Xtampza ER

Indicated For

severe and persistent pain

About This Medication

# XTAMPZA® ER Patient Assistance Guide: How to Get Your Medication at Low or No Cost ## About This Program XTAMPZA® ER (oxycodone) is a prescription pain medication manufactured by Collegium Pharmaceutical. If you're struggling to afford this medication, Collegium offers assistance programs to help eligible patients access XTAMPZA® ER at reduced or no cost. ## What is XTAMPZA® ER? XTAMPZA® ER is a strong prescription opioid pain medication used to manage severe and persistent pain that lasts longer than 3 months and cannot be adequately treated with other pain relief options. The medication is taken twice daily (every 12 hours) and comes in capsule form that can be opened and sprinkled on food if you have difficulty swallowing. **Important Safety Information:** XTAMPZA® ER carries serious risks, including life-threatening respiratory depression, addiction, abuse, and overdose. It should only be used when alternative pain treatments are ineffective or not tolerated. Always take this medication exactly as prescribed by your healthcare provider. ## Who Qualifies for Assistance? While specific income thresholds for Collegium's XTAMPZA® ER assistance program are not detailed in publicly available materials, patient assistance programs typically serve: - **Uninsured patients** with limited income - **Underinsured patients** whose insurance doesn't adequately cover the medication - **Low-income individuals and families** who cannot afford out-of-pocket costs Commercially insured patients may have access to a co-pay card program offering co-pays as low as $35 per prescription, with approval rates of 9 out of 10 when proper documentation is submitted. ## Insurance Requirements Eligibility depends on your insurance status: | Insurance Type | Eligibility | Notes | |---|---|---| | Uninsured | Likely eligible | Primary candidates for free/low-cost assistance | | Commercially insured | Co-pay card program | May pay as little as $35 per prescription | | Medicare Part D | Possible eligibility | May qualify for Extra Help/Low-Income Subsidy program | | Government underinsured | Possible eligibility | Depends on specific coverage gaps | **Medicare Beneficiaries:** If you have Medicare Part D coverage, you may qualify for the Medicare Extra Help program (Low-Income Subsidy), which can reduce your out-of-pocket costs by limiting deductibles and copays. To qualify, your income and assets must fall below certain thresholds. ## Income Eligibility Specific income thresholds for Collegium's XTAMPZA® ER patient assistance program are not publicly available. However, most pharmaceutical patient assistance programs use income guidelines ranging from 200% to 600% of the Federal Poverty Level (FPL), depending on household size and the specific program. To determine if you qualify, you'll need to: 1. Calculate your household income (gross annual income) 2. Determine your household size 3. Contact Collegium or your healthcare provider for current income guidelines ## How to Apply While specific application details for Collegium's XTAMPZA® ER program are not fully detailed in available materials, typical patient assistance application processes include: ### Step-by-Step Process: 1. **Consult Your Healthcare Provider** - Discuss your financial situation and ask if you qualify for patient assistance. Your doctor can help submit the application. 2. **Gather Required Documentation** - Prepare proof of income, such as: - Recent pay stubs - W2 forms or tax returns - Proof of unemployment or disability benefits - Proof of household size 3. **Complete the Enrollment Form** - Your healthcare provider or the program will provide an application form that must be completed with accurate financial information. 4. **Submit Your Application** - Applications are typically submitted through your doctor's office or directly to Collegium Pharmaceutical. 5. **Await Approval** - The program will review your application and notify you of approval status. 6. **Receive Your Medication** - Once approved, your medication will be delivered or made available for pickup as specified by the program. ## Application Timeline and Delivery Processing times for patient assistance programs typically range from 5-10 business days, though this can vary. Medications are usually delivered directly to your home or your healthcare provider's office. Specific delivery timelines for the XTAMPZA® ER program should be confirmed when you apply. ## What If Your Application is Denied? If you're denied assistance, consider these alternatives: - **Reapply** - If your circumstances have changed, you may reapply - **Co-pay Card Program** - If commercially insured, ask about the XTAMPZA® ER co-pay card (as low as $35) - **Medicare Extra Help** - If eligible for Medicare, apply for the Low-Income Subsidy program - **Generic Alternatives** - Ask your doctor about generic oxycodone immediate-release options - **Other Pain Management Options** - Discuss non-opioid pain relief alternatives with your healthcare provider - **Community Resources** - Contact local health departments or nonprofits for additional assistance programs ## Important Reminders - **Valid Prescription Required** - You must have a prescription from a licensed U.S. healthcare provider - **Outpatient Setting** - The program typically covers medications for outpatient use only - **Honest Application** - Provide accurate income and household information - **Program Changes** - Eligibility rules and income thresholds may change; verify current requirements when applying - **Reauthorization** - Some programs require periodic reauthorization; ask about renewal requirements ## Getting Started To begin the application process: 1. Contact your healthcare provider and ask about patient assistance options for XTAMPZA® ER 2. Request an application form from Collegium Pharmaceutical 3. Gather your financial documentation 4. Complete and submit your application with your doctor's help ## Disclaimer This guide provides general information about patient assistance programs for XTAMPZA® ER. Specific eligibility requirements, income thresholds, application procedures, and program terms are subject to change. For the most current and accurate information, contact Collegium Pharmaceutical directly or speak with your healthcare provider. This guide is not a guarantee of eligibility or approval. Always consult with your healthcare provider before starting, stopping, or changing any medication. XTAMPZA® ER carries serious risks including addiction, abuse, overdose, and death. Use only as prescribed. Keep naloxone available in case of overdose emergency.

Program information last verified: March 30, 2026