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Help paying for Paroxysmal Nocturnal Hemoglobinuria treatment

We found 3 drugmaker programs for Paroxysmal Nocturnal Hemoglobinuria medicines and 6 charity funds (5 open at our last check). Tell us your insurance below and we'll show what to try first.

Find what fits meCharity fundsDrugmaker programs

What to try first, depending on your insurance

Help for Paroxysmal Nocturnal Hemoglobinuria depends mostly on how you're covered. Pick the one that sounds like you. We'll name the funds and programs that fit, and what won't work, so you don't waste a phone call.

I have insurance through work or a plan I bought

4 funds and programs name private insurance
  • Apply to the Paroxysmal Nocturnal Hemoglobinuria fund at TotalAssist. It was open on Oct 19 and pays up to $9,500 a year.
  • Taking Fabhalta? Ask Novartis Patient Support about its copay card, which can lower what you pay each fill.
  • Taking Piasky? Ask PiaSky Access Solutions about its copay card, which can lower what you pay each fill.
  • You'll find 1 more drugmaker program for you further down this page.

I'm on Medicare

2 funds and programs name Medicare
  • Apply to the Paroxysmal Nocturnal Hemoglobinuria fund at TotalAssist. It was open on Oct 19 and pays up to $9,500 a year.
  • Taking Fabhalta? Novartis Patient Support may give it to you free if you qualify, usually based on income.
  • Drugmaker copay cards can't be used with Medicare. Federal rules bar them.
  • Medicare Part D caps what you pay for covered drugs at $2,100 a year in 2026.

Medicaid or CHIP covers me or my child

2 funds and programs name Medicaid
  • Apply to the Paroxysmal Nocturnal Hemoglobinuria fund at TotalAssist. It was open on Oct 19 and pays up to $9,500 a year.
  • Taking Fabhalta? Novartis Patient Support may give it to you free if you qualify, usually based on income.
  • Drugmaker copay cards can't be used with Medicaid or CHIP. Federal rules bar them.
  • Federal rules keep Medicaid copays for medicine low, so most help here is with getting a prescription approved. The drugmaker's support line can help your doctor with that paperwork.

I have TRICARE or get care through the VA

1 fund or program names TRICARE or VA
  • Apply to the Paroxysmal Nocturnal Hemoglobinuria fund at TotalAssist. It was open on Oct 19 and pays up to $9,500 a year.
  • Drugmaker copay cards can't be used with TRICARE or the VA. Federal rules bar them.

I don't have insurance right now

2 funds and programs name people without insurance
  • Taking Fabhalta? Novartis Patient Support may give it to you free if you qualify, usually based on income.
  • Taking Piasky? PiaSky Access Solutions may give it to you free if you qualify, usually based on income.
  • Charity funds pay copays and premiums, so nearly all of them need you to have some insurance.
  • Drugmaker support lines, such as Novartis Patient Support at 833-993-2242, can check whether you qualify for coverage you don't have yet.

Charity funds for Paroxysmal Nocturnal Hemoglobinuria

Independent foundations pay copays, coinsurance and sometimes insurance premiums for people who already have coverage. Funds open and close as donations come in, so each one shows what the foundation said on the date we checked.

Open now5
Taking new applicants when we checked
NORD RareCare

PNH Medical Assistance fund

Covers: Medical and medication costs.

“Accepting new applications and re-enrollments for next year”
Apply on the foundation's siteChecked October 19, 2026
NORD RareCare

PNH Premium Copay Assistance fund

Covers: Insurance premiums and copays.

“Accepting new applications and re-enrollments for next year”
Apply on the foundation's siteChecked October 19, 2026
NORD RareCare

Paroxysmal Nocturnal Hemoglobinuria (PNH) Emergency Relief fund

Covers: Emergency relief.

“Accepting Applications”
Apply on the foundation's siteChecked October 19, 2026
The Assistance Fund

Paroxysmal Nocturnal Hemoglobinuria (PNH) fund

Covers: Copays, coinsurance, deductibles and other health-related expenses.

