Part B drug cost-sharing. The Part D $2,100 cap does not apply. See Medicare Basics for how the parts differ.
Does Extra Help lower the cost of Leqvio?
No — Extra Help is a Part D program and Leqvio is a Part B drug. The Part B equivalent is a Medicare Savings Program: the QMB level pays your Part B premium and cost-sharing, including the coinsurance on office-administered drugs like Leqvio, if your income and resources are within the limits. Extra Help is still worth applying for because it lowers your Part D drugs.
Is there a Leqvio patient assistance program?
Yes. Leqvio is on the Novartis Patient Assistance Foundation's supported-medications list (checked August 26, 2026). NPAF provides Novartis medicines free to eligible patients who "are uninsured or have government insurance" and meet its income guidelines; it may ask for an Extra Help denial letter and proof of income. NPAF does not publish an income table on its site — check eligibility at pap.novartis.com or call 1-800-277-2254.
Can I use the LEQVIO Co-pay Program with Medicare?
No. Novartis's terms: "Offer not valid under Medicare, Medicaid, TRICARE, VA, DoD, or any other federal or state program." The program is for people with private (commercial) insurance, who may pay as little as $0.
Is there a charitable grant for Leqvio right now?
Yes — when we checked on August 26, 2026, TotalAssist's Hypercholesterolemia fund was open: $1,900 guaranteed, up to $3,800, for people with Medicare, Medicaid or TRICARE and income at or below 500% of the federal poverty level, and Leqvio is on its list. Confirm with TotalAssist that Part B coinsurance on an office-administered drug qualifies. HealthWell's cholesterol fund lists Leqvio but was closed, and Good Days has no cholesterol program.
How much does Leqvio cost without insurance?
Novartis states "The LEQVIO list price for uninsured patients is $3,587.73 per dose." Dosing is one injection, another at three months, then every six months — three doses in the first year and two a year after that. Leqvio is not sold at a cash price on TrumpRx.
Is Leqvio a Medicare negotiated-price drug?
No. Inclisiran was not selected for the Medicare Drug Price Negotiation Program for 2026, 2027 or 2028 — 2028 was the first year Part B drugs could be selected, and no PCSK9-directed medicine was chosen.
What happens if the fund is closed?
TotalAssist offers text, email or phone notifications with no waitlist or queue, and HealthWell says closed funds reopen as funding is replenished. While you wait: check whether you qualify for a Medicare Savings Program, ask your doctor's office to have the LEQVIO Service Center verify your benefits, and ask about NPAF. See all prescription assistance options.

Sources

Related resources

Assistance information last verified August 2026. Program details — fund status, eligibility, prices, phone numbers — change often; confirm with each program before applying. AltaMedicare does not administer, fund or approve any assistance program. Not medical advice.

Having trouble figuring out your prescription costs?

Bret can help you understand your Medicare prescription coverage and where to look for Leqvio assistance — free, no pressure. We don't award grants or decide eligibility; the programs above do. We help you find and apply to the right ones.

Text Bret About Leqvio Call (435) 292-5548