Xofluza

Genentech Patient Foundation Patient Guide: How to Get Xofluza (baloxavir marboxil) at Low or No Cost

Xofluza (baloxavir marboxil) is an antiviral medication used to treat influenza (flu) in people 5 years and older. The Genentech Patient Foundation helps eligible uninsured or underinsured patients get Xofluza for free if they meet financial and insurance criteria.[1][2][4]

About Xofluza

Xofluza is a single-dose oral suspension or tablet taken within 48 hours of flu symptoms starting. It works by stopping the flu virus from spreading in your body, shortening symptom duration. It's FDA-approved for acute uncomplicated influenza and can prevent flu in household contacts. Always follow your doctor's instructions.[1][4]

Who Qualifies?

The program supports U.S. residents (including Puerto Rico) treated by a U.S.-licensed physician. You may qualify if:

• Uninsured for Genentech medicines like Xofluza.
• Underinsured with coverage but unable to afford cost-sharing (e.g., deductible, copay, or out-of-pocket max over 7.5% of yearly income).
• Household income under $150,000 (some exceptions apply).[4][7][9]

No citizenship or immigration info required. Medicare patients may qualify if they can't afford costs.[4][5]

Income Eligibility

Exact Federal Poverty Level (FPL) percentages aren't specified, but eligibility focuses on income under $150,000, household size, and insurance costs. Use Genentech's online tool or call to confirm.[9]

Notes: Provide Adjusted Gross Income (AGI) from taxes. Out-of-pocket max >7.5% of income may qualify insured patients.[4][5]

Insurance Requirements

• Uninsured: No coverage for Xofluza.
• Underinsured: Have insurance but high costs (e.g., deductible before coverage starts).[1][4]

Medicare Part D or other plans ok if unaffordable. Insurance can't require this application or alter coverage to qualify.[4][5] No proof of denial/appeal needed.[6]

Step-by-Step Application Process

1. Check Eligibility: Use online form at gene.com/patients or call (888) 941-3331 (Mon-Fri, 6am-5pm PT).[2][9]
2. Complete Patient Consent Form: Fill Boxes 1-2 online (English/Spanish) at gene.com/patients/enrollment. Include household size, income, DOB, ZIP.[1][5]
3. Doctor Completes Prescriber Foundation Form: Page 2; confirm prescription for Xofluza.[1][4]
4. Submit Both Forms Together:
   • Online: eSubmit or My Patient Solutions.[1][3]
   • Text Photo: 650-877-1111.[1]
   • Fax: 833-999-4363.[1][2]
   • Phone Help: (866) 422-2377 or (888) 941-3331.[2]

Both forms required; extras delay processing.[1][10]

Timeline and Delivery

Processed in 5 business days after receiving both forms. You'll and your doctor contacted with outcome.[1][8] If approved, Xofluza shipped free to your home or doctor's office. One year supply possible; continues if eligible—no reenrollment.[7]

Required Documents

• Proof of income (e.g., tax return, pay stubs, AGI).[5]
• Proof of residency (e.g., utility bill).[Program details]
• Proof of insurance status (none if uninsured; policy if insured).[Program details][4]

Forms collect basics; additional proofs may be requested.[5]

Reauthorization and Refills

Reauthorization required periodically. Stay eligible for ongoing free medicine without reenrolling yearly.[7][Program details]

Alternatives if Denied

• Call Foundation Specialist (888) 941-3331 for local resources.[2][6]
• Explore state programs, non-profits, or Genentech co-pay help if insured.[5]
• Appeal insurance denial separately (no proof needed here).[6]
• No biosimilars for Xofluza listed.[Program details]

Disclaimer

This guide summarizes info as of latest data; eligibility/rules change. Not medical/financial advice. Contact Genentech directly for personalized help. Program for U.S. only; consult doctor for treatment. Genentech not liable for application errors.