COTELLIC and ZELBORAF Coverage
Benefits Investigations
COTELLIC and ZELBORAF Access Solutions can conduct a benefits
investigation (BI) to help you determine if a Genentech medicine is
covered, if prior authorizations (PAs) are required, which specialty
pharmacy (SP) the health insurance plan prefers and if patient
assistance might be needed.
Potential outcomes of a BI:
- Treatment is covered
- PA is required
- Treatment is denied
Both the Prescriber Service Form and the Patient Consent Form must
be received before COTELLIC and ZELBORAF Access Solutions can begin
helping your patient.
These can be downloaded from Forms and Documents or submitted online via My Patient Solutions.
The completion and submission of coverage- or reimbursement-related documentation are the responsibility of the patient and health care provider. Genentech makes no representation or guarantee concerning coverage or reimbursement for any service or item.
Prior Authorization
COTELLIC and ZELBORAF Access Solutions can help you identify if a
prior authorization (PA) is necessary and offer resources as you
obtain it for your patient. Both the Prescriber Service Form and the
Patient Consent Form must be received before COTELLIC and ZELBORAF
Access Solutions can begin helping your patient.
If your patient’s request for a PA is not granted, your Field Reimbursement Manager (FRM) or COTELLIC and ZELBORAF Access Solutions Specialist can work with you to determine your next steps. You can find more tips like this in Forms and Documents.
The completion and submission of coverage- or reimbursement-related
documentation are the responsibility of the patient and health care
provider. Genentech makes no representation or guarantee concerning
coverage or reimbursement for any service or item.
