Comprometidos con Ayudarle a Acceder a los Medicamentos de Genentech

Saber qué esperar puede suponer una gran diferencia. Podemos ayudarle a realizar cada paso para conseguir su medicamento de Genentech y prestarle asistencia a lo largo de todo el proceso.

Preguntas Frecuentes

Acerca de Avastin Access Solutions

Avastin Access Solutions es un recurso para personas que toman un medicamento de Genentech. Le brindamos acceso al medicamento que necesita.

Me Preocupa Tener Que Pagar Avastin

Puede haber opciones para ayudarle a conseguir el medicamento de Genentech que le ha prescrito el médico. Avastin Access Solutions puede derivarle a diversas opciones de asistencia a pacientes.

Cómo Conseguir Mi Medicamento

Podría suceder que no le den el medicamento de Genentech inmediatamente. En primer lugar, la consulta de su médico o la farmacia especializada deberán verificar que su plan de seguro médico cubra esta medicamento. Esto es lo que se llama “investigación de prestaciones” (benefits investigation). Quizá deban también enviar más información antes de que su plan cubra el medicamento. Esto es lo que se llama “autorización previa” (prior authorization).

Cómo Inscribirse en Avastin Access Solutions

  1. Debe rellenar el formulario llamado PAN.
  2. Su médico debe rellenar el formulario llamado SMN. Usted no tiene que rellenar nada en este formulario.
  3. Su médico envía los dos formularios a Avastin Access Solutions.

Hay dos formas de rellenar el formulario PAN:

  • Puede rellenar el formulario en línea por internet 
  • Puede descargarlo e imprimirlo para cumplimentarlo en papel

 

El formulario PAN nos permite comentar su información sobre salud con su médico y su plan de seguro médico. No podemos trabajar con usted sin tener el PAN firmado.

Usted no necesita hacer nada más, pero su médico sí, debe enviar el formulario llamado SMN. Este formulario nos indica que su médico quiere tratarle con Avastin. Asegúrese de que el médico nos envía el SMN para que le podamos ayudar.

Usted no tiene que rellenar nada en el formulario SMN.

Mi Plan Médico ha Rechazado la Cobertura de Avastin

Si su plan de seguro médico no cubre el medicamento de Genentech, usted y la consulta de su médico pueden realizar una apelación. Póngase en contacto con su médico para saber si es adecuado realizar una apelación en su caso.

Disponemos de recursos para ayudarle a usted y a su médico a realizar una apelación.

Disponemos de recursos para ayudarle a usted y a su médico a realizar una apelación. Usted o la consulta de su médico debe realizar una apelación directamente con su plan de seguro médico.

Esto depende de su plan de seguro médico. Debe preguntar directamente a su plan cuál es su proceso. En ocasiones el proceso de apelación es rápido. No obstante, una apelación puede tardar varios meses si apela varias veces.

Mi Seguro Médico Puede Cambiar

Si su seguro cambia mientras está tomando un medicamento de Genentech, llámenos. Podemos ayudarle a comprender su nueva cobertura.

La GATCF ayuda a las personas que no tienen seguro médico. También ayuda a las personas que, aun contando con un seguro médico, tienen dificultades para pagar sus medicamentos de Genentech. Si reúne los requisitos de la GATCF, podría recibir el medicamento de forma gratuita.

Es responsabilidad suya y de su médico cumplimentar y enviar toda la documentación necesaria a su plan de seguro médico. Genentech no puede garantizar que su plan cubra los tratamientos.

PAN=siglas en inglés de Autorización del Paciente y Aviso de Solicitud Para Transmitir Información Médica a Genentech Access Solutions y a Genentech® Access to Care Foundation.

SMN=siglas en inglés de Declaración de Necesidad Médica.

