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At Erivedge Access Solutions, we provide you with individualized services to meet your patients’ specific needs.

Erivedge Access Solutions offers coverage and reimbursement support services for patients and health care professionals. Visit this section to learn more about how we can help with:

  • Coverage
  • Reimbursement
  • Patient assistance programs
  • Erivedge® (vismodegib) distribution
  • Online patient access management

 


 

Patient Assistance

We understand that the impact of your patients’ financial concerns can be significant. Erivedge Access Solutions can help. We have several options to help patients who are uninsured, who have been denied coverage by an insurer or who need help with their co-pays:

 

 

Genentech BioOncology
Co-pay Card

 

Referrals to co-pay

assistance foundations

 


Genentech® Access to

Care Foundation


 

Forms and Documents

Visit Forms and Documents to download current forms and documents, as well as other useful materials to help you as you navigate the access and reimbursement process.

Learn More About
Erivedge
  • LEARN about treatment with Erivedge
  • FIND the right patient assistance program with our Compass for Patient Access tool
  • LEARN HOW the Genentech BioOncology Co-pay Card can help with the out-of-pocket costs for Erivedge
  • Download: new forms for enrollment in GATCF

 

 

 

 

 

 

 

  • Form Statement of Medical Necessity
  • Form Statement of Medical Necessity for Dermatologists, Mohs Surgeons and Other Specialties
  • Form Patient Authorization and Notice of Release of Information

The Access Solutions logo is a registered trademark of Genentech, Inc.