Patient Guide to the Astellas Access ProgramSM (AAP)
I have trouble affording Prograf. Does Astellas have any resources that can help me?
Astellas is dedicated to helping all patients afford their Prograf immunosuppressant therapy following transplant, regardless of ability to pay.
If you are uninsured OR if you have insurance (Medicare Part B, Part D, or private insurance), but you cannot afford your cost share obligations, deductibles, or coinsurance for medication, you may be eligible to receive Prograf at no cost through the Astellas Access ProgramSM. The eligibility criteria are clear and the application process is fast and easy.
What are the eligibility criteria?
You must meet the following eligibility criteria in order to qualify for assistance:
- You are uninsured or you have insurance but have difficulty affording your share of the payments for Prograf
- Prograf has been prescribed to you for an FDA-approved diagnosis or a diagnosis listed in authorized compendia
- You have a verifiable shipping address within the United States to receive your Prograf
- Your annual income is less than or equal to 2.5x the Federal Poverty Level (FPL) adjusted to household size
How can Astellas Access ServicesSM help me access Prograf?
If you have insurance, but you are not sure whether your plan covers Prograf, AAS can help you understand your insurance benefit and financial responsibilities for Prograf.
If you would like to learn more about how the Astellas Access ProgramSM can help uninsured or underinsured patients access Prograf therapy, please call Astellas Access ServicesSM (AAS) at 1-800-477-6472 to speak with a reimbursement specialist. You can also work with your healthcare provider to compile the necessary information to submit an AAP application.
When you contact AAS, you will be asked to share some information that will help AAS verify your insurance coverage and determine whether you meet the eligibility criteria for the Astellas Access ProgramSM. It will be helpful to have the following information with you:
- The name of your physician or case manager and their contact information (phone number, address, and fax number)
- The type of transplant you had, or plan to have
- Date of your transplant
- Prograf prescription information (how much Prograf you will take each day)
- Your annual income
- Your insurance information (if you have insurance)
For insured patients, it is a good idea to have all of your insurance cards, including your medical insurance card and your prescription drug card, when you call. You will be asked for the following insurance-related information:
- Your name, date of birth, address, and phone number
- Your policy number and group number
- The phone number for your insurer's member services or customer service department (usually, this number is listed somewhere on your insurance card)
- The name and birth date of the policy holder (if your spouse or another relative is the primary policy holder)
How do I apply once I am determined to be eligible?
If you would like to apply, you and your healthcare provider will need to complete a program application and submit it to AAS.