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xeljanz patient assistance income guidelines

by Zella Nolan Published 2 years ago Updated 1 year ago
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Do I Qualify For My Xeljanz Medication With Prescription Hope?

  • An individual earning up to or around $30,000 per year
  • Households with a combined income of up to $50,000 per year
  • Guidelines can increase in families making up to $100,000 per year

Full Answer

How do I apply for the Xeljanz Patient Assistance Program?

XELSOURCE Patient Assistance Program Application 1 Phone 1-844-XELJANZ (1-844-935-5269) • Fax 1-866-297-3471 • 2730 S. Edmonds Lane, Suite 300, Lewisville, TX 75067 Patient Declaration– By signing below, I affirm that my answers and my proof-of-income documents are complete, true, and accurate to the best of my knowledge.

What is the Xeljanz co-pay savings card?

Xeljanz Co-Pay Savings Card: Eligible commercially insured patients may pay $0 out-of-pocket costs per month with a maximum benefit of $6,00-$15,000 per calendar year; for additional information contact the program at 844-935-5269. Form more information phone: 844-935-5269 or Visit website

How do I get a 30-day supply of Xeljanz?

Xeljanz Interim Care Rx Program: Eligible commercially insured patients may receive a 30-day supply of their medication when there is a delay during the prior authorization or appeals process; refills are subject to limitations; for additional information contact the program at 844-935-5269.

What is the recommended dose of Xeljanz?

The recommended dose in patients with moderate hepatic impairment or with moderate or severe renal impairment is XELJANZ 5 mg once daily. ADVERSE REACTIONS The most common serious adverse reactions were serious infections.

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How much is a 30 day supply of XELJANZ?

The cost for Xeljanz XR oral tablet, extended release 11 mg is around $5,487 for a supply of 30 tablets, depending on the pharmacy you visit....Oral Tablet, Extended Release.QuantityPer unitPrice30$182.90$5,486.86

What is the cost of XELJANZ per month?

Xeljanz cost without insurance will vary depending on where you buy it. As a guide, Xeljanz oral solution (1 mg/mL) usually costs $4,350 for 240 milliliters. With NiceRx you will pay a flat monthly fee of $49, regardless of the retail price of your medication.

What tier drug is XELJANZ?

What drug tier is Xeljanz typically on? Medicare prescription drug plans typically list Xeljanz on Tier 5 of their formulary. Generally, the higher the tier, the more you have to pay for the medication.

How much does XELJANZ cost per year?

Xeljanz costs around $6,156.08 but luckily you can reduce the price of Xeljanz to $4,416.01 for 1, 60 Tablets Tablet by using our SingleCare coupons. Talk to your pharmacist about using SingleCare free coupons at checkout.

Does Xeljanz cause hair growth?

No, Xeljanz and Xeljanz XR aren't known to cause hair loss or hair growth. These effects weren't reported as side effects in clinical trials.

When will there be a generic Xeljanz?

The United States and Japan will most likely be the first major markets with a Xeljanz generic, in 2026. A generic in the EU5 will follow as early as 2027, although additional market protections could occur if Xeljanz launches in a new indication where it brings significant clinical benefit over existing therapies.

What is the generic name for XELJANZ?

Generic Name: tofacitinib Tofacitinib is used to treat certain types of arthritis (such as psoriatic arthritis, rheumatoid arthritis, ankylosing spondylitis, polyarticular course juvenile idiopathic arthritis-pcJIA).

Will Medicare pay for biologics?

Most private health insurance plans cover biologics for RA. So do Medicare Part D and Medicaid.

Is tofacitinib available in generic?

Xeljanz (tofacitinib) is an expensive medication that works on the immune system. This medication is more popular than comparable medications. There are currently no generic alternatives to Xeljanz in the United States.

Can you drink alcohol with Xeljanz?

by Drugs.com Although the manufacturer of Xeljanz, Pfizer, does not warn of an interaction between alcohol and Xeljanz, you should not drink excessive amounts of alcohol while you are taking Xeljanz because both are metabolized by the liver and can cause liver damage.

How much does a bottle of Xeljanz cost?

