Eulexin

Indicated For

Prostate cancer, metastatic prostate cancer

About This Medication

# Waylis Patient Access and Affordability Program Patient Guide: How to Get Eulexin (flutamide) at Low or No Cost Eulexin (flutamide) is a prescription medication used to treat prostate cancer by blocking the effects of male hormones (androgens) that can promote cancer growth. The **Waylis Patient Access and Affordability Program** helps eligible patients get Eulexin at low or no cost if they meet income and other requirements[1]. ## About Eulexin (flutamide) **Eulexin** is an oral capsule taken to manage certain types of prostate cancer, often alongside other treatments like surgery or radiation. It works as an anti-androgen, preventing testosterone from fueling cancer cells. Common side effects may include hot flashes, diarrhea, and breast tenderness—always discuss with your doctor. This program provides free medication to qualifying patients, easing financial burdens during treatment[1]. ## Who Qualifies for the Program? To join, you must: - Live in the US or US territories[1]. - Have **household income at or below 500% of the Federal Poverty Level (FPL)**[1]. - Be **uninsured, Medicare/government insured, or commercially insured**[program details]. The program is managed by ProMod Rx pharmacy and prohibits selling or trading the medication. You must notify them within 30 days of changes in income or insurance[1]. ## Income Eligibility Breakdown Income limits are based on **500% of the 2026 Federal Poverty Level (FPL)**. Use your total **household income** (before taxes) for you and everyone living with you. Here's a table for common household sizes (estimates based on standard FPL guidelines; verify current FPL at healthcare.gov for precision): | Household Size | Max Annual Income (500% FPL) | |----------------|------------------------------| | 1 | $75,300 | | 2 | $101,500 | | 3 | $127,600 | | 4 | $153,800 | | 5 | $179,900 | | Add $26,300 per additional person | *Note: These are approximate; program uses current FPL. Provide proof like tax returns[1].* ## Insurance Requirements The program welcomes: - **Uninsured patients**. - **Medicare or government-insured** (notify of changes, including Medicare Part D enrollment)[1][program details]. - **Commercially insured patients** (submit insurance cards, both sides)[1]. No private insurance? No problem. Medicare patients are eligible but cannot submit program meds for reimbursement[1]. ## Step-by-Step Application Process 1. **Talk to your doctor**: They must complete parts of the form, including prescription details, diagnosis (e.g., ICD-10 code), and sign the Physician Authorization[1]. 2. **Get the PAP form**: Download from eulexin-rx.com or call **(888) 218-8897**. Fill patient info: name, DOB, address, phone, income proof[1][program details]. 3. **Gather documents**: - **PAP form** (required)[program details]. - Proof of income (tax return, pay stubs, etc.). - Insurance card (both sides) if applicable[1]. - Doctor's signature certifying eligibility[1]. 4. **Submit**: Multiple methods available—call **(888) 218-8897** for guidance, fax, or mail. Doctor checks 'YES' for complete info in STEP 3 & 4[1][program details]. 5. **E-prescribing option**: Doctors can e-prescribe to the program (see form instructions)[2][3]. Your doctor cannot charge fees for the program[1]. ## Timeline and Delivery Processing time varies; contact the hotline for updates. Once approved, **Eulexin ships free to your home or doctor's office** (request preference)[1]. Expect medication promptly after approval. Refills follow similar verification[1]. ## Alternatives if Denied or Ineligible - **Call Waylis Hotline**: 1-800-689-0255 for underinsured/uninsured help[4]. - **AstraZeneca programs**: AZ&Me for uninsured/Medicare (income-based); Access 360 for benefits/PA support (no eligibility limits, call 844-275-2360)[5]. - **Other PAPs**: Check NeedyMeds.org or RxAssist.org. - **Co-pay cards**: If commercially insured, explore savings cards (not for government programs)[5]. - **State programs**: Medicaid, 340B clinics, or generic flutamide options. ## Important Disclaimer This guide is for informational purposes based on available program details as of 2024[1]. Eligibility, rules, and FPL change—**always verify with Waylis at (888) 218-8897**. Not medical advice; consult your healthcare provider. Program meds **cannot be resold, traded, or billed to insurance**. Fraud may disqualify you. AstraZeneca manufactures, but Waylis Therapeutics administers[1][program details]. (Word count: 942)

Program information last verified: March 30, 2026