FINANCIAL AND OTHER RESOURCES
We can help identify the most appropriate assistance program to help you get access to ALECENSA® (alectinib).
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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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Do you have commercial health insurance?
What does this mean? -
Are you already getting financial assistance to help pay for your medicine?
What does this mean? -
Are you 18 years of age or older?
You Might Qualify for a Referral to the Genentech BioOncology Co-pay Card
Genentech BioOncology® Access Solutions can refer you to the Genentech BioOncology Co-pay Card. It can help you with the out-of-pocket costs of your Genentech medicine, if you’re eligible.*
*In order to be eligible for the Genentech BioOncology Co-pay Card, the patient must have commercial insurance, must not have Medicare, Medicaid or other government insurance, and must meet other eligibility criteria. They also must agree to the rules set forth in the terms and conditions for the program. Please visit CopayAssistanceNow.com for the full list of terms and conditions.
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.*
*Independent co-pay assistance foundations have their own rules for eligibility. We cannot guarantee a foundation will help you. We only can 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.
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 to people who meet certain income criteria.*
*If you have health insurance coverage for your medicine, you must have already tried other types of patient assistance to qualify for free Genentech medicine from the Genentech Patient Foundation. This includes the Genentech BioOncology Co-pay Card and support from independent co-pay assistance foundations. You must also meet financial criteria. If you do not have insurance or your insurance does not cover your medicine, you must meet different financial criteria.
Genentech BioOncology® Access Solutions for ALECENSA
There may be options to help you afford ALECENSA, no matter what type of health insurance you have.
There may be assistance for people taking Genentech medicines who have:
- A commercial insurance plan (such as one you get through your employer or through a Health Insurance Marketplace like HealthCare.gov)
- A public insurance plan (such as Medicare or Medicaid)
- No insurance
| a | To qualify for the Genentech BioOncology Co-pay Card, you must have commercial insurance, such as a plan you get through your employer. If you have Medicare, Medicaid, or other public insurance, you are not eligible for this program. You must also meet other criteria. |
| b | Independent co-pay assistance foundations have their own rules for eligibility. We cannot guarantee a foundation will help you. We can 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. |
| c | If you have health insurance, you must have already tried other types of patient assistance to qualify for free ALECENSA from GATCF. This includes the Genentech BioOncology Co-pay Card and support from independent co-pay assistance foundations. You must also meet specific criteria. |
To learn more about how Genentech BioOncology Access Solutions can help, contact us.
Call
(888) 249-4918
The Genentech BioOncology Co-pay Card
Genentech offers the Genentech BioOncology Co-pay Card to help
eligible patients with the out-of-pocket (OOP) costs associated with
ALECENSA. Eligible patientsd pay $5 per prescription. The
ALECENSA Co-pay Card has a maximum 12-month benefit of $25,000.
To find out if you qualify for this program or to get the Genentech BioOncology Co-pay Card, call (855) MYCOPAY/(855) 692-6729 or visit copayassistancenow.com.
| d | In order to be eligible for the Genentech BioOncology Co-pay Card, you must confirm that you meet the eligibility criteria and agree to the rules set forth in the terms and conditions for the program. Please visit copayassistancenow.com for the full list of terms and conditions. |
The Access Solutions logo is a registered trademark of Genentech, Inc. Genentech BioOncology® and its logo are registered trademarks of Genentech, Inc.
QUESTIONS TO ASK YOUR DOCTOR |
Click here for some questions you can ask your doctor about ALECENSA.
Learn More
PATIENT RESOURCE CENTER FOR ALECENSA |
Speak with one of our live representatives who will guide you to the resources you need.
CALL
1 (800) ALECENSA (253-2367)
Monday–Friday, 9am–9pm EST
HOW TO FILL YOUR PRESCRIPTION |
See how Genentech BioOncology® Access Solutions for ALECENSA can help you get your medicine from specialty pharmacies.
Learn MoreImportant Safety Information & Indication
Who Is ALECENSA For?
ALECENSA is a prescription medicine used to treat people with non-small cell lung cancer (NSCLC) that has spread to other parts of the body and whose type of NSCLC is caused by an abnormal anaplastic lymphoma kinase (ALK) gene. Your healthcare provider will perform a test to make sure that ALECENSA is right for you.