Important Safety Information & Indication

What it Treats

Avastin is approved for:

  • Metastatic colorectal cancer (mCRC) for first- or second-line treatment in combination with intravenous 5-fluorouracil–based chemotherapy. It is also approved to treat mCRC for second-line treatment, when used with fluoropyrimidine-based (combined with irinotecan or oxaliplatin) chemotherapy, after cancer progresses following a first-line treatment that includes Avastin
    • Avastin is not approved for use after the primary treatment of colon cancer that has not spread to other parts of the body 
  • Advanced nonsquamous non–small cell lung cancer (NSCLC) in combination with carboplatin and paclitaxel, in people who have not received chemotherapy for their advanced disease
  • Metastatic kidney cancer (mRCC) when used with interferon alfa
  • Glioblastoma (GBM) in adult patients whose cancer has progressed after prior treatment (recurrent or rGBM) 
  • Advanced cervical cancer (CC) in combination with paclitaxel and cisplatin or paclitaxel and topotecan, is approved to treat persistent, recurrent, or metastatic cancer of the cervix
  • Ovarian cancer (OC). Avastin, in combination with carboplatin and paclitaxel, followed by Avastin alone, is used for the treatment of patients with advanced (Stage III or IV) epithelial ovarian, fallopian tube, or primary peritoneal cancer following initial surgery.

Avastin in combination with paclitaxel, pegylated liposomal doxorubicin or topotecan, is approved to treat platinum-resistant recurrent epithelial ovarian, fallopian tube or primary peritoneal cancer (prOC) in women who received no more than two prior chemotherapy treatments.

Avastin, either in combination with carboplatin and paclitaxel or with carboplatin and gemcitabine, followed by Avastin alone, is approved for the treatment of patients with platinum-sensitive recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer (psOC)

BOXED WARNINGS and Additional Important Safety Information

Possible serious side effects

Everyone reacts differently to Avastin therapy. So, it’s important to know what the side effects are. Although some people may have a life-threatening side effect, most do not. Your doctor will stop treatment if any serious side effects occur. Be sure to contact your health care team if there are any signs of these side effects.

Most serious side effects (not common, but sometimes fatal):

  • GI perforation. A hole that develops in your stomach or intestine. Symptoms include pain in your abdomen, nausea, vomiting, constipation, or fever
  • Wounds that don’t heal. A cut made during surgery can be slow to heal or may not fully heal. Avastin should not be used for at least 28 days before or after surgery and until surgical wounds are fully healed
  • Serious bleeding. This includes vomiting or coughing up blood; bleeding in the stomach, brain, or spinal cord; nosebleeds; and vaginal bleeding. If you recently coughed up blood or had serious bleeding, be sure to tell your doctor

Other possible serious side effects

  • Abnormal passage in the body. This type of passage—known as a fistula—is an irregular connection from one part of the body to another and can sometimes be fatal
  • Severe high blood pressure. Blood pressure that severely spikes or shows signs of affecting the brain. Blood pressure should be monitored every 2 to 3 weeks while on Avastin and after stopping treatment
  • Kidney problems. These may be caused by too much protein in the urine and can sometimes be fatal
  • Infusion reactions. These were uncommon with the first dose (less than 3% of patients). 0.2% of patients had severe reactions. Infusion reactions include high blood pressure or severe high blood pressure that may lead to stroke, trouble breathing, decreased oxygen in red blood cells, a serious allergic reaction, chest pain, headache, tremors, and excessive sweating. Your doctor or nurse will monitor you for signs of infusion reactions
  • Severe stroke or heart problems. These may include blood clots, mini-stroke, heart attack, chest pain, and your heart may become too weak to pump blood to other parts of your body (congestive heart failure). These can sometimes be fatal
  • Nervous system and vision problems. Signs include headache, seizure, high blood pressure, sluggishness, confusion, and blindness

Side effects seen most often

In clinical studies across different types of cancer, some patients experienced the following side effects:

  • High blood pressure
  • Too much protein in the urine
  • Nosebleeds
  • Rectal bleeding
  • Back pain
  • Headache
  • Taste change
  • Dry skin
  • Inflammation of the skin
  • Inflammation of the nose
  • Watery eyes

Avastin is not for everyone

Talk to your doctor if you are:

  • Undergoing surgery. Avastin should not be used for 28 days before or after surgery and until surgical wounds are fully healed
  • Pregnant or think you are pregnant. Data have shown that Avastin may harm your unborn baby. Use birth control while on Avastin. If you stop Avastin, you should keep using birth control for 6 months before trying to become pregnant
  • Planning to become pregnant. Taking Avastin could cause a woman’s ovaries to stop working and may impair her ability to have children 
  • Breastfeeding. Breastfeeding while on Avastin may harm your baby and is therefore not recommended during and for 6 months after taking Avastin

If you have any questions about your condition or treatment, talk to your doctor.

You may report side effects to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. You may also report side effects to Genentech at 1-888-835-2555.

Please see full Product Information, including Serious Side Effects, for additional important safety information.