Pay $10 Per Fill Patients prescribed Xyntha® may receive a total benefit of $12,000 per calender year, or the amount of your co-pay over one year, less a patient financial responsibility of $10 per month, whichever is less. You Might Also Like Pay No More Than $40 Per Month July 3, 2018 Pay As Little As $0 July 3, 2018 Pay Only $30 Per Month December 7, 2021