Apply to Astellas Patient Assistance Program

Free Xtandi for patients who meet Astellas program requirements, listed for people without insurance coverage for the drug. Apply directly with the program; here is what it asks and what happens next.

Who can apply?

Not published on the official page; call 1-855-898-2634. A third-party guide (ACCC) says no income requirement; another listing says up to 400% FPL. Unconfirmed.

Not published on the official page; call 1-855-898-2634. A third-party guide (ACCC) says no income requirement; another listing says up to 400% FPL. Unconfirmed.

Listed on the Xtandi site under 'No insurance coverage'; rules for insured or government-covered patients not stated. Other Astellas products not checked.

Then what?

  1. Sign

  2. Attach

    • Nothing extra, unless the program asks later.

  3. Your prescriber

  4. Send

Questions: call Astellas Patient Assistance Program at 1-855-898-2634. Length of enrollment not stated.

Free. EveryCard Rx isn't paid by the program and never sends anything for you. Form , rules checked 2026-11-06 from the program's own pages. Something out of date? Tell us.