“OPEN — Accepting New Patients. TAF is currently accepting new patient enrollments for this program.”
Apply on the foundation's siteChecked October 19, 2026
TotalAssist

Paroxysmal Nocturnal Hemoglobinuria fund

Covers: Out-of-pocket costs for approved medications. Up to $9,500 a year.

Requires health insurance (any kind)
Apply on the foundation's siteChecked October 19, 2026
Waitlist or ask1
Join the list or ask the fund
Aplastic Anemia & MDS International Foundation

PNH Patient Travel Assistance Fund fund

Covers: Travel to a PNH specialist or second opinion (patient plus one companion). Up to $800 a year.

“Status not shown on page”
See the fund's pageChecked October 19, 2026
Closed for now0
Sign up to hear when it reopens
None at our last check.

Help from the companies that make Paroxysmal Nocturnal Hemoglobinuria medicines

Copay cards lower what people with private insurance pay. Federal rules bar them for Medicare, Medicaid and TRICARE. Free medicine programs are for people without enough coverage and usually have income limits. We read each program on the drugmaker's own site.

FabhaltaIptacopan

Support program: Novartis Patient Support
Copay helpBridge or quick-start supplyInsurance and case manager helpFree medicine program
What each one covers and who qualifies
  • Copay help

    Co-Pay Plus: eligible privately insured patients may pay as little as $0; up to $20,000 a year for Fabhalta plus up to $1,000 for required vaccinations. Not for government insurance.

    For: Private insurance · source
  • Bridge or quick-start supply

    Privately insured patients with a prior authorization or initial denial may get up to 12 months of Fabhalta free while coverage is pursued.

    For: Private insurance · source
  • Insurance and case manager help

    A dedicated Novartis Patient Support team helps with coverage and ongoing support. Mon-Fri 8 AM-8 PM ET.

    The drugmaker's page doesn't say who qualifies, so ask the program. · source
  • Free medicine program

    Novartis Patient Assistance Foundation provides Fabhalta free to eligible patients who are uninsured or have government insurance and meet income limits.

    For: No insurance, Medicare, Medicaid · source

Free drug is through the separate Novartis Patient Assistance Foundation (1-800-277-2254); income limits apply.

Read on the drugmaker's site October 14, 2026. Programs change, so confirm before you rely on it.

PiaskyCrovalimab

Support program: PiaSky Access Solutions
Copay helpFree medicine programInsurance and case manager help
What each one covers and who qualifies
  • Copay help

    PiaSky Co-pay Program: eligible commercially insured patients may pay as little as $0 per 30-day supply, with up to $15,000 in assistance per calendar year (resets January 1). Not for Medicare, Medicare Advantage, Medigap, Medicaid, TRICARE, DoD or VA.

    For: Private insurance · source
  • Free medicine program

    The Genentech Patient Foundation (888-941-3331) may provide Piasky free to eligible patients who are uninsured, whose insurance does not cover Piasky, or whose out-of-pocket costs are high relative to income. Household income limits apply.

    For: No insurance, underinsured · source
  • Insurance and case manager help

    PiaSky Access Solutions helps with coverage and financial assistance options at 855-2-PIASKY (855-274-2759), Monday to Friday, 6 AM to 5 PM Pacific time.

    The drugmaker's page doesn't say who qualifies, so ask the program. · source

Brand site spells it PiaSky. The page also refers patients with public insurance to independent foundations (PAN Foundation, The Assistance Fund); those are not Genentech programs. A second Genentech Access number, 866-4ACCESS (866-422-2377), is also listed. Exact income cutoffs for the Genentech Patient Foundation were not copied here; check the page.

Read on the drugmaker's site September 29, 2026. Programs change, so confirm before you rely on it.

VoydeyaDanicopan

Support program: Alexion OneSource
Copay helpOther supportInsurance and case manager help
What each one covers and who qualifies
  • Copay help

    Alexion OneSource CoPay Program: eligible commercially insured patients enrolled in OneSource may pay as little as $0. Not for Medicare (Parts B and D), Medicare Advantage, Medigap, Medicaid, VA, DoD or TRICARE.

