Xofigo $0 Copay Program

Funded

About

The Xofigo $0 Copay Program is an outstanding offering for eligible commercially insured patients, helping to significantly reduce out-of-pocket expenses for the Xofigo drug. This exclusive program offers up to $10,000 in benefits per dose for up to 6 doses, ensuring affordability and accessibility for those eligible. By leveraging the Xofigo $0 Copay Program, patients can manage their treatment costs effectively.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•$60000 annual maximum benefit

•6 maximum fills per year

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Eligible commercially insured patients may have $0 copay per prescription

•Eligible patients receive up to a max benefit of $10,000 per dose for up to 6 doses

•Offer valid for one use

•HCP and patient should complete the Xofigo Access Services Commercial Copay Assistance Application and fax to 8559634463

•Call 8556963446, Monday through Friday, 9:00 AM to 7:00 PM ET. for more information

Enrollment Forms

Enrollment Form