The cost for Xeljanz oral solution (1 mg/mL) is around $4,391 for a supply of 240 milliliters, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.

Does tofacitinib cause hair loss?

Official answer. Hair loss is not a side effect of Xeljanz (tofacitinib citrate), according to the results of clinical trials used to gain approval of the drug. During clinical development, hair loss was not reported as an adverse effect.

How much does a bottle of Xeljanz cost?

The cost for Xeljanz oral solution (1 mg/mL) is around $4,391 for a supply of 240 milliliters, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.

What is the generic name for Xeljanz?

Generic Name: tofacitinib Tofacitinib is used to treat certain types of arthritis (such as psoriatic arthritis, rheumatoid arthritis, ankylosing spondylitis, polyarticular course juvenile idiopathic arthritis-pcJIA).

What is the cost of Xeljanz in Canada?

The drug, Xeljanz, would cost the family almost $50,000 a year at home, in part because it isn't covered by their insurance plan. In Canada, a year's supply costs $15,000. As drug prices soar and patients with high-deductible health plans must lay out more cash, this kind of medication tourism is enticing.

Can you drink alcohol with Xeljanz?

by Drugs.com Although the manufacturer of Xeljanz, Pfizer, does not warn of an interaction between alcohol and Xeljanz, you should not drink excessive amounts of alcohol while you are taking Xeljanz because both are metabolized by the liver and can cause liver damage.

How much does Xeljanz cost?

The average retail price of Xeljanz 10mg tablets is around $3,900 for 30 tablets.

Can I save with a Xeljanz coupon?

Xeljanz coupons are available and can help you save. However, many medication coupons only save you a certain percentage off the retail price, so y...

Is there a Xeljanz patient assistance program?

A Xeljanz patient assistance program is available through the pharmaceutical manufacturer. Prescription Hope can help you enroll in the Xeljanz pat...

Is there a Xeljanz generic?

There is currently no generic version of Xeljanz available in the United States.

Does health insurance cover Xeljanz?

Most health insurance plans will help cover a portion of the cost of Xeljanz. How much your Xeljanz is covered depends on the health insurance cove...

How much does Xeljanz cost?

The cost for Xeljanz oral solution (1 mg/mL) is around $4,127 for a supply of 240 milliliters, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans.

How long is the Xeljanz trial?

Xeljanz FREE Trial Offer: New patients may receive a one-time 30-day supply; for additional information contact the program at 844-935-5269.

How long is the free trial of Xeljanz XR?

Xeljanz XR FREE Trial Offer: New patients may receive a one-time 30-day supply; for additional information contact the program at 844-935-5269.

What is Xeljanz used for?

Xeljanz (tofacitinib) is a member of the antirheumatics drug class and is commonly used for Juvenile Idiopathic Arthritis, Psoriatic Arthritis, Rheumatoid Arthritis, and others.

How much does a free drug card save?

The free Drugs.com Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, over-the-counter drugs and pet prescriptions.

Is Xeljanz a generic?

Xeljanz is available as a brand name drug only, a generic version is not yet available. For more information, read about generic Xeljanz availability . This Xeljanz price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.

When there is a range of pricing, should consumers expect to pay the lower price?

Important: When there is a range of pricing, consumers should normally expect to pay the lower price. However, due to stock shortages and other unknown variables we cannot provide any guarantee.

What are the most common adverse reactions to Xeljanz?

The most commonly reported adverse reactions during the first 3 months in controlled clinical trials with XELJANZ 5 mg twice daily and placebo, respectively, (occurring in greater than or equal to 2% of patients treated with XELJANZ with or without DMARDs) were upper respiratory tract infections (4.5%, 3.3%), headache (4.3%, 2.1%), diarrhea (4.0%, 2.3%), and nasopharyngitis (3.8%, 2.8%).

What does XELJANZ XR look like?

When you take XELJANZ XR, you may see something in your stool that looks like a tablet. This is the empty shell from the tablet after the medicine has been absorbed by your body.

Is tofacitinib safe for pregnant women?

There are no adequate and well-controlled studies in pregnant women and the estimated background risks of major birth defects and miscarriage for the indicated population is unknown. Based on animal studies, tofacitinib has the potential to affect a developing fetus. Women of reproductive potential should be advised to use effective contraception.

