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Find Patient Assistance Patient Assistance Programs

We offer several options to help cover the cost of XOLAIR® (omalizumab) for eligible patients who are uninsured, have been denied coverage by their health plans or are worried about out-of-pocket costs (eg, co-pay, co-insurance or deductibles).

 


 

 

Referrals to the XOLAIR Co-pay Card Program

Whether your patient has a health plan or not, he or she might qualify for the XOLAIR Co-pay Card. This card may be able to help with your patient's co-pay costs for XOLAIR.

   

 

Referrals to Co-pay Assistance Foundations

If privately or publicly insured patients have difficulty paying for their XOLAIR co-pay, co-insurance or other expenses, XOLAIR Access Solutions can refer them to a co-pay assistance foundation* supporting their disease state.

 

 

 

 

 

Genentech® Access to Care Foundation (GATCF)

GATCF was established to help patients with unmet medical needs who are uninsured or rendered uninsured by payer denial and who meet specific financial and medical criteria to receive XOLAIR free of charge.Learn more

 

* Genentech and Novartis Pharmaceuticals Corporation do not influence or control the operations of these co-pay assistance foundations, but XOLAIR Access Solutions can assist patients in navigating the process of seeking co-pay assistance by making an appropriate referral based on a patient’s diagnosis and by assisting with the application process. We cannot guarantee co-pay assistance once a patient has been referred by XOLAIR Access Solutions. The foundations to which we refer patients each have their own criteria for patient eligibility, including financial eligibility.

  

Learn More About
Xolair
  • LEARN about treatment with XOLAIR
  • FIND the right patient assistance program with our Compass for Patient Access tool
  • LEARN HOW the XOLAIR Co-pay Card Program may be able to help with the out-of-pocket costs for XOLAIR
  • Form Statement of Medical Necessity
  • Form Patient Authorization and Notice of Release of Information (Current Version)

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