Patient Assistance Options

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

The XOSPATA Copay Card Program

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

$0

per prescription

You will be enrolled in the program for a 12-month period and may save up to a maximum of $25,000 per calendar year. There are no income requirements.

XOSPATA® Copay Card Program

Talk to your doctor or pharmacist about enrolling in the XOSPATA Copay Card Program.

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

*In order to participate in the XOSPATA Copay Card Program ("Program"), a patient must have 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. This offer is not valid for cash-paying patients. This Program is void where prohibited by law. 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:

How XOSPATA Support Solutionsâ„  can help
  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