XOLAIR
Generic: omalizumab
Manufacturer: Genentech · Program: XOLAIR Co-pay Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
Commercially insured patients eligible for Co-pay Program; uninsured or underinsured patients eligible for Genentech Patient Foundation program; not available for Medicare, Medicaid, or other government insurance under Co-pay Program
Residency
US resident
Individual Income Limit
$150,000/year
Income cap ~$150,000/year regardless of household size; varies by drug
Program Information
Processing Time
2–3 weeks
Delivery Method
shipped to patient or physician office
Application Method
Multiple
Reauthorization
Required — annual
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- Patient full name, date of birth, mailing address, email, phone
- Insurance information
- Prescribing doctor's information (name, practice, address, phone)
- Household size and annual net household income (for some programs)
Indicated For
Chronic spontaneous urticaria, chronic rhinosinusitis with nasal polyps, food allergies, asthma
About This Medication
# XOLAIR Co-pay Program Patient Guide: How to Get Omalizumab at Low or No Cost ## About XOLAIR (Omalizumab) XOLAIR is a prescription medication manufactured by Genentech that helps treat several conditions driven by allergies and immune responses. It is FDA-approved for allergic asthma, chronic spontaneous urticaria (chronic hives), chronic rhinosinusitis with nasal polyps, and IgE-mediated food allergies. The medication works by targeting and reducing IgE antibodies in the body, helping to control allergic reactions and reduce symptoms.[1][7] XOLAIR is administered as an injection, typically given at a healthcare provider's office. Because this is a specialty medication, it can be expensive, which is why Genentech offers financial assistance programs to help eligible patients afford their treatment. ## Who Qualifies for the XOLAIR Co-pay Program The XOLAIR Co-pay Program is designed to help patients manage the cost of their medication and injections. **Eligibility depends primarily on your insurance type and other specific criteria.**[1][7] ### Insurance Requirements You are eligible for the XOLAIR Co-pay Program if you have: - **Commercial (private) health insurance** — This includes plans you get through your employer or purchased through a Health Insurance Marketplace[7] - A **valid prescription** for XOLAIR for an FDA-approved indication[1] - **U.S. residency**[8] **You are NOT eligible for the Co-pay Program if you have:** - Medicare[1] - Medicaid[1] - Any other federal or state government-funded healthcare program[1] If you have government insurance or no insurance, you may still qualify for other Genentech assistance programs. XOLAIR Access Solutions can refer you to independent co-pay assistance foundations that might help.[7] ### Income Eligibility While specific income thresholds for the XOLAIR Co-pay Program are not publicly detailed, general guidelines for Genentech patient assistance programs suggest the following income limits:[8] | Household Size | Annual Income Limit | |---|---| | Individual | Less than $40,000 | | Couple | Less than $60,000 | | Family of 3 | Less than $80,000 | | Family of 4+ | Less than $100,000 | These are general guidelines, and actual eligibility may vary by specific program. Income verification is required for some programs, particularly for uninsured or underinsured patients.[1] ## What the Program Covers If you qualify, the XOLAIR Co-pay Program can help you with:[4] - **Drug costs** for XOLAIR medication - **Injection administration costs** — up to $1,500 in assistance annually[4] - **Both drug and injection costs** — depending on your eligibility The program does NOT cover:[1] - Other medications or treatments - Office visit fees - Other administration services or procedures Your out-of-pocket cost may be as little as $0, depending on your specific insurance plan and the program's benefit limits.[1] ## How to Apply: Step-by-Step ### Step 1: Gather Required Information Before you start, have the following information ready:[2] **Your Information:** - Full name - Date of birth - Mailing address - Email address - Phone number (home and/or mobile) - Insurance information (policy number, group number, etc.) **Your Doctor's Information:** - First and last name - Practice name - Practice address - Practice phone number **Financial Information (for some programs):** - Number of people in your household (including yourself) - Annual net household income ### Step 2: Use the Financial Assistance Tool Visit the XOLAIR financial assistance website and use their online tool to answer a few questions. The tool will guide you through the application process and help identify which programs you may qualify for.[2] ### Step 3: Complete Your Application You can apply in two ways:[2] 1. **Online** — Use the financial assistance tool at https://www.xolair.com/chronic-spontaneous-urticaria/financial-support/apply.html 2. **By Phone** — Call XOLAIR Access Solutions at **(800) 704-6610** (Monday through Friday, 6 AM–5 PM PST)[2] A patient advocate can help you through the application process and answer any questions. ### Step 4: Submit Your Application Provide all required information to complete your application. The application will be submitted to the appropriate assistance program based on your eligibility.[2] ## Timeline and Medication Delivery ### Processing Time While specific processing timelines are not publicly detailed, most patient assistance programs typically process applications within 5–10 business days after all required information is received. Some applications may be approved faster if documentation is complete. ### How You Receive Your Medication Once approved, XOLAIR will be **shipped directly to you or your physician's office**, depending on what works best for your treatment plan.[1] ## Reauthorization and Ongoing Support Your assistance through the XOLAIR Co-pay Program is not permanent. **You will need to reauthorize your enrollment periodically** to continue receiving benefits.[1] You must notify XOLAIR Access Solutions if there are any changes to:[1] - Your insurance coverage - Your income or household size - Your medical treatment - Your contact information If you begin receiving coverage under any federal, state, or government-funded healthcare program, you will no longer be eligible for the Co-pay Program.[1] ## What If Your Application Is Denied? If you are denied for the XOLAIR Co-pay Program, you may still have other options: - **Independent co-pay assistance foundations** — XOLAIR Access Solutions can refer you to organizations that may help pay for your medication[7] - **Genentech Patient Foundation** — For uninsured or underinsured patients[7] - **Prescription advocacy services** — Organizations like The Rx Advocates can help you navigate patient assistance programs and may offer access to XOLAIR for as low as $80/month[8] Contact XOLAIR Access Solutions at (800) 704-6610 to discuss alternative options. ## Additional Support Resources Beyond financial assistance, Genentech offers the **Support For You Program**, which provides:[5][10] - Free 1-on-1 virtual education sessions with a Clinical Education Manager - A comprehensive Patient Treatment Guide - Information about XOLAIR efficacy, safety, and side effects - Updates and reminders to help you stay on track with treatment - Contact: **1-866-878-0493** ## Important Disclaimer This guide provides general information about the XOLAIR Co-pay Program based on publicly available information as of March 2026. Program eligibility, benefits, and terms are subject to change. **Always verify current eligibility requirements and program details directly with XOLAIR Access Solutions at (800) 704-6610 or visit https://www.xolair.com/chronic-spontaneous-urticaria/financial-support/apply.html.** This program is administered by Genentech and is separate from your healthcare provider's office. Genentech cannot share information you provide to them with other organizations, and vice versa.[1] For medical questions about XOLAIR, always consult your prescribing physician. Clinical Education Managers and program representatives do not provide medical advice.[5]
Program information last verified: March 30, 2026
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