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How to pay less for Entresto

Generic name: sacubitril and valsartanUsed for: Heart failureMade by NovartisGeneric availableLast checked October 1, 2026
Quick answer

A generic (sacubitril and valsartan) is available and usually costs far less. Ask your pharmacist about switching, then compare cash prices.

Generic sacubitril-valsartan became available in 2025.

Your options, by how you pay

If you haveStart here
No insuranceCompare generic cash prices at Cost Plus Drugs, TrumpRx.gov and a free discount card.
Job or marketplace planThe generic usually has the lowest copay. A discount card may beat your copay too.
MedicarePart D costs stop at $2,100 for 2026. Extra Help cuts copays if your income is limited. Charity foundations can help too. Medicare negotiated a lower price for Entresto starting January 1, 2026. Copay cards can’t be used with Medicare.
MedicaidUsually covered for a small copay or none. If it’s denied, your doctor can request prior authorization or suggest a covered alternative.

The maker’s assistance program

Novartis Patient Assistance Foundation helps people who can’t afford Novartis medications. Eligibility depends on income and coverage, and your doctor usually signs part of the application.

Go to Novartis Patient Assistance Foundation

What to gather before you apply

  • Your prescription, or your doctor’s contact details
  • Proof of income: last year’s tax return or recent pay stubs
  • Your insurance card, or a denial letter if coverage was refused
  • Photo ID and proof of U.S. residency

Need your doctor’s help or appealing a denial? Use our free letter templates.

Common questions

Is there a generic for Entresto?

Yes. A generic version (sacubitril and valsartan) is available and usually costs much less than Entresto. Ask your pharmacist or doctor about switching.

How can I get Entresto for free or at a lower cost?

Novartis Patient Assistance Foundation may provide it free if you meet income limits; your doctor signs part of the application. With private insurance, a copay card from the official Entresto website can lower your copay.

Does Medicare cover Entresto?

Coverage depends on your Part D plan’s drug list, so check it or use Medicare’s Plan Finder. Part D costs stop at $2,100 for 2026. Extra Help cuts copays if your income is limited. Charity foundations can help too. Medicare negotiated a lower price for Entresto starting January 1, 2026. Copay cards can’t be used with Medicare.

Prices and program rules change. Check the official source before you apply. This page explains cost options only and is not medical advice.