It is not known if ALECENSA is safe and effective in children.
What is the most important information I should know about ALECENSA?
Everyone reacts differently to treatment with ALECENSA. It’s important to know the most serious and most common side effects with ALECENSA.
Your doctor may lower the dose or stop treatment with ALECENSA if any side effects occur. Contact your doctor right away if you have any of the following side effects.
ALECENSA may cause serious side effects, including:
Liver problems (hepatotoxicity). ALECENSA may cause liver injury. Your doctor will do blood tests at least every 2 weeks for the first 3 months, and then 1 time each month and as needed during treatment with ALECENSA. Tell your doctor right away if you get any of the following signs and symptoms:
- Feeling tired
- Feeling less hungry than usual
- Yellowing of your skin or the whites of your eyes
- Dark urine
- Itchy skin
- Nausea or vomiting
- Pain on the right side of your stomach area
- Bleeding or bruising more easily than normal
Lung problems. ALECENSA may cause severe or life-threatening swelling (inflammation) of the lungs during treatment. Symptoms may be similar to those symptoms from lung cancer. Tell your doctor right away if you have any new or worsening symptoms, including:
- Trouble breathing
- Shortness of breath
- Cough
- Fever
Kidney problems. ALECENSA may cause severe or life-threatening kidney problems. Tell your doctor right away if you have a change in the amount or color of your urine, or if you get new or worsening swelling in your legs or feet.
Slow heartbeat (bradycardia). ALECENSA may cause very slow heartbeats that can be severe. Your doctor will check your heart rate and blood pressure during treatment with ALECENSA. Tell your doctor right away if you feel dizzy, lightheaded, or if you faint during treatment with ALECENSA. Tell your doctor if you take any heart or blood pressure medicines.
Muscle pain, tenderness, and weakness (myalgia). Muscle problems are common with ALECENSA and can be severe. Your doctor will do blood tests at least every 2 weeks for the first month and as needed during treatment with ALECENSA. Tell your doctor right away if you have any new or worsening signs and symptoms of muscle problems, including unexplained muscle pain or muscle pain that does not go away, tenderness, or weakness.
What should I tell my doctor before taking ALECENSA?
Before you take ALECENSA, tell your doctor about all of your medical conditions, including if you:
- Have liver problems
- Have lung or breathing problems
- Have a slow heartbeat
- Are pregnant or plan to become pregnant. ALECENSA can harm your unborn baby. Tell your doctor right away if you become pregnant during treatment with ALECENSA or think you may be pregnant
- Women who are able to become pregnant should use effective birth control during treatment with ALECENSA and for 1 week after the final dose of ALECENSA
- Men who have female partners that are able to become pregnant should use effective birth control during treatment with ALECENSA and for 3 months after the final dose of ALECENSA
- Are breastfeeding or plan to breastfeed. It is not known if ALECENSA passes into your breast milk. Do not breastfeed during treatment with ALECENSA and for 1 week after the final dose of ALECENSA. Talk to your doctor about the best way to feed your baby during this time
Tell your doctor about all the medicines you take, including prescription medicines, over-the-counter medicines, vitamins, and herbal supplements.
What should I avoid while taking ALECENSA?
Avoid spending time in the sunlight during treatment with ALECENSA and for 7 days after the final dose of ALECENSA. You may burn more easily and get severe sunburns. Use sunscreen and lip balm with SPF 50 or greater to help protect against sunburn.
What are the possible side effects of ALECENSA?
The most common side effects of ALECENSA include:
- Tiredness
- Constipation
- Swelling in your hands, feet, ankles, face, and eyelids
- Muscle pain, tenderness, and weakness (myalgia)
- Low red blood cell count
These are not all of the possible side effects of ALECENSA. For more information, ask your doctor or pharmacist. Call your doctor for medical advice about side effects.
You may report side effects to the FDA at (800) FDA-1088 or www.fda.gov/medwatch. You may also report side effects to Genentech at (888) 835-2555.
Please see additional Important Safety Information in full Prescribing Information, including Patient Information.