Can XELJANZ XR be administered with strictures?

Caution should be used when administering XELJANZ XR to patients with pre-existing severe gastrointestinal narrowing. There have been rare reports of obstructive symptoms in patients with known strictures in association with the in gestion of other drugs utilizing a non-deformable extended release formulation.

Does XELJANZ inhibit gastrointestinal perforation?

Gastrointestinal perforations have been reported in XELJANZ clinical trials, although the role of JAK inhibition is not known. XELJANZ/XELJANZ XR should be used with caution in patients who may be at increased risk for gastrointestinal perforation (e.g., patients with a history of diverticulitis).

Can Xeljanz cause TB?

XELJANZ/XELJANZ XR may cause serious side effects, including:Serious infections. XELJANZ/XELJANZ XR can lower the ability of your immune system to fight infections. Some people can have serious infections while taking XELJANZ/XELJANZ XR, including tuberculosis (TB), and infections caused by bacteria, fungi, or viruses that can spread throughout the body. Some people have died from these infections. Your healthcare provider should test you for TB before starting and during XELJANZ/XELJANZ XR treatment, and monitor you closely for signs and symptoms of TB infection during treatment. You should not start taking XELJANZ/XELJANZ XR if you have any kind of infection unless your healthcare provider tells you it is okay.

Is Prescription Hope A Xeljanz Discount Coupon Card, Generic, Or Insurance Product?

Prescription Hope is not a Xeljanz coupon card or insurance policy. This is also not a Xeljanz Generic. Prescription Hope is a complimentary program that works alongside any coverage you may currently have.When you obtain your medications from Prescription Hope, your total will never cost more than $50.00 per month for each medication. If we cannot help you obtain a prescription medication, we will never charge a fee for that medication.

Can Prescription Hope Help Me Obtain My Other Medications?

As a national advocacy program, Prescription Hope works directly with over 180 U.S. based pharmaceutical manufacturers patient assistance programs to obtain over 1,500 FDA-approved prescription medications, including the top-100 prescribed medications in America. Visit our website to see our full list of medications and fill out an application to get started.

What is Xeljanz used for?

Xeljanz is a medication that works on the immune system and is used to treat moderately to severely active rheumatoid arthritis. Xeljanz can also be used to treat active psoriatic arthritis and moderate to severe ulcerative colitis.Important Safety Information & Side Effects

What is prescription hope?

Prescription Hope is a service-based company that offers access to FREE brand-name medication through patient assistance programs.Prescription Hope charges a service fee of $50 a month for each medication accessed through patient assistance programs to manage medication orders and refills.There are no other costs, fees, deductibles, or copays associated with the Prescription Hope service.Prescription Hope is not an insurance product, coupon card, discount program, or pharmacy.Prescription Hope is a service that helps you manage patient assistance programs. We do not manufacture, store, or ship medications.Our medication list includes the top-100 prescribed medications offered by U.S. based pharmaceutical manufacturers. Create your account to fill out a free enrollment form today!

How long does it take for a prescription to arrive?

Once your application is approved, the first shipment of prescription medication typically arrives within four to six weeks.

How much does prescription hope cost?

Prescription Hope works with thousands of Americans every month, obtaining prescription medications on their behalf for the set price of $50.00 per month per medication.The income guidelines to qualify for Prescription Hope are as follows; An individual earning up to or around $30,000 per year.

How do you know if you have a blood clot?

If you begin having signs of a blood clot, then tell your doctor right away. These signs may consist of chest pain, swelling of leg or arm, problems breathing, and discoloration of the leg or arm. Blood clots in the lungs, veins of legs, and arteries have happened more often in patients that have rheumatoid arthritis and are 50 years of age or older.

What is XELSOURCE support?

Use XELSOURCE support programs to help your eligible patients receive their XELJANZ treatment after a prescribing decision is made.

What setting of care must a patient be treated in?

Patient must be treated in the outpatient setting of care.

Can you claim reimbursement for a prescription?

No claim for reimbursement or credit for any costs associated with the medicine (s) may be submitted to any prescription insurance provider or payer, including Medicare Part D plans.

