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LUCENTIS Co-pay Card

The LUCENTIS Co-pay Card Program can help reduce the out-of-pocket costs for eligible LUCENTIS patients with commercial insurance, regardless of income.

 

Some health plans might not accept a co-pay card. Patients should contact their insurance providers to find out if their plan allows the use of co-pay cards.

 

To verify your patients' eligibility or to enroll them in the co-pay card program, call (855) 218-5307 or click Get Started.

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Who is eligible?

 

 
  • Treated with LUCENTIS for: – Diabetic Macular Edema (DME) – Neovascular (Wet) Age-related Macular Degeneration (AMD) – Macular Edema following Retinal Vein Occlusion (RVO) – Diabetic Retinopathy (DR) in patients with DME IMPORTANT NOTE: Patients must be treated with the dose FDA-approved for their indication in order to be eligible.

     

  • Covered by commercial insurance only
  • Not eligible if LUCENTIS prescriptions are paid in part or full by any state or federally funded programs such as Medicare or Medicaid, Medicare Advantage, Managed Medicaid, Veterans Affairs (VA), Department of Defense (DOD) or TRICARE

     

     

  • Does not currently receive assistance from the Genentech ® Access to Care Foundation (GATCF) or other co-pay assistance foundations for LUCENTIS

     

     

     

  • Reside in the United States or Puerto Rico
 

 

 


 

 

What does the program cover?

 

 
Program benefit Up to $5000 per year of the patient's co-pay or co-insurance for LUCENTIS or up to $1500 per year if household income is more than $100,000 *†
Patient's responsibility The first $5 of their co-pay or co-insurance for LUCENTIS. The Co-pay Card Program covers any additional out-of-pocket costs, up to the maximum benefit listed above
 

 

* Patients with a household income less than $100,000 per year are eligible for full program benefits. Patients with household income more than $100,00 per year are eligible to receive up to $1500 in a 12-month period.
The LUCENTIS Co-pay Card Program does not cover costs for any other medication, procedure or diagnostic test.