Patient Assistance options
You may be eligible to receive free Xen if you:
- Have been prescribed Xen
- Have limited or no health insurance coverage
- Live in the United States
- Are being treated by a licensed U.S. health care provider on an outpatient basis
- Patients with commercial insurance plans requiring them to apply to myAbbVie Assist as a condition of, requirement for, or prerequisite to coverage of relevant AbbVie products commonly known as alternate funding programs, are not eligible for myAbbVie Assist.
If you have insurance, we will review your qualifying financial need based on a combination of your insurance coverage, household income, and out-of-pocket medical expenses during the application process. To help you understand the income guidelines that we use to evaluate qualifying financial need, we’ve provided the table below:
| Household size | Annual income |
| 1 | $81,540 or less |
| 2 | $109,860 or less |
| 3 | $138,180 or less |
| 4 | $166,500 or less |
| After 4, add $28,320 for each additional dependent family member |
If you would like to apply, you should work with your healthcare provider to submit a program application. To avoid delays, please follow the instructions on the first page and submit all requested information. Please download the application below.
Xen application (Spanish)