Can you use a Medicare card in Puerto Rico?

Patients are not eligible to use the Card if they are enrolled in a state- or federally funded insurance program, including but not limited to Medicare, Medicaid, TRICARE, Veterans Affairs health care, a state prescription drug assistance program, or the Government Health Insurance Plan available in Puerto Rico (formerly known as “La Reforma de Salud”).

Is Pfizer a health insurance?

The Pfizer Patient Assistance Program is not health insurance and is available for eligible uninsured/underinsured patients only.

Can Pfizer revoke a program?

Pfizer reserves the right to rescind, revoke, or amend the program without notice.

Is a prescription card valid for insurance?

This Card is not valid when the entire cost of your prescription drug is eligible to be reimbursed by your private insurance plan or other private health or pharmacy benefit programs.

What is an attached authorization?

The attached Authorization, when signed by your patient, documents the patient’s permission for you to share certain medical and personal information with Pfizer in connection with Pfizer’s patient assistance programs. This Authorization is strictly for your records and should not be returned with your patient’s application.

What are the most common adverse reactions to Xeljanz?

The most commonly reported adverse reactions during the first 3 months in controlled clinical trials with XELJANZ 5 mg twice daily and placebo, respectively, (occurring in greater than or equal to 2% of patients treated with XELJANZ with or without DMARDs) were upper respiratory tract infections (4.5%, 3.3%), headache (4.3%, 2.1%), diarrhea (4.0%, 2.3%), and nasopharyngitis (3.8%, 2.8%).

What infections are associated with Xeljanz?

The most common serious infections reported with XELJANZ included pneumonia, cellulitis, herpes zoster, and urinary tract infection . Avoid use of XELJANZ in patients with an active, serious infection, including localized infections. Consider the risks and benefits of treatment before initiating XELJANZ in patients:

What is Xeljanz used for?

XELJANZ® (tofacitinib citrate) is indicated for the treatment of adult patients with moderately to severely active rheumatoid arthritis who have had an inadequate response or intolerance to methotrexate. It may be used as monotherapy or in combination with methotrexate or other nonbiologic disease-modifying antirheumatic drugs (DMARDs).

Can Xeljanz cause TB?

Serious infections. XELJANZ can lower the ability of your immune system to fight infections. Some people have serious infections while taking XELJANZ, including tuberculosis (TB), and infections caused by bacteria, fungi, or viruses that can spread throughout the body. Some people have died from these infections. Your healthcare provider should test you for TB before starting XELJANZ, and monitor you closely for signs and symptoms of TB infection during treatment. You should not start taking XELJANZ if you have any kind of infection unless your healthcare provider tells you it is okay.Before starting XELJANZ, tell your healthcare provider if you:

What are Patient Assistance Programs?

Commonly referred to as PAPs, Patient Assistance Programs are services offered by pharmaceutical companies for those who cannot afford their medication. Patient assistance programs are available to low-income individuals or families who are under-insured or uninsured and are provided to those who meet the eligibility guidelines. Assistance may range from reduced cost of drugs to free medicine. Each drug that a company offers will have its own unique program and may even have a different eligibility requirement than the other drugs they offer. As there is no unified standard of designation for these programs, you may also see them referred to as medication assistance programs, indigent drug programs, and charitable drug programs.

Are there general eligibility requirements?

After properly identifying the pharmaceutical company who offers the medicine you would like assistance with, you can begin the the enrollment process. The initial enrollment form along with detailed company information and eligibility requirements are listed in each profile in our database.

What steps do you need to take?

Yes. Although eligibility differs from program to program, they all have three specific criteria in common.

What other material will I need to provide besides the enrollment form?

Many pharmaceutical companies will require additional material to be submitted along with your completed enrollment form. As stated before, there are no unified guidelines for what each company requests, but you can expect that many of them will require similar information. Below you will find a list of the information most commonly requested by patient assistance programs.

What is required of my physician during the enrollment process?

While they're are some enrollment processes that do not require interaction from your physician; many request that they provide answers to question on the form or directly sign it. Each patient assistance program enrollment will detail what information they will need from your physician. As stated before, there are no unified guidelines for what each company requests, however you can expect that many will require similar information. Below you will find a list of the information most commonly requested from your physician.

