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Do you have health insurance?
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Does your health insurance cover your Genentech medicine?
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Are you 18 years of age or older?
There may be options to help you afford your ALECENSA, no matter what type of health insurance you have.
Use our Patient Assistance Tool to find out which assistance option might be right for you.
Do you have health insurance?
Does your health insurance cover your Genentech medicine?
Are you 18 years of age or older?
You Might Qualify for a Referral to the Genentech Oncology Co-pay Assistance Program
If you have commercial health insurance, ALECENSA Access Solutions can refer you to the Genentech Oncology Co-pay Assistance Program. It can help you with the out-of-pocket costs of your Genentech medicine, if you’re eligible.*
*Eligibility criteria apply. Not valid for patients using federal or state government programs to pay for their medications and or administration of their Genentech medication. Patient must be taking the Genentech medication for an FDA-approved indication. See full Terms and Conditions at CopayAssistanceNow.com.
You Might Qualify for a Referral to an Independent Co-pay Assistance Foundation
If you need help with your co-pay for your Genentech medicine, we can refer you to an independent co-pay assistance foundation.*
*These organizations are independent of Genentech and may require you to provide personal or financial information to enroll in their programs. Genentech cannot share any information you have provided to us.
Independent co-pay assistance foundations have their own rules for eligibility. We have no involvement or influence in independent foundation decision-making or eligibility criteria and do not know if a foundation will be able to help you. We can only refer you to a foundation that supports your disease state. This information is provided as a resource for you. We do not endorse or show preference for any particular foundation. The foundations in this list may not be the only ones that might be able to help you.
You Might Qualify for a Referral to the Genentech Patient Foundation
The Genentech Patient Foundation provides free Genentech medicine to people who don't have insurance coverage or who have financial concerns and meet eligibility criteria.*
*If you have health insurance, you should try to get other types of financial assistance, if available. You also need to meet income requirements. If you do not have insurance, or if your insurance does not cover your Genentech medicine, you must meet a different set of income requirements.
*Eligibility criteria apply. Not valid for patients using federal or state government programs to pay for their medications and/or administration of their Genentech medication. Patient must be taking the Genentech medication for an FDA-approved indication. See full Terms and Conditions at CopayAssistanceNow.com.
†Independent co-pay assistance foundations have their own rules for eligibility. We cannot guarantee a foundation will help you. We only refer you to a foundation that supports your disease state. We do not endorse or show financial preference for any particular foundation. The foundations we refer you to are not the only ones that might be able to help you.
‡If you have health insurance, you should try to get other types of financial assistance, if available. You also need to meet income requirements. If you do not have insurance, or if your insurance does not cover your Genentech medicine, you must meet a different set of income requirements.
ALECENSA Access Solutions is a program that helps people who are taking a Genentech medicine. We know how important it is for you to get the Genentech medicine your doctor prescribed. We are here to help.
Our Patient Assistance Tool helps you find out which of our patient assistance options may be right for you. Answer a few questions to learn which options you might qualify for.
Some options might require patients to confirm their annual household income. You can learn more about each option and its criteria at Genentech-Access.com/ALECENSA/patients.
To enroll, fill out the Patient Consent Form. Your doctor will have to fill out a separate form. We can begin helping you once we receive both forms.
Each option has its own time period for you to receive assistance. You can call us at (877) 436-3683 to find out how long you will receive assistance.
To learn how we can help:
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