Benefits Verification

XOSPATA Support Solutions® offers benefits verification assistance to evaluate a patient's insurance coverage for XOSPATA® (gilteritinib).

After performing a Benefits Verification, we will provide a Summary of Benefits that may include:

  • The patient's insurance coverage for XOSPATA
  • Requirements for prior authorization, step edit, or other coverage restrictions, if any
  • Cost-sharing responsibilities, including the deductible, coinsurance or copayment, and out-of-pocket maximums
  • A list of specialty pharmacies that participate in the patient's insurance plan

The Process

We will initiate a benefits verification upon receipt of a XOSPATA prescription or a completed Patient Enrollment Form.

Once benefits verification is complete, we will send a Summary of Benefits.

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

XOSPATA® is a registered trademark of Astellas Pharma Inc.