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Co-pay Cards Genentech BioOncology™ Co-pay Card

PERJETA Access Solutions offers the Genentech BioOncology Co-pay Card to help you with the out-of-pocket costs of your PERJETA® (pertuzumab) prescription.

 

Some health plans might not accept a co-pay card. Please contact your insurance provider to find out if your plan allows the use of co-pay cards.

 

To find out if you qualify for this program or to get a co-pay card, call (855) MYCOPAY/(855) 692-6729 or click Get Started.

activate card

 


 

Qualified Patients*

  • I am covered by commercial insurance

    - To answer "yes" to this question, you cannot be covered by a government-funded health care program such as Medicare, Medicaid, Medigap, VA, DoD or Tricare

  • I am age 18 years or older
  • I currently live or get treatment in the United States or Puerto Rico

 

If you answered "yes" to all the questions above, you are eligible.

 

* If you are receiving funding from the Genentech® Access to Care Foundation, you are not eligible for the Genentech BioOncology Co‐pay Card.
Vermont state laws do not allow programs like this.

 


 

What the card covers

 

 

Learn More About
PERJETA
  • LEARN about treatment with PERJETA
  • LEARN HOW the Genentech BioOncology Co-pay Card can help with the out-of-pocket costs for PERJETA
  • Form Patient Authorization and Notice of Release of Information

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