XOSPATA Support SolutionsSM Overview

Helping Your Patients Access XOSPATA

XOSPATA Support Solutions offers access and reimbursement support to help patients access XOSPATA. XOSPATA Support Solutions provides information regarding patient healthcare coverage options and financial assistance information that may be available to help patients with financial needs.

XOSPATA Support Solutions Logo

For information about access and reimbursement for XOSPATA,
contact XOSPATA Support Solutions for assistance:

Call: 1-844-632-9272
Monday–Friday, 8:30 am–8:00 pm ET

Visit: XOSPATASupportSolutions.com

Filling XOSPATA Prescriptions Through a Specialty Pharmacy

As part of benefits verification support, XOSPATA Support Solutions will inform you of those XOSPATA limited network specialty pharmacies that participate with your patient’s insurer. XOSPATA Support Solutions or the XOSPATA network specialty pharmacy will confirm your patient’s insurance coverage and provide prior authorization assistance. The prescription will be dispensed by a XOSPATA network specialty pharmacy and shipped directly to your patient’s home.

Patient Assistance Options

XOSPATA Support Solutions can provide information about potential programs and patient assistance options that may be available to your patients.

Commercial Insurance

The XOSPATA Copay Card Program* allows eligible patients with commercial prescription insurance to pay as little as $0 per prescription.

Uninsured

The Astellas Patient Assistance Program provides XOSPATA at no cost to patients who meet the program eligibility requirements.

Medicare Part D

XOSPATA Support Solutions can provide information about other resources that might be able to help.

*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.

Subject to eligibility. Void where prohibited by law.

XOSPATA Support Solutions has no control over the decisions made by, and does not guarantee support from, independent third parties.

XOSPATA Copay Card Program

The XOSPATA Copay Card Program is for eligible patients who have commercial prescription insurance. Under this program:

  • Copay assistance is available for a 12-month period after enrollment, “Enrollment Period”
  • Your patient is covered up to a maximum savings of $25,000 during an Enrollment Period
  • There are no income requirements
XOSPATA Copay Card
Patients pay as little as
$0 per prescription

For more information on the XOSPATA Copay Card Program, call 1-844-632-9272 or visit

XOSPATASupportSolutions.com


Additional Patient and Caregiver Support

XOSPATA Support Solutions offers additional patient and caregiver support to patients who have been prescribed XOSPATA. This additional support helps connect your patient and their caregivers to educational resources and support based on their particular needs to help them manage their disease and daily life while on treatment.

When a patient or caregiver calls XOSPATA Support Solutions, a trained representative will assess their specific needs and will customize a search of various independent local and national organizations§ that may provide the support and resources requested. Examples may include:

  • Emotional Support
    • Connecting patients to social workers, counseling services, or online communities
    • Emotional support for the caregiver
  • Logistical Support
    • Transportation and lodging assistance for treatment
    • Help with other day-to-day tasks
  • Informational Support
    • Other education and resources about acute myeloid leukemia and treatment
    • Advice and recommendations on nutrition and self-care

Patients and their caregivers can call XOSPATA Support Solutions at 1-844-632-9272, Monday–Friday, 8:30 am–8:00 pm ET to learn about potential resources offered.

§Support is provided through third-party organizations that operate independently and are not controlled or endorsed by Astellas. Availability of support and eligibility requirements are determined by these organizations.

XOSPATA QUICK START+ Program

The XOSPATA QUICK START+ Program provides a one-time, 7-day supply of XOSPATA at no cost to eligible patients who experience an insurance-related delay.

To be eligible for the XOSPATA QUICK START+ Program, patients must:

  • Have prescription drug insurance,
  • Be new to XOSPATA therapy,
  • Have been prescribed XOSPATA for an FDA-approved indication, AND
  • Have experienced an insurance-related delay in accessing XOSPATA

XOSPATA Support Solutions offers overnight shipping directly to your patient.

For more information on the XOSPATA QUICK START+ Program, call 1-844-632-9272 or visit XOSPATASupportSolutions.com.

FDA=Food and Drug Administration.