Xospata

Indicated For

FLT3-mutated relapsed or refractory acute myeloid leukemia (AML)

About This Medication

# Astellas Patient Assistance Program Patient Guide: How to Get Xospata at Low or No Cost Xospata (gilteritinib) is a prescription medication used to treat adults with relapsed or refractory acute myeloid leukemia (AML) with a specific genetic mutation called FLT3. The **Astellas Patient Assistance Program (PAP)** offers Xospata **at no cost** to eligible uninsured or low-income patients who meet financial and other criteria.[1][2][4][5] ## About Xospata **Xospata** is an oral tablet taken once daily to target and block FLT3 mutations in AML cells, helping to slow cancer growth. It's typically prescribed after other treatments have failed. Always follow your doctor's instructions on dosing, which is usually 120 mg daily. Common side effects include fatigue, fever, nausea, and changes in liver enzymes—discuss these with your healthcare provider.[1][2] This guide explains how the Astellas PAP can help you access Xospata without high costs if you qualify. The program is part of **XOSPATA Support Solutions**, a comprehensive service from Astellas that also offers copay help, prior authorization support, and free starter doses for insured patients facing delays.[1][3][6] ## Who Qualifies for the Astellas Patient Assistance Program? The program targets patients who can't afford Xospata due to lack of coverage or low income. Key eligibility includes: - **Uninsured or rendered uninsured**: No prescription drug insurance, or insurance that excludes Xospata coverage.[1][4][5] - **U.S. residency**: Verifiable shipping address in the United States.[4] - **FDA-approved use**: Prescribed for relapsed or refractory FLT3-mutated AML.[4] - **Financial need**: Low-income patients; exact thresholds aren't publicly listed—instead, XOSPATA Support Solutions evaluates each case individually based on proof of income.[1][2][4] - **Not for government insurance**: Excludes Medicare Part D, Medicaid, or similar—contact the program for specifics if you've lost coverage.[1][4] **Note**: Even if you have Medicare Part D or private insurance, other XOSPATA Support options like copay cards (up to $7,000/year) or Quick Start+ (7-day free supply) may apply.[2][6][9] ## Income Eligibility Breakdown Specific federal poverty level (FPL) percentages or household size thresholds aren't detailed publicly. The program assesses financial eligibility case-by-case for uninsured/low-income patients.[1][2][4] Here's a general overview based on similar programs (confirm with XOSPATA Support Solutions for your situation): | Household Size | Typical Low-Income Threshold (e.g., <400-500% FPL) | Notes | |---------------|----------------------------------------------------|-------| | Individual | Evaluated individually; provide recent income proof | No fixed limit listed[1][4] | | Couple | Evaluated individually | Household income considered[1][4] | | Family of 3 | Evaluated individually | Include all dependents[1][4] | | Family of 4+ | Evaluated individually | Full financial review required[1][4] | Call **1-844-632-9272** to discuss your income and get pre-assessed.[1][3][5] ## Insurance Requirements - **Primary fit**: Uninsured patients or those whose insurance denies Xospata coverage.[1][4][5] - **Exclusions**: Not available if you have active government insurance like Medicare Part D. If recently uninsured (e.g., lost job coverage), you may qualify.[1][4] - **Other options**: Insured patients can use the XOSPATA Patient Savings Program for copays or Quick Start+ for delays.[2][6][9] ## Step-by-Step Application Process Your **healthcare provider (HCP)** starts the process—patients can't apply alone.[1][3][7] 1. **Talk to your doctor**: Ask them to assess PAP eligibility via XOSPATA Support Solutions. Provide insurance details (none, Medicare Part D, private, etc.).[1][3] 2. **Complete the enrollment form**: Download from [Astellas site](https://www.astellaspharmasupportsolutions.com/content/dam/apss/hcp/north-america/us/en/docs/XOSPATASupportSolutions_Patient_Enrollment_Form.pdf). HCP fills patient info, prescription, and PAP section (*required fields marked).[1] 3. **Gather documents**: - **Proof of income** (tax returns, pay stubs, W-2s). - **Proof of residency** (utility bill, lease). - **Prescription** for Xospata. - **HCP signature** on form, plus patient authorization signature.[1][4] 4. **Submit**: HCP faxes to 1-844-730-8816, uploads via Prescriber Portal, or calls 1-844-632-9272 (Mon-Fri, 8:30am-8pm ET).[1][3] 5. **Approval notification**: If eligible, you and your HCP are notified; Xospata ships to your home or doctor's office.[1][3][4] **Application methods**: Phone, fax, online portal, or mail—multiple options available.[1][3] ## Timeline and Delivery Processing time varies; expect 1-2 weeks typically, but call for status updates. Once approved, medication ships directly to your home or HCP's office. **Reauthorization is required** periodically—your HCP resubmits updated info.[1][3][4] ## Alternatives if Denied - **Appeal denials**: XOSPATA Support helps with insurer appeals or additional docs.[4] - **Copay Savings Program**: Up to $7,000/year for commercially insured (enroll at XOSPATAcopayenroll.com).[2][9] - **Quick Start+**: Free 7-day supply for new insured patients with delays.[6] - **Other resources**: Benefits investigation, specialty pharmacy coordination, or referrals to independent programs.[1][2][5] - **Contact PAN Foundation** or NeedyMeds for broader AML assistance. ## Important Disclaimer This guide is for informational purposes based on available program details as of latest updates. Eligibility, terms, and availability can change—Astellas reserves the right to amend/revoke without notice. Always verify with XOSPATA Support Solutions at **1-844-632-9272** or your HCP. Not legal/medical advice; consult professionals for personalized guidance. Program excludes certain accumulator/maximizer plans.[1][2][4]

Program information last verified: March 30, 2026