Genentech BioOncology Co-pay Card
Genentech offers the Genentech BioOncology Co-pay Card to help
qualified patients with the out-of-pocket costs associated with their
GAZYVA prescription.
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.
To verify your patients' eligibility or to enroll them in the co-pay
card program, call (855) MYCOPAY/(855) 692-6729 or click Get
Started.
Latest Updates
Form:
Statement of Medical Necessity (SMN)
Form:
Patient Authorization and Notice of Release of Information (PAN)