The goal of the LUMOXITI Patient Savings Program is to assist eligible patients with their out-of-pocket costs for LUMOXITI.
Most eligible patients will pay $0 per month and may have access to up to $26,000 per year to assist with LUMOXITI out-of-pocket costs. There are no income requirements to participate in the program. The annual benefit can be used for the cost of the drug itself, and can also cover up to $100 in infusion costs per administration.* There are no income requirements to participate in the program.
Talk to your doctor or pharmacist, who can help you enroll in the program and file claims on your behalf.
*Patients who are residents of Massachusetts, Michigan, Minnesota, or Rhode Island are not eligible for infusion assistance.
Patients are ineligible if prescriptions are paid by any state or other federally funded programs, including, but not limited to, Medicare Part B, Medicare Part D, Medicaid, Medigap, VA or TRICARE, or where prohibited by law. Eligibility rules apply. Additional restrictions may apply.
The LUMOXITI Patient Savings Program covers the cost of the drug only, and does not cover costs for office visits, or any other associated costs.
Offer is invalid for claims and transactions more than 120 days from the date of service.
Your healthcare provider will check your weight and blood pressure before you receive each dose of LUMOXITI and as needed during treatment.
Your healthcare provider will do blood tests to check your blood cells and kidneys before you receive each dose of LUMOXITI and during treatment as recommended by your healthcare provider.
If you develop any of these symptoms of CLS or HUS, your healthcare provider may monitor you in the hospital.
Your healthcare provider will check you for these problems during your treatment with LUMOXITI. Your healthcare provider may delay or completely stop treatment with LUMOXITI if you have severe side effects.
Your healthcare provider may give you medicines to take before and after each LUMOXITI infusion.
Your healthcare provider will do blood tests to check your electrolytes before you receive each dose of LUMOXITI and during treatment as recommended by your healthcare provider.
Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
These are not all the possible side effects of LUMOXITI.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
LUMOXITI is a prescription medicine used to treat adults with hairy cell leukemia (HCL)
It is not known if LUMOXITI is safe and effective in children.
You may report side effects related to AstraZeneca products by clicking here.