Xofigo Patient Assistance Program
Funded
About
The Xofigo Patient Assistance Program is designed to provide the drug Xofigo free of charge to eligible patients who are uninsured or have insufficient insurance coverage. The program highlights its commitment to accessibility by covering both financial and residency criteria, ensuring treatments are available in physician offices or outpatient settings. By using the Xofigo Patient Assistance Program, patients can receive necessary medications without the burden of cost, making healthcare more accessible.
Insurance requirements: Underinsured, Uninsured
Enrollment Forms
Enrollment Form
Program Requirements
•Valid only for residents in the US and Puerto Rico
•Enrollment Required: Yes
•Coverage Required: No
•Needs Based: Yes
•Activation Required: No
Program Details
•Xofigo Access Services may provide Xofigo free of charge for eligible patients who are uninsured or who are insured but do not have coverage for Xofigo
•Patient's HCP must apply for assistance on patient's behalf by submitting a completed application including a signed patient authorization
•Fax the application, including the signed patient authorization, to Xofigo Access Services at 18559634463
•Registered users can also submit an application for patient assistance via the secure Xofigo Access Services Provider Portal
•Call 8556963446, Monday through Friday, 9:00 AM to 7:00 PM ET. for more information
Enrollment Forms
Enrollment Form