Savings
$0 copay for most eligible patients with commercial insurance plans through the XIAFLEX® Copay Assistance Program.*
*Based on analysis of claims filed September 2011 through March 2018
How much you pay for XIAFLEX® will depend on your health benefits or insurance coverage. The XIAFLEX® Copay Assistance Program can cover up to $1200 of your out-of-pocket costs for each injection.
| Scenario 1 | Scenario 2 | Scenario 3 (for 2 vials) |
|
|---|---|---|---|
| If your out-of-pocket cost for XIAFLEX® is | $100 | $1200 | $2650 |
| For eligible patients, the XIAFLEX® Copay Assistance Program pays | $100 | $1200 | $2400 |
| You pay | $0 | $0 | $250 |
Questions about financial assistance? Call 877-XIAFLEX (877-942-3539) for more information.
There are 2 ways to register for the XIAFLEX® Copay Assistance Program. It just depends on how the doctor orders the treatment.
If the doctor:
Ordered XIAFLEX® directly
Ordered XIAFLEX® from US Bioservices Specialty Pharmacy
After confirming your shipment, contact the doctor's office to schedule your injection of XIAFLEX®.
For more information about Specialty Pharmacies, please download the Specialty Pharmacy Information Card.
Download information cardBefore enrolling in the XIAFLEX® Copay Assistance Program, it’s important to identify if you are eligible. The information below may help you determine that. You can also call
877-XIAFLEX (877-942-3539) for more assistance.
You may qualify for assistance. Review the checklist to see if you’re a candidate.
Restrictions apply. See full terms and conditions.
Restrictions, Terms, and Conditions
Please keep your copay card. You will need to provide information on it to the Specialty Pharmacy if your prescription for XIAFLEX® is processed through them.
Additional financial assistance programs available
If you are not eligible for Copay Assistance, there may be other programs that could help you pay for your prescription.
To find out about additional financial assistance, call 877-XIAFLEX
(877-942-3539).
Do not receive XIAFLEX® if you have had an allergic reaction to collagenase clostridium histolyticum or any of the ingredients in XIAFLEX®, or to any other collagenase product. See the end of the Medication Guide for a complete list of ingredients in XIAFLEX®.
XIAFLEX® can cause serious side effects, including:
Before receiving XIAFLEX®, tell your healthcare provider if you have had an allergic reaction to a previous XIAFLEX® injection, or have a bleeding problem or any other medical conditions. Tell your healthcare provider about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Using XIAFLEX® with certain other medicines can cause serious side effects. Especially tell your healthcare provider if you take medicines to thin your blood (anticoagulants). If you are told to stop taking a blood thinner before your XIAFLEX® injection, your healthcare provider should tell you when to restart the blood thinner. Ask your healthcare provider or pharmacist for a list of these medicines if you are unsure.
The most common side effects with XIAFLEX® for the treatment of Dupuytren’s contracture include:
Tell your healthcare provider if you have any side effect that bothers you or does not go away. These are not all of the possible side effects with XIAFLEX®. For more information, ask your healthcare provider or pharmacist.
XIAFLEX® is a prescription medicine used to treat adults with Dupuytren’s contracture when a “cord” can be felt. It is not known if XIAFLEX® is safe and effective in children under the age of 18.
Please see the full Prescribing Information, including Medication Guide.
Do not receive XIAFLEX® if you have had an allergic reaction to collagenase clostridium histolyticum or any of the ingredients in XIAFLEX®, or to any other collagenase product. See the end of the Medication Guide for a complete list of ingredients in XIAFLEX®.
XIAFLEX® can cause serious side effects, including:
Before receiving XIAFLEX®, tell your healthcare provider if you have had an allergic reaction to a previous XIAFLEX® injection, or have a bleeding problem or any other medical conditions. Tell your healthcare provider about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Using XIAFLEX® with certain other medicines can cause serious side effects. Especially tell your healthcare provider if you take medicines to thin your blood (anticoagulants). If you are told to stop taking a blood thinner before your XIAFLEX® injection, your healthcare provider should tell you when to restart the blood thinner. Ask your healthcare provider or pharmacist for a list of these medicines if you are unsure.
The most common side effects with XIAFLEX® for the treatment of Dupuytren’s contracture include:
Tell your healthcare provider if you have any side effect that bothers you or does not go away. These are not all of the possible side effects with XIAFLEX®. For more information, ask your healthcare provider or pharmacist.
XIAFLEX® is a prescription medicine used to treat adults with Dupuytren’s contracture when a “cord” can be felt. It is not known if XIAFLEX® is safe and effective in children under the age of 18.
Please see the full Prescribing Information, including Medication Guide.