Patient Enrollment Process
After the patient has been prescribed XTANDI® (enzalutamide), the patient can be enrolled in XTANDI Support Solutions®.a
To enroll a patient, either:
- Log into Astellas eServiceb to complete the patient enrollment form. Print to obtain all healthcare provider and patient signatures and then upload through eService or fax to 1-855-982-6341 OR
- Complete the Patient Enrollment Form manually, including all healthcare provider and patient signatures, and fax to 1-855-982-6341.
a XTANDI Support Solutions is a component of Astellas Pharma Support SolutionsSM.
b If you do not have an eService account, it is easy to set one up. If you need technical assistance or help with your account, please call us at 1-855-898-2634. We are available Monday–Friday, 8:00 am–8:00 pm ET.
XTANDI® is a registered trademark of Astellas Pharma Inc.