Do you have health insurance?
Do you have commercial health insurance?What does this mean?
Are you already getting financial assistance to help pay for your medicine?What does this mean?
Are you taking XOLAIR® (omalizumab) for its approved use, per prescribing information?
Do you obtain XOLAIR® (omalizumab) through one of the participating specialty pharmacies or receive treatment through a buy and bill office, alternate injection center (AIC) or hospital outpatient department (HOPD)?
You Might Qualify for a Referral to the XOLAIR Co-pay Card Program
XOLAIR Access Solutions can refer you to the XOLAIR Co-pay Card Program. It can help you with the out-of-pocket costs of XOLAIR, if you’re eligible.*
*In order to be eligible for the XOLAIR Co-pay Card Program, the patient must have commercial insurance, must not have Medicare, Medicaid or other government insurance, and must meet other eligibility criteria. They also must agree to the rules set forth in the terms and conditions for the program. Please visit XOLAIRCopay.com for the full list of terms and conditions.
You Might Qualify for a Referral to an Independent Co-pay Assistance Foundation
If you need help with your co-pay for XOLAIR, we can refer you to an independent co-pay assistance foundation.*
*Independent co-pay assistance foundations have their own rules for eligibility. We cannot guarantee a foundation will help you. We only can refer you to a foundation that supports your disease state. We do not endorse or show financial preference for any particular foundation. The foundations we refer you to are not the only ones that might be able to help you.
You Might Qualify for a Referral to the Genentech® Access to Care Foundation, or GATCF
GATCF can help you receive XOLAIR free of charge, if you qualify.*
*If you have health insurance, you must have already tried other types of patient assistance to qualify for free XOLAIR from GATCF. This includes the XOLAIR Co-pay Card Program and support from independent co-pay assistance foundations. You must also meet financial criteria. If you do not have insurance, you must meet different financial criteria.
The XOLAIR Co-pay Card
Genentech and Novartis offer the XOLAIR Co-pay Card Program that may
help you with the out-of-pocket costs of XOLAIR.*
Independent Co-pay Assistance Foundations
If you need help with your co-pay for XOLAIR, XOLAIR Access Solutions
can refer you to an independent co-pay assistance foundation.†
The Genentech® Access to Care Foundation (GATCF)
GATCF helps people who don't have health insurance. It also helps
people who have health insurance but have trouble paying for XOLAIR.
If you qualify for GATCF, you could receive XOLAIR free of