The majority of Medicare and commercial beneficiaries have access to XTANDI as first-line metastatic CRPC therapy.1

XTANDI is available as first-line therapy for patients with metastatic CRPC for 78% of Medicare and 71% of commercial beneficiaries.1

XtandiSupportSolutions.com
1-855-8XTANDI (1-855-898-2634)

Monday—Friday, 8 AM - 8 PM ET

COST AND CO-PAY SUPPORT FOR XTANDI® (ENZALUTAMIDE) CAPSULES

Find the right support: Solutions for patients regardless of coverage

  • Commercial Insurance

    The XTANDI Patient Savings Program allows eligible patients with commercial insurance to pay as little as $0 per prescription for a savings up to a maximum of $25,000 for 12 months after enrollment

    Go to activatethecard.com/xtandi to activate the Savings Card

  • Medicare Part D

    XTANDI Support Solutions can provide information about other resources that might be able to help§

  • Uninsured

    The Astellas Patient Assistance Program provides XTANDI at no cost to patients who meet the program eligibility requirementsII

    100% of eligible patients enrolled in the Astellas Patient Assistance Program receive their XTANDI prescription at no costII

XTANDI Patient Savings Program

Assistance for Commercial Insurance Patients

The XTANDI Patient Savings Program is for eligible patients who have commercial prescription insurance. Under this program:

  • Patients can pay as little as $0 per prescription
  • Co-pay assistance is available for up to 12 refills during a 12-month period after enrollment, the “Enrollment Period”
  • The program covers up to a maximum of $25,000 during an Enrollment Period
  • There are no income requirements

Enrolling in the XTANDI Patient Savings Program

  • Once you have enrolled a patient in XTANDI Support Solutions, you can go to activatethecard.com/xtandi or contact your preferred network specialty pharmacy to determine eligibility and to enroll the patient in the XTANDI Patient Savings Program.
  • Eligible patients enrolled in the XTANDI Patient Savings Program begin saving immediately with their very first prescription.
  • After enrollment, your patient is eligible for co-pay assistance for up to 12 refills.

*First-line means step therapy not required. Prior authorization and other coverage criteria may apply.

FORMULARY STATUS DOES NOT IMPLY SAFETY OR EFFICACY

A product's placement on a plan formulary involves a variety of factors known only to the applicable plan and is subject to eligibility.

Provider communication only—not approved for prescription drug plan member distribution. Formulary status is not a guarantee. Please verify copay, coinsurance, coverage, and updated information with the plan sponsors. Information subject to change without notice. Astellas and Pfizer do not endorse any individual plans.

The XTANDI Patient Savings Program (“Program”) is for eligible patients with commercial prescription insurance for XTANDI. The Program is not valid for patients whose prescription claims are reimbursed, in whole or in part, by any state or federal government program, including, but not limited to, Medicaid, Medicare, Medigap, Department of Defense (DoD), Veterans Affairs (VA), TRICARE, Puerto Rico Government Insurance, or any state patient or pharmaceutical assistance program. This program is void where prohibited by law. Certain rules and restrictions apply. Astellas reserves the right to revoke, rescind, or amend this offer without notice.

§XTANDI Support Solutions has no control over the decisions made by, and does not guarantee support from, independent third parties.

IISubject to eligibility. Void where prohibited by law.

A dispensing practice may directly enroll patients into the program. Ask your XTANDI Sales Representative for more information.

XTANDI Support Solutions can help your patients obtain XTANDI through our network of specialty pharmacies, help problem-solve financial assistance, and provide educational resources included with prescription delivery.

Indication

XTANDI (enzalutamide) capsules is indicated for the treatment of patients with metastatic castration-resistant prostate cancer (CRPC).

Important Safety Information

Contraindications
XTANDI is not indicated for women. XTANDI can cause fetal harm and potential loss of pregnancy.

Warnings and Precautions
Seizure occurred in 0.5% of patients receiving XTANDI in clinical studies. In a study of patients with predisposing factors, seizures were reported in 2.2% of patients. See section 5.1 of the Prescribing Information for the list of predisposing factors. It is unknown whether anti-epileptic medications will prevent seizures with XTANDI. Permanently discontinue XTANDI in patients who develop a seizure during treatment.

