Esbriet Co-pay Card
Genentech offers the Esbriet Co-pay Card to help qualified patients
with the out-of-pocket costs associated with their Esbriet
prescription. Eligible commercially insured patients have $5
out-of-pocket costs for Esbriet.*
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.
*The Esbriet Co-pay Card Program is available only for commercially insured patients. Patients using Medicare, Medicaid or any other government funded program to pay for their medications are not eligible. It requires a valid, on-label prescription and cannot be combined with any other rebate/coupon, free trial or similar offer for the specified prescription. It is available only for a patient (or their guardian) who is 18 years or older. It is not valid for medications the patient receives for free or that are eligible to be reimbursed by private insurance plans or other health care or pharmaceutical assistance programs that reimburse the patient in whole or in part for the medication. It is valid only for Genentech products in the United States and Puerto Rico. The Esbriet Co-pay Card Program is not health insurance or a benefit plan. Please see full terms and conditions at www.EsbrietCopay.com.