Patient Savings Program

XOSPATA Patient Savings Program

The XOSPATA Patient Savings Program* is for eligible patients who have commercial prescription insurance. The Program parameters are as follows:

  • Patients pay as little as $0 per prescription
  • A patient will be enrolled in the Program for a 12-month period
  • There are no income requirements

Patients pay as little as $0 per prescription

For more information on the XOSPATA Copay Card Program, call 1-855-221-3493 or visit

XOSPATASupportSolutions.com

*By enrolling in the XOSPATA Patient Savings Program ("Program"), patient acknowledges that they 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.

ENROLLING IN THE XOSPATA PATIENT SAVINGS PROGRAM

Healthcare provider offices can begin the Program enrollment process on behalf of patients by applying here and selecting the "healthcare provider office" option. The patient will then receive notification by email as to how to complete the Program application process initiated by their healthcare provider office.

Upon successful completion of the application and enrollment in the Program, the patient will be instructed as to how to use the XOSPATA Patient Savings Program to obtain assistance with their copay out-of-pocket expense for XOSPATA.

Healthcare provider offices may also inform patients of the option to self-enroll into the Program at activatethecard.com/XOSPATAsavings by selecting the "patient" option.

XOSPATA Patient Savings Program logo
Call: 1-855-221-3493
Monday–Friday, 8:00 am–8:00 pm ET
Visit: activatethecard.com/XOSPATAsavings