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is right for you. Time savings: Maintenance medications are those drugs you take on a regular basis. You can have up to a 90-day supply of these medications delivered directly to you through the mail order program or at a retail preferred pharmacy participating in the Preferred Pharmacy Network.4
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www.astellaspharmasupportsolutions.com(OPTIONAL) PRESCRIPTION FOR XTANDI QUICK START+® PROGRAM ONE-TIME SUPPLY Complete this additional (optional) prescription for the QUICK START+ Program, which can provide a one-time, 14-day supply of XTANDI at no cost to eligible patients who experience a delay in insurance coverage. The shipment will be made to the address designated on page 1.
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www.lillycares.comGroup 1 Medications (at or below 300% FPL) Group 2 Medications (at or below 400% FPL) Group 3 Medications (at or below 500% FPL) 1 $38,640 $51,520 $64,400 2 $52,260 $69,680 $87,100 3 $65,880 $87,840 $109,800 4 $79,500 $106,000 $132,500