JazzCares is committed to helping your patients get access to their XYWAV medication and providing personalized support throughout their treatment
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Personalized Resources, Nursing, and Pharmacy Support

Online Refill Scheduling

Easy and convenient online refill scheduling is available when you sign up to receive prescription refill reminders through text or email. Encourage your patients to sign up by calling the Certified Pharmacy at 1-866-997-3688.

Nursing Support

A dedicated Nurse Case Manager is with your patients from the very beginning to support them in their treatment journey.

Pharmacy Support

Through the Certified Pharmacy, a pharmacist is available 24/7 to answer your patients' questions about their prescription.

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Access and Affordability Programs

Coupon Program

Commercially insured patients who have coverage for XYWAV may pay as little as $5 per prescription.

Quick Start Voucher

Commercially insured patients who experience a delay in insurance coverage may receive a free 1-month supply.

Bridge Program

Commercially insured patients with a continued or new delay in insurance coverage may be eligible for up to 4 months of free therapy while coverage is pursued.

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Patient Assistance Program

Provides XYWAV at no cost to patients who are uninsured or deemed uninsured due to a lack of coverage.

Terms and Conditions


Coupon Program

Eligible patients can pay as little as $5 for XYWAV for a 30-day fill, subject to monthly maximum benefit. The Coupon Program is only available for residents of the US, Puerto Rico, and the other US territories who have commercial insurance with out-of-pocket expenses, including co-pay/co-insurance/plan deductibles exceeding $5 (for XYWAV) per 30-day prescription fill. The Coupon Program is for commercially insured patients with narcolepsy that have been prescribed XYWAV for its FDA-approved indications. The XYWAV Coupon Program is not valid for beneficiaries of Medicare, Medicaid, VA, or other federal or state healthcare programs, if you pay for your prescription in cash or if you choose not to use your insurance coverage. The Coupon Program requires a valid, signed prescription for XYWAV. The Coupon Program is for patients enrolled in the XYWAV and XYREM REMS. The pharmacy will bill your insurance for the portion that your insurance plan has agreed to cover. The XYWAV Coupon Program is not health insurance. The pharmacy, patient, or prescriber cannot submit a claim for reimbursement under any federal, state, or other governmental programs or any third party for any part of the benefit received by the patient through the Coupon Program. By using this offer, patients certify that they will comply with any terms of their health insurance contract requiring notification to their payor of the existence and/or value of this offer. It is illegal to (or offer to) sell, purchase, or trade this offer. This offer is non-transferrable. This offer is void where prohibited by law. No purchase necessary. The Coupon may not be applied retroactively. If your insurance changes, you must inform the pharmacy immediately. Based on your insurance change, you may no longer be able to participate in the XYWAV Coupon Program. Jazz Pharmaceuticals reserves the right to terminate or modify this program at any time and without notice and in its sole discretion. In order to facilitate the XYWAV Coupon Program, you understand and agree that Jazz will process your personal information in accordance to Jazz Pharmaceuticals’ Privacy Policy which can be found at www.jazzcares.com.

Quick Start Voucher

The voucher is good for up to one-month’s free supply (maximum of three bottles) for a patient’s first-time shipment. There is a lifetime limit of one voucher per patient. The voucher is for commercially insured patients with narcolepsy that have been prescribed XYWAV for its FDA-approved indications. The voucher is only available for residents of the US, Puerto Rico, and the other US territories. The voucher is not valid for beneficiaries of Medicare, Medicaid, VA, or other federal or state healthcare programs. The voucher requires a valid, signed prescription for XYWAV. The voucher is for patients enrolled in the XYWAV and XYREM REMS. The voucher is for patients that are experiencing an insurance coverage decision delay greater than 10 calendar days for XYWAV or for patients changing from XYWAV who are at risk of therapy interruption (i.e., less than seven calendar days from the patient’s next XYWAV delivery date). The voucher may not be submitted by the patient, pharmacy, or prescriber to seek reimbursement for all or any part of the benefit received by the patient through this voucher. The free supply of XYWAV cannot be used toward any out-of-pocket costs under any health insurance or prescription drug plan. The voucher may not be applied retroactively and does not cover refills. The voucher cannot be combined with any other voucher, certificate, coupon, rebate, or similar offer. Use of the voucher is not contingent on any purchase requirement. This is not a discount, rebate, or insurance program. The voucher is not valid where otherwise prohibited by law. It is illegal for any person to sell, purchase, trade, or counterfeit the voucher. Jazz Pharmaceuticals reserves the right to terminate or modify this program any time with or without notice. In order to facilitate the XYWAV Quick Start Voucher, you understand and agree that Jazz will process your personal information in accordance to Jazz Pharmaceuticals’ Privacy Policy which can be found at www.jazzcares.com.

Bridge Program

The Bridge Program is for patients who have commercial insurance that are at risk of therapy interruption due to a change in insurance or change in insurance coverage for XYWAV. The Bridge Program benefit is a free drug offer valid for up to a one hundred and twenty (120) day supply of XYWAV or until commercial insurance coverage has been established or denied, whichever comes first, given in up to fifteen (15) day increments. The Bridge Program is only available for residents of the US, Puerto Rico, and the other US territories. The Bridge Program is for patients with narcolepsy that have been prescribed XYWAV for its FDA-approved indications. The Bridge Program is not valid for beneficiaries of Medicare, Medicaid, VA, or other federal or state healthcare programs, if you pay for your prescription in cash or if you choose not to use your insurance coverage. The Bridge Program requires a valid, signed prescription for XYWAV. The Bridge Program is for patients enrolled in the XYWAV and XYREM REMS. The Bridge Program is not health insurance. The pharmacy, patient, or prescriber cannot submit a claim for reimbursement under any federal, state, or other governmental programs or any third party for any part of the benefit received by the patient through the Bridge Program. It is illegal to (or offer to) sell, purchase, or trade this offer. This offer is non-transferrable. This offer is void where prohibited by law. No purchase necessary. If your insurance changes, you must inform the pharmacy immediately. Based on your insurance change, you may no longer be able to participate in the XYWAV Bridge Program. Jazz Pharmaceuticals reserves the right to terminate or modify this program at any time and without notice and in its sole discretion.

Patient Assistance Program

Terms and Conditions apply.

Resources

Prior Authorization Guide:

Guidance to help you navigate the prior authorization process for your patients

Download

Formulary Exception Process Guide:

Information on the formulary exception process, when product is not on a health plan's formulary

Download

Letter of Medical Necessity Template:

Use as a guide to complete the Letter of Medical Necessity to a payer for your patient

Download
You can learn more about JazzCares support offerings by calling
1-833-533-JAZZ (5299)Monday-Friday, 8 AM-8 PM ET
Insurance coverage and plans may vary. The JazzCares program at Jazz Pharmaceuticals provides general information only and is not a guarantee of any coverage or reimbursement outcome. All treatment decisions rest solely with the treating physician or qualified healthcare professional. Jazz Pharmaceuticals reserves the right to terminate or modify this program at any time with or without notice. Other terms and conditions apply.