Astellas Patient Assistance Program

The Astellas Patient Assistance Program provides VESIcare® (solifenacin succinate) at no cost to patients who meet the program eligibility requirements.

Eligibility Requirements

VESIcare Support Solutionsa can quickly assess whether your patient meets the eligibility requirements. For more information, contact us at 1-800-477-6472. We are available Monday–Friday, 9:00 am–8:00 pm ET.

Your patient may be eligible if they meet the following criteria:

  • Be uninsured or have insurance that excludes coverage for VESIcare
  • Have a verifiable shipping address in the United States
  • Have been prescribed VESIcare for an FDA-approved indication
  • Have a gross income of ≤2.5x the federal poverty level

Application Process

Upon completion of the Patient Enrollment Process, we will evaluate and determine if your patient is eligible for this program. If your patient is eligible, we will notify you and your patient, and ship a supply of VESIcare directly to your patient's home.

2016 HHSb Federal Poverty Guidelines

The Astellas Patient Assistance Program uses the federal poverty level (FPL) as the basis for assessing financial eligibility for patient assistance. The FPL establishes an income threshold for poverty based on the number of people in a household and is updated every year by the US Department of Health and Human Services. Under this program, patient income must be less than or equal to 2.5x the FPL to qualify for assistance for this Astellas product. The table below outlines the 2016 FPL for the continental United States, Alaska, and Hawaii, and the Astellas Patient Assistance Program financial criteria (2.5x the FPL).

2016 Federal Poverty Level Guidelines1
Household Size Continental United States Alaska Hawaii
FPL 2.5x the FPL FPL 2.5x the FPL FPL 2.5x the FPL
1 $11,880 $29,700 $14,840 $37,100 $13,670 $34,175
2 $16,020 $40,050 $20,020 $50,050 $18,430 $46,075
3 $20,160 $50,400 $25,200 $63,000 $23,190 $57,975
4 $24,300 $60,750 $30,380 $75,950 $27,950 $69,875
5 $28,440 $71,100 $35,560 $88,900 $32,710 $81,775
6 $32,580 $81,450 $40,740 $101,850 $37,470 $93,675
7 $36,730 $91,825 $45,920 $114,800 $42,230 $105,575
8 $40,890 $102,225 $51,120 $127,800 $47,010 $117,525
Each additional person $4160 $10,400 $5200 $13,000 $4780 $11,950

a VESIcare Support Solutions is a component of Astellas Pharma Support SolutionsSM.

b US Department of Health and Human Services.

Reference

1. US Department of Health and Human Services. Annual update of the HHS poverty guidelines. Fed Regist 2016;80:3236-7.