ABOUT XELSOURCE SM
To speak with a live specialist, Monday through Friday, 8:00 AM–8:00 PM ET, call 1-855-4-XELJANZ (1-855-493-5526) and select option 4.
Automated services, such as activating the Co-Pay Savings Card, are available 24 hours a day, 7 days a week. Simply call XELSOURCE and select option 2 to activate a Co-Pay Savings Card.
When you’re starting out on treatment, support services from XELSOURCE can help by:
Your XELSOURCE specialist can help you with:
- Finding a place to fill your prescription
- Providing a reminder when it’s time to refill your prescription
- Working with you and your pharmacy if your insurance requires reauthorization once you are on treatment
Your XELSOURCE specialist can provide financial support by:
FINANCIAL HELP QUESTIONS
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 your savings options, call 1-855-4-XELJANZ (1-855-493-5526), Monday through Friday, 8:00 AM–8:00 PM ET, and select option 4.
Yes, if you have a valid prescription and are eligible, your healthcare provider can request a free, 14-day trial prescription for you. See limits, terms, and conditions.
Yes,‡ XELJANZ patients and XELJANZ XR patients may qualify for a Co-Pay Savings Card.
No, no additional insurance approvals are needed when switching from XELJANZ to XELJANZ XR.