Committed to helping you find assistance options for LUCENTIS
There may be options to help you afford your LUCENTIS, no matter what type of health insurance you have
Use our Patient Assistance Tool to find out what you might be
*In order to be eligible for the LUCENTIS Co-pay Program, 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 www.LUCENTISCopayProgram.com for the full list of terms and conditions.
†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 must have already tried other types of patient assistance to qualify for free LUCENTIS from GATCF. This includes the LUCENTIS Co-pay Program and support from independent co-pay assistance foundations. You must also meet financial criteria. If you do not have insurance, you must meet different financial criteria.
A: LUCENTIS Access Solutions is a program that helps people who are
taking a Genentech medicine. Your health insurance plan and the cost
of your medicine might keep you from getting your prescribed
treatment. We may be able to help.
A: 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.
A: To get started, fill out a form called the PAN§. Your doctor also has to fill out a form called the SMN‖. Once we have both these forms, we can begin working with you and your doctor’s office. You can find the PAN form at Genentech-Access.com/PAN or your doctor might give it to you.
§Patient Authorization and Notice of Request for Transmission of Health Information to Genentech Access Solutions and Genentech® Access to Care Foundation.
‖Statement of Medical Necessity.
A: Each option has its own time period for you to receive assistance.
You can call us at (866) 422-2377 to find out how long you will
A: To ask questions or to learn more about how we can help, contact
us at (866) 422-2377.