    For: Private insurance · source
  • Other support

    30-day free trial of Voydeya for eligible patients who have not tried it before for extravascular hemolysis.

    The drugmaker's page doesn't say who qualifies, so ask the program. · source
  • Insurance and case manager help

    Alexion OneSource case management helps with insurance and access questions at 1-888-765-4747, Monday to Friday, 8:30 AM to 8 PM ET. Medicare, Medicaid and other government plan members are referred to third-party resources.

    The drugmaker's page doesn't say who qualifies, so ask the program. · source

The patient page and current copay terms (alexiononesource.com/allpay) do not state an annual maximum; the terms say maximums may vary by patient. An older doctors' page (voydeyahcp.com/support-programs, dated 11/2024) lists up to $15,000 per calendar year, so that figure was left out. No Alexion free-drug program for uninsured patients was found on the pages checked. The same phone number is listed in the label for the VOYDEYA REMS.

Read on the drugmaker's site September 29, 2026. Programs change, so confirm before you rely on it.

Before you pick up the phone

Most of these programs start with one call, and having these ready makes it shorter. Tick them off as you go. Nothing here is saved or sent anywhere.

Call the drugmaker's support line first. Its case managers check your benefits and often fill out forms with your doctor. If a charity fund is closed, sign up on the foundation's page to hear when it reopens. Most programs need renewing every year, and many copay cards reset in January.

Questions people ask about paying for Paroxysmal Nocturnal Hemoglobinuria treatment

Is there financial help for Paroxysmal Nocturnal Hemoglobinuria treatment?

Yes. Trial Friend lists 3 drugmaker programs for Paroxysmal Nocturnal Hemoglobinuria medicines and 6 charity funds, 5 of them open at our last check. We checked every one at the source on or before October 19, 2026. Which ones fit depends on your insurance. Copay cards are for people with private insurance, charity funds usually need some insurance, and free medicine programs are for people without enough coverage.

Can I use a copay card for Paroxysmal Nocturnal Hemoglobinuria medicine if I have Medicare?

No. Federal rules bar drugmaker copay cards for drugs paid by Medicare, Medicaid or TRICARE. For Paroxysmal Nocturnal Hemoglobinuria, 1 charity fund on this page accepts Medicare (1 open at our last check), and 1 drugmaker free medicine program names Medicare patients among those who may qualify. In 2026, Medicare Part D also caps yearly out-of-pocket costs for covered drugs at $2,100.

Which Paroxysmal Nocturnal Hemoglobinuria charity funds are open right now?

At our last check, NORD RareCare's PNH Medical Assistance fund, NORD RareCare's PNH Premium Copay Assistance fund, NORD RareCare's Paroxysmal Nocturnal Hemoglobinuria (PNH) Emergency Relief fund, The Assistance Fund's Paroxysmal Nocturnal Hemoglobinuria (PNH) fund, TotalAssist's Paroxysmal Nocturnal Hemoglobinuria fund were open to new applicants. Funds open and close as donations come in, so check the foundation's page before you apply.

What help is there for Paroxysmal Nocturnal Hemoglobinuria treatment without insurance?

Of the drugmaker programs for Paroxysmal Nocturnal Hemoglobinuria medicines, 2 offer free medicine to people without insurance who qualify, usually with income limits. Most charity funds pay copays and premiums, so they need some insurance. The drugmaker's support line can also check whether you qualify for coverage you don't have yet.

Where to go next

How we check: drugmaker programs come only from each drugmaker's own pages. Fund status is copied from each foundation's list (NORD RareCare, The Assistance Fund, TotalAssist, Aplastic Anemia & MDS International Foundation) on the date shown. Programs change, so confirm with the program before you rely on it. Trial Friend shares information, not financial, legal or medical advice, and each program decides who qualifies. See something wrong? Email jason@trialfriend.com.