Introduction to yourXOLAIR® treatment journey
Your XOLAIR® guide to treatment
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During your appointment, your doctor or nurse will write aprescription for XOLAIR. It’s important to sign your PatientConsent Form to register with XOLAIR Access Solutions - a patient assistance program from Genentech that helpspeople who are taking XOLAIR.In case you forget, you can also access and submit the formonline. Your doctor must also complete a form called the XOLAIR Prescriber Service form. Once we have both ofthese forms, we can begin working with you, your doctor’soffice, your health insurance plan and your specialtypharmacy to help you get your XOLAIR treatment.
What’s next?
There are some steps that take place before you can getyour first XOLAIR injection. These can take about 2 weeks and are detailed in the following sections.
To learn more about XOLAIR treatment from real patients.
Queries
Getting approval for XOLAIR®
Please see accompanying full Prescribing Information, including MedicationnGuide, for additional Important Safety Information and Instructions for Use.
Even with health insurance, you may still have concernsabout the treatment cost. If you need help paying forXOLAIR, there may be options to help. Access Solutions canrefer you to the right financial assistance option.Your doctor’s office will work with XOLAIR AccessSolutions or a Specialty Pharmacy to check:• If your health plan covers the cost for XOLAIR and howmuch your co-pay will be• If a pre-approval is needed Someone from XOLAIR AccessSolutions or your specialty pharmacy might call to talkabout XOLAIR. Be sure to return their calls in order to getXOLAIR without any delays.
XOLAIR Co-pay Program
Please see accompanying full Prescribing Information, including MedicationnGuide, for additional Important Safety Information and Instructions for Use.
Specialty Pharmacy send your medicine to yourdoctor’s office and may offer other services andsupport.
Some plans require you to use a them toget your medicine.