Posterior Reversible Encephalopathy Syndrome (PRES)  In post approval use, there have been reports of PRES in patients receiving XTANDI. PRES is a neurological disorder which can present with rapidly evolving symptoms including seizure, headache, lethargy, confusion, blindness, and other visual and neurological disturbances, with or without associated hypertension. A diagnosis of PRES requires confirmation by brain imaging, preferably MRI. Discontinue XTANDI in patients who develop PRES.

Adverse Reactions
The most common adverse reactions (≥ 10%) that occurred more commonly (≥ 2% over placebo) in the XTANDI patients from the two placebo-controlled clinical trials were asthenia/fatigue, back pain, decreased appetite, constipation, arthralgia, diarrhea, hot flush, upper respiratory tract infection, peripheral edema, dyspnea, musculoskeletal pain, weight decreased, headache, hypertension, and dizziness/vertigo. In the bicalutamide-controlled study of chemotherapy-naïve patients, the most common adverse reactions (≥ 10%) reported in XTANDI patients were asthenia/fatigue, back pain, musculoskeletal pain, hot flush, hypertension, nausea, constipation, upper respiratory tract infection, diarrhea, and weight loss.

In the placebo-controlled study of patients taking XTANDI who previously received docetaxel, Grade 3 and higher adverse reactions were reported among 47% of XTANDI patients and 53% of placebo patients. Discontinuations due to adverse events were reported for 16% of XTANDI patients and 18% of placebo patients. In the placebo-controlled study of chemotherapy-naïve patients, Grade 3-4 adverse reactions were reported in 44% of XTANDI patients and 37% of placebo patients. Discontinuations due to adverse events were reported for 6% of both study groups. In the bicalutamide-controlled study of chemotherapy-naïve patients, Grade 3-4 adverse reactions were reported in 38.8% of XTANDI patients and 37.6% of bicalutamide patients. Discontinuations due to adverse events were reported for 7.6% of XTANDI patients and 6.3% of bicalutamide patients.

Lab Abnormalities: In the two placebo-controlled trials, Grade 1-4 neutropenia occurred in 15% of XTANDI patients (1% Grade 3-4) and 6% of placebo patients (0.5% Grade 3-4). Grade 1-4 thrombocytopenia occurred in 6% of XTANDI patients (0.3% Grade 3-4) and 5% of placebo patients (0.5% Grade 3-4). Grade 1-4 elevations in ALT occurred in 10% of XTANDI patients (0.2% Grade 3-4) and 16% of placebo patients (0.2% Grade 3-4). Grade 1-4 elevations in bilirubin occurred in 3% of XTANDI patients (0.1% Grade 3-4) and 2% of placebo patients (no Grade 3-4).

Infections: In the study of patients taking XTANDI who previously received docetaxel, 1% of XTANDI patients compared to 0.3% of placebo patients died from infections or sepsis. In the study of chemotherapy-naïve patients, 1 patient in each treatment group (0.1%) had an infection resulting in death.

Falls (including fall-related injuries) occurred in 9% of XTANDI patients and 4% of placebo patients in the two placebo-controlled trials. Falls were not associated with loss of consciousness or seizure. Fall-related injuries were more severe in XTANDI patients, and included non-pathologic fractures, joint injuries, and hematomas.

Hypertension occurred in 11% of XTANDI patients and 4% of placebo patients in the two placebo-controlled trials. No patients experienced hypertensive crisis. Medical history of hypertension was balanced between arms. Hypertension led to study discontinuation in < 1% of patients in each arm.

Drug Interactions
Effect of Other Drugs on XTANDI  Avoid strong CYP2C8 inhibitors, as they can increase the plasma exposure to XTANDI. If co-administration is necessary, reduce the dose of XTANDI.

Avoid strong CYP3A4 inducers as they can decrease the plasma exposure to XTANDI. If co-administration is necessary, increase the dose of XTANDI.

Effect of XTANDI on Other Drugs  Avoid CYP3A4, CYP2C9, and CYP2C19 substrates with a narrow therapeutic index, as XTANDI may decrease the plasma exposures of these drugs. If XTANDI is co-administered with warfarin (CYP2C9 substrate), conduct additional INR monitoring.

Please see Full Prescribing Information for additional safety information.

References: 1. Astellas. Data on File.
+

Indication and Important Safety Information

Indication

XTANDI (enzalutamide) capsules is indicated for the treatment of patients with metastatic castration-resistant prostate cancer (CRPC).

Important Safety Information

Contraindications
XTANDI is not indicated for women. XTANDI can cause fetal harm and potential loss of pregnancy.