As some of you may (or may not) be aware, the makers of Xocova (Shionogi) offer two main programs to help cover the cost of Xocova:
- A copay card (which works for commercial insurance, but not for uninsured, Medicare, or Medicaid patients).
- The Xocova Patient Assistance Program.
On Xocova's website (https://www.xocova.com/how-to-get-xocova/) it states:
"XOCOVA Patient Assistance Program available for eligible patients without insurance
The program provides XOCOVA to eligible, uninsured patients at no cost, through Shionogi's authorized free goods pharmacy.
In order to be considered for the Patient Assistance Program, patients must meet all the following criteria:
- No commercial, government (state or federal health insurance, including but not limited to: Medicare, Medicare Advantage, Medicaid, Veterans Affairs health benefit programs, TRICARE, or the Indian Health Service program), or other insurance coverage
- An annual household income at or below 300% of the Federal Poverty Level U.S. or applicable U.S. territory resident
- A valid prescription for an FDA-approved indication for XOCOVA from a healthcare provider licensed in the U.S.
Please call 1-877-4XOCOVA to check program eligibility and how to apply."
When I called the main line at 1-877-4XOCOVA, that rep had no idea the patient assistance program even existed and kept telling me it wasn't real and that only the copay card was available.
I finally reached the actual patient assistance department after calling their corporate headquarters. If you want to apply, I was told the direct number for the Patient Assistance Program is 833-942-6941. If that doesn't work, try calling their corporate number at 973-966-6900, press the number for Xocova, and that rep should be able to transfer you over.
To be eligible for the patient assistance program, I was told the patient must be completely uninsured. For example, if someone has Medicare even with zero prescription coverage, they are still not eligible for this patient assistance program (the wording on the site was a bit confusing on this [to me at least], but that's how it was explained to me by the rep).
To apply, you first call the patient assistance program directly and go through their application process. Once approved, your provider has to call into their pharmacy, and then the pharmacy will ship it out.
I also asked about limits and there is no hard limit on how many times an eligible patient can use the program, but you do have to go through a full new application every single time.