When should I expect to receive my medication?

After your enrollment application has been accepted to the patient assistance program, it may take up to 6 weeks before you start receiving your medication . If the enrollment form stated that your medicine will be sent to the nearest pharmacy or your doctors office, it is recommenced that you provide them with your most recent contact information so they can inform you that your medication has arrived.

How are refills handled?

To request a refill, you or your physician will have to contact the pharmaceutical company. Who contacts the company is dependent on the requirements of the PAP that you have enrolled in. Please keep in mind that you may only request a refill during your enrollment period. Each program will clearly state how often you need to resubmit your application. Failure to do so will result in a termination of the provided services and a rejection of your refill request. As each program is different, please refer to your patient assistance program's profile in our database for information regarding the refill process and enrollment duration.

What is Pfizer access counseling?

Medicine access counseling to help patients get connected to the appropriate Pfizer assistance program

What is Pfizer Rxpathways?

Pfizer RxPathways is a joint program of Pfizer Inc. and the Pfizer Patient Assistance Foundation™.

What is Pfizer's mission?

At Pfizer, we apply science and our global resources to bring therapies to people that extend and significantly improve their lives. We strive to set the standard for quality, safety and value in the discovery, development and manufacture of health care products. Our global portfolio includes medicines and vaccines as well as many of the world's best-known consumer health care products. Every day, Pfizer colleagues work across developed and emerging markets to advance wellness, prevention, treatments and cures that challenge the most feared diseases of our time. Consistent with our responsibility as one of the world's premier innovative biopharmaceutical companies, we collaborate with health care providers, governments and local communities to support and expand access to reliable, affordable health care around the world. For more than 150 years, Pfizer has worked to make a difference for all who rely on us. To learn more, please visit us at www.pfizer.com.

What is a copay card?

Co-pay cards for those with private/commercial insurance and information on alternate sources of help, like independent co-pay foundations

Does Pfizer give free prescriptions?

With this change, more than 40 medicines offered for free through the program will now be available to eligible patients earning up to 4 times the Federal Poverty Level (FPL) adjusted for family size ($47,080 for a single person; $97,000 for a family of four).

What is Pfizer Savings Program?

Pfizer Savings Program. Helps uninsured patients receive savings on more than 100 Pfizer medicines directly at their pharmacy, regardless of their income. Call 1-855-239-9869 to enroll. View available medicines.

What is Pfizer Patient Assistance Program?

Pfizer Patient Assistance Program. Provides free Pfizer medicines to eligible patients through their doctor’s office or at home. To qualify, patients must: Have a valid prescription for the Pfizer medicine for which they are seeking assistance. Have no prescription coverage, or not enough coverage, to pay for their Pfizer medicine.

How many Pfizer medicines are free?

The Pfizer Patient Assistance Program provides more than 60 Pfizer medicines for free to eligible patients through their doctor’s office, or in some cases, through home delivery.

What is the Pfizer phone number?

Patients can dial the toll-free phone number 1-844-989-PATH (7284) to consult with a Pfizer Medicine Access Counselor to find out if they meet the eligibility requirements.

How to contact Pfizer Rxpathways?

For more information about Pfizer RxPathways, please visit www.PfizerRxPathways.com. Patients can also call the toll-free phone number 1-844-989-PATH (7284) to consult with a Pfizer Medicine Access Counselor.

How to be evaluated for Pfizer?

To be evaluated for assistance, patients and their healthcare providers must submit a completed enrollment form. Patients must also provide proof of income, such as a W2 form, a paycheck stub, or prior year’s tax return. In some cases, patients prescribed certain Pfizer medicines may first be required to seek alternate forms of assistance before they can be considered for free medicine through the Pfizer Patient Assistance Program.

What is MAT in healthcare?

The Medicine Assistance Tool (MAT) – A website that helps patients, caregivers and healthcare providers learn more about various biopharmaceutical industry programs and other private and public resources offered to those who need financial support due to their lack of insurance or inadequate prescription drug coverage. MAT is not its own patient assistance program. Go to MAT.org to learn more.

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