• If you have private insurance, you may qualify for a Co-Pay Savings Card and pay out-of-pocket costs as low as $0 per month. If your pharmacy does not accept the Co-Pay Savings Card, or you forgot your card, a rebate form is available. See limits, terms, and conditions. Eligibility is not based on income.

  • If you have government insurance, such as Medicare Part D or Medicaid, or if you need more financial assistance, we can also evaluate your eligibility for a Hardship Assistance Program. If you are eligible, we will provide XELJANZ or once-daily XELJANZ XR at no cost to you.

  • If you have no insurance, we will evaluate your eligibility for our Patient Assistance Program. If you are eligible, we will provide XELJANZ or once-daily XELJANZ XR at no cost to you.

To speak with a XELSOURCE specialist about what savings options may be available, call 1-855-4XELJANZ (1-855-493-5526), Monday through Friday, 8:00 AM–8:00 PM ET, and say “Representative.”

Questions: 
What savings options are available for those with private insurance, government insurance, or those without insurance?
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