Xofluza

Indicated For

influenza

About This Medication

# 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] | Household Size | Max Income (Approximate Guideline) | Notes | |--------------- |----------------------------------|-------| | 1 | Under $150,000 | Based on AGI; exceptions possible [4] | | 2 | Under $150,000 | Include all household members [8] | | 3 | Under $150,000 | Financial need primary [4] | | 4+ | Under $150,000 | Call for details [2] | **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.

Program information last verified: March 30, 2026