Xeloda

Indicated For

breast, colorectal, gastric

About This Medication

# Genentech Patient Foundation Patient Guide: How to Get Xeloda (capecitabine) at Low or No Cost Xeloda (capecitabine) is an oral chemotherapy medication used to treat certain types of cancer, such as breast, colorectal, and gastric cancers. The **Genentech Patient Foundation** offers this medication at no cost to eligible patients who are uninsured or underinsured and facing financial hardship.[1][2][9] ## About Xeloda (capecitabine) **Xeloda** is a prescription pill taken by mouth, typically twice daily, that your body converts into 5-fluorouracil (5-FU), an active cancer-fighting drug. It's commonly prescribed for metastatic breast cancer after other treatments fail, colorectal cancer, and sometimes gastric cancer. Always follow your doctor's dosing instructions, as it can cause side effects like hand-foot syndrome, diarrhea, nausea, or low blood cell counts. Contact your healthcare provider immediately if you experience severe symptoms. This program helps ensure you can access Xeloda without high out-of-pocket costs.[7][9] ## Who Qualifies for the Program? The Genentech Patient Foundation is designed for patients struggling financially to afford Genentech medicines like Xeloda. You may qualify if you fall into one of these groups: - **Uninsured patients** with no health insurance coverage. - **Insured patients** whose plan denies coverage for Xeloda or leaves unaffordable out-of-pocket costs, even after pursuing other assistance. - **Household income** of $150,000 or less (adjusted gross income), though exact Federal Poverty Level (FPL) percentages aren't specified—call to confirm based on household size.[4][9] **Note:** Patients whose insurance *requires* applying to a Patient Assistance Program (PAP) as a coverage prerequisite are not eligible. Also, avoid Patient Assistance Diversion Programs (PADP), which can delay treatment.[4] ## Income Eligibility Breakdown While specific FPL percentages aren't detailed publicly, eligibility generally requires household adjusted gross income (AGI) of **$150,000 or less**. Provide proof of income to verify. Use this table as a general guide (confirm with program via phone): | Household Size | Estimated Max AGI | Notes | |---------------|------------------|-------| | 1 | ≤ $150,000 | Proof required (e.g., tax return, pay stubs) | | 2 | ≤ $150,000 | Includes all household members | | 3 | ≤ $150,000 | Adjusted gross income from last tax year | | 4+ | ≤ $150,000 | Call (888) 941-3331 for exact assessment[8][9] | Foundation Specialists can help determine eligibility using a Confirm Financial Eligibility form.[4] ## Insurance Requirements - **Uninsured**: Fully eligible if income-qualified. - **Insured**: Eligible if your plan denies Xeloda coverage *or* if copays/deductibles are unaffordable despite other aid. Medicare patients may qualify if coverage is denied or costs are too high—proof of denial isn't always needed upfront.[1][4][9] - **Not eligible**: If insurance mandates PAP application for coverage.[4] Genentech Access Solutions can help navigate insurance appeals separately.[2] ## Step-by-Step Application Process Applying is straightforward and involves **two required forms**: Patient Consent Form (you complete) and Prescriber Foundation Form (your doctor completes). Both available in English/Spanish.[1][10] 1. **Check eligibility**: Call (888) 941-3331 (Mon-Fri, 6am-5pm PT) or use the online Confirm Financial Eligibility tool.[4][10] 2. **Complete Patient Consent Form**: Download from gene.com, fill out (include household size, income info), sign, and date.[1][8] 3. **Doctor completes Prescriber Form**: Provide diagnosis, prescription for Xeloda, and medical necessity statement.[1][7] 4. **Gather documents**: - **Proof of income** (tax returns, W-2s, pay stubs). - **Proof of residency** (utility bill, lease). - **Prescription** for Xeloda.[7] 5. **Submit forms** (choose one): - **Online**: Via My Patient Solutions (doctor's office logs in).[1] - **Fax**: (833) 999-4363.[1][8] - **Text photo**: 650-877-1111.[1] - **Phone start**: (877) 436-3683.[program details] 6. **Wait for processing**: Typically **5 business days** after both forms received. You'll be contacted with outcome.[1][8] Your doctor's office often handles submission—ask them to assist. ## Timeline and Delivery - **Processing**: 5 business days upon complete submission.[1] - **Approval notification**: Call/email to patient and prescriber.[8] - **Delivery**: Medication shipped free to your **home or doctor's office**.[7][program details] - **Reauthorization**: **Required** periodically—your doctor resubmits forms.[program details] ## Alternatives if Denied - **Appeal denial**: Contact Foundation Specialist at (888) 941-3331 for reasons and next steps.[10] - **Genentech Access Solutions**: For insured patients—helps with copay aid, prior authorizations (separate from Foundation).[2][5] - **Other PAPs**: NeedyMeds, RxAssist, or PAN Foundation. - **State programs**: Check Medicaid or local charity care. - **Manufacturer copay cards**: If commercially insured (not via this Foundation).[6] ## Important Disclaimer This guide is for informational purposes based on publicly available program details as of latest updates. Eligibility, processes, and income limits can change—**always verify directly with Genentech Patient Foundation at (888) 941-3331**. Not medical advice; consult your doctor for treatment decisions. Genentech reserves rights to modify program anytime. Assistance not guaranteed.[1][2][4]

Program information last verified: March 30, 2026