1. ) janssenselect.com | 888-XARELTO

(Once you've reached the donut hole/coverage gap)
Eligibility:
• Do you have insurance covering a portion of the cost of Xarelto?
• Are you being asked to pay more than $85 monthly for Xarelto through your insurance?

Other Requirements:
• Program only available for patients who are taking Xarelto, not valid for any prescription written with off-label dosing.
• This program is not insurance and should not take the place of insurance.
• The cost ($85 or $240 + sales tax if applicable) will not count toward your deductible or cumulative out-of-pocket spend. The cost may not be submitted as a claim for payment to any third-party payer or pharmaceutical patient assistance foundation.
• If you choose you may submit the cost to an FSA or HSA. Check with employer if the cost can be submitted to an HRA.
• Registration begins April 1 each year and refills are available through Dec 31. Terms expire at the end of each calendar year and may change.
• Before you register it is important to know you will be asked to provide personal information.
• Offer may not be used with any other coupon, discount, prescription savings card, free trial or other offer.

Instructions:
• Everyone hits their coverage gap at a different time of the year.
• Go to janssenselect.com and click "Notify Me" or call 888-XARELTO so we can let you know if and when you become eligible for Janssen Select as well as provide you with any other program updates.


2). Prescription Bliss

www.prescriptionbliss.com

Eligibility:
• Each program has different requirements, but many of our
patients come to us who are on Medicare and have a Part D plan and are unable to afford their copays or find themselves in the coverage gap of their prescription plan.
• If your insurance company has denied paying for your prescriptions or you have a high copay or coinsurance responsibility.

Instructions:
• Call 1-877-792-5477 or go to the website prescriptionbliss.com to apply
• Click on Apply Now
• Click on Begin Application


3.) RX Assistant

www.rxassistantprograms.com

Eligibility:
Its best to call to see if you qualify.
• U.S. citizen or resident
• Does not have insurance or insurance doesn't cover medication.
• On Medicare or in donut hole/coverage gap

Instructions:
• Go to rxassistantprograms.com to fill out online form
• Call 1-888-344-8915