The ASTAGRAF XL Copay Card Programa is intended to help eligible patients with commercial insurance offset the cost of their prescription copay. The Program parameters are as follows:

  • You must have a valid prescription, meet the eligibility requirements, and present the copay card to your pharmacistb
  • You are covered up to a maximum savings of $3000 annually
  • The Program is valid for 12 months. Annual reenrollment in the Program is required and subject to eligibility
  • There are no income requirements

Obtaining and Activating the ASTAGRAF XL Copay Card

There are 2 ways for you to receive the copay card:

  1. From your healthcare provider
  2. By enrolling onlineonline at
    • If you meet the eligibility requirements, you will be able to activate and print a temporary card for immediate use. A copay card will also be mailed to you

a Eligible participants in the ASTAGRAF XL Copay Card Program ("Program") may receive annual savings up to $3000. Patients must have prescription drug coverage for ASTAGRAF XL, however, this Program offer is not valid for patients whose prescription claims are reimbursed, in whole or in part, by any federal or state-government funded prescription drug benefit program including but not limited to Medicaid, Medicare, Medigap, Veterans Affairs (VA), Department of Defense (DoD), TRICARE, Puerto Rico Government Insurance, or any state patient or pharmaceutical assistance program.The ASTAGRAF XL Copay Card Program is valid for twelve (12) months from date of enrollment. Annual reenrollment in the Program is required and subject to eligibility. Restrictions may apply. This offer is void where prohibited by law. Astellas reserves the right to rescind, revoke, or amend this offer without notice.

b If you receive your ASTAGRAF XL prescriptions by mail, you can also take advantage of the ASTAGRAF XL Copay Card. You may utilize the mail-in option by visiting