Patient Assistance Options

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Below is information about patient assistance options that may be available to help you.

The XOSPATA Patient Savings Program

The XOSPATA Patient Savings Program* is for eligible patients with commercial prescription insurance. Patients pay as little as


per prescription

You will be enrolled in the program for a 12-month period. There are no income requirements.

XOSPATA® (gilteritinib) Copay Card.

If You Have Medicare Part D

XOSPATA Support SolutionsSM can provide information about other resources that may be able to help.

If You Are Uninsured

The Astellas Patient Assistance Program (PAP) provides XOSPATA at no cost to patients who meet the program eligibility requirements. XOSPATA Support SolutionsSM can evaluate whether you are eligible for the PAP.

Call XOSPATA Support SolutionsSM to learn more, Monday–Friday, 8:30 AM–8:00 PM ET.

CALL NOW: 1-844-632-9272

*By enrolling in the XOSPATA Patient Savings Program ("Program"), you acknowledge that you currently meet the eligibility criteria and will comply with the following terms and conditions: The Program is for eligible patients with commercial prescription insurance for XOSPATA. The Program is not valid for patients whose prescription claims are reimbursed, in whole or in part, by any state or federal government program, including, but not limited to, Medicaid, Medicare, Medigap, Department of Defense (DoD), Veterans Affairs (VA), TRICARE, Puerto Rico Government Insurance, or any state patient or pharmaceutical assistance program. Patients who move from commercial insurance to federal or state health insurance will no longer be eligible, and agree to notify the Program of any such change. Patients agree not to seek reimbursement from any health insurance or third party for all or any part of the benefit received by the patient through the Program. This offer is not conditioned on any past, present, or future purchase of XOSPATA. This offer is not transferrable and cannot be combined with any other offer, free trial, prescription savings card, or discount. This offer is not health insurance and is only valid for patients in the 50 United States, Washington, DC, Puerto Rico, Guam, and Virgin Islands. This offer is not valid for cash paying patients. This Program is void where prohibited by law. No membership fees. It is illegal to sell, purchase, trade, counterfeit, duplicate, or reproduce, or offer to sell, purchase, trade, counterfeit, duplicate, or reproduce the card. This offer will be accepted only at participating pharmacies. Certain rules and restrictions apply. Astellas reserves the right to revoke, rescind, or amend this offer without notice.

Program is subject to eligibility restrictions and Program terms and conditions.

How XOSPATA Support SolutionsSM Can Help

After you are prescribed XOSPATA, a XOSPATA Support SolutionsSM Case Manager can assist you by:

Case manager helping patients icon.
  1. Looking up your insurance coverage for XOSPATA
  2. Seeing if your insurance has any coverage requirements or restrictions
  3. Identifying any cost-sharing responsibilities you may have through your insurance plan