The Astellas Patient Assistance Program^a provides XOSPATA^® (gilteritinib) at no cost to patients who meet the program eligibility requirements.

Eligibility Requirements

XOSPATA Support Solutions^® can evaluate whether you are eligible for the Program. For more information, contact us at 1-844-632-9272. We are available Monday–Friday, 8:30 am–8:00 pm ET.

• Are uninsured or have insurance that excludes coverage for XOSPATA,^b
• Have a verifiable shipping address within the United States,
• Have been prescribed XOSPATA for an FDA-approved indication, AND
• Meet the program financial eligibility requirements

Application Process

If you meet the Program requirements, your healthcare provider can start the application process by submitting the PAP application, which includes the necessary information for us to assess your eligibility.

Once you are approved for the Astellas Patient Assistance Program, we will notify both you and your healthcare provider that you have been enrolled. Your XOSPATA prescription will then be shipped directly to your home.

^a Subject to eligibility. Void where prohibited by law.

^b Other insured patients may be eligible for the program if they meet certain eligibility criteria.

XOSPATA Support Solutions is a component of Astellas Pharma Support Solutions^SM.