Learn about our EXTAVIA Go Program.

The EXTAVIA Go Program® is a comprehensive collection of services focused on meeting your needs and those of your staff and patients.

It’s easy for your patients to enroll.

A completed, signed and faxed service request form (SRF) serves both as a patient’s first prescription for EXTAVIA and access to all that the EXTAVIA Go Program® has to offer.

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Service Request Form


Get your patients started on EXTAVIA using this one simple form.

Get Form

Your patients get personalized support.

Novartis is with you and your patients every step of the way with the EXTAVIA Go Program®.

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Prescriber Assistance


  • Access to sample medical-necessity and claims appeals letters

  • Help with insurance questions

  • Get single point of contact for any questions with Go Program Navigators

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Patient Financial Support


  • Benefits investigation

  • Co-pay assistance*

  • Referrals to other patient assistance programs*

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Patient Education


  • Call center support*

  • Patient materials for disease education and treatment management

  • Streamlined communication with specialty pharmacy to help coordinate delivery of medication and services

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Patient Treatment Administration Assistance


  • Free injection training

  • Complimentary auto-injector to ease administration

EXTAVIA GO Program

For more information, visit EXTAVIA GO PROGRAM ® or call 1-866- EXTAVIA (398-2842), 8 AM – 9 PM Eastern Time, Monday through Friday.

Images are not actual physicians or patients. *For eligible patients. Excludes public holidays.