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Genentech® Access to Care Foundation (GATCF)

GATCF helps eligible patients who meet specific insurance, financial and medical criteria receive their Genentech medicines free of charge.



Is my patient eligible?




Download this PDF file to view more information on eligibility criteria.



How do I get my patient started?


  1. Complete and submit enrollment forms and submit them to Genentech Access Solutions:
    • Statement of Medical Necessity (SMN)
    • Patient Authorization and Notice of Release of Information (PAN)
  2. Complete and submit additional forms as appropriate:
    • Insurance Attestation

      - For uninsured patients only

      - Serves as proof that the patient's insurance will not cover the prescribed Genentech therapy

    • Confirmation of Infusion or Injection

      - For office-administered products only

      - Completed after each infusion or injection


These forms can be submitted online via My Patient Solutions or downloaded from our Forms and Documents Center.

When completing the SMN, be sure to complete all sections of the form.



Only the information requested on these forms is required. Providing additional documents or information will delay processing.


Once we receive your patient’s information, LUCENTIS Access Solutions will contact the patient within 24 hours with further instructions. This may include verifying financial eligibility.



Additional GATCF program details:

  • Patients are eligible for free medicine for 1 year; patients must reapply annually
  • Patient assistance support may be given before treatment or up to 1 year post-treatment
  • GATCF assists with the cost of LUCENTIS only, not the administration costs