XOFLUZA has programs to help you save on your prescription. The information below outlines different options and eligibility criteria to help you find the support that best fits your needs.

For Patients:

1. By using this coupon, you acknowledge that you meet the eligibility criteria and will comply with the terms and conditions.
2. Present this coupon to your pharmacy along with a valid prescription for XOFLUZA and
   • You will pay the first $35
   • Genentech will pay up to the next $70 depending on your insurance coverage
     
     Any additional amounts due are your responsibility.
3. May be used twice. Valid until September 30, 2026.

If you have any questions, call 1-855-XOFLUZA.

*Patient Eligibility/Terms and Conditions:

1. This offer is valid for eligible patients receiving a prescription for XOFLUZA for an FDA-approved indication. The offer may be used by those with commercial/private insurance, uninsured patients or those choosing to pay cash (unless otherwise excluded). This offer may not be used for any other product.
2. This offer may not be used by patients in conjunction with prescription insurance under Medicaid, Medicare, TRICARE or similar federal or state programs. This offer is not health insurance or a benefit plan.
3. Offer only valid in the United States and U.S. Territories. This offer is not transferable and may not be combined with any other offer.
4. Offer must be presented along with a valid prescription for XOFLUZA at the time of purchase.
5. The patient must be 18 years or older to receive coupon benefits or a parent or guardian must redeem this offer on the patient’s behalf.
6. May be used twice. Valid until September 30, 2026.
7. Coupon program is void where prohibited by law and on the date an AB-rated generic equivalent for XOFLUZA becomes available.
8. Genentech USA, Inc. reserves the right to rescind, revoke, or amend this offer at any time without notice. It is a violation of federal law to buy, sell, or counterfeit this offer.

OPTION 2: XOFLUZA $50 Cash Pay Option

With your XOFLUZA prescription, you can get your prescriptions delivered right to your door via same-day delivery in select locations or by mail.

*Patient Eligibility/Terms and Conditions:

1. This offer is available through select pharmacies to eligible patients who have a prescription for XOFLUZA.
2. For insured patients: The price patients pay under the program through a participating pharmacy may be higher or lower than the price available through their insurance plan. The Program is not available to patients who seek or obtain reimbursement for their XOFLUZA prescription from any third party, including government or private insurance plans or other programs; or who include the payment in any submission for the amount to count toward any deductible, coinsurance, out-of-pocket maximum, or Medicare Part D TrOOP. The dispensing pharmacy and/or Genentech may share this information with Medicare Part D Plans and may deny or reverse payment or charge back amounts if a claim is submitted for product purchased using this offer. 
3. Offer only valid in the United States, U.S. territories and possessions. This offer is not transferable and may not be combined with any other offer. 
4. The offer is void where prohibited by law. 
5. Genentech USA, Inc. reserves the right to rescind, revoke or amend the offer at any time without notice. Providing false information may result in denial or reverse payment or charge back of the cash price.