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.”