Find Patient Assistance

Answer a few simple questions to find out which patient assistance option might be right for your patient.

  • Is your patient insured?

  • Does your patient have commercial insurance?

    What does this mean?
  • Has your patient already been referred to the HEMLIBRA Co-pay Program and is either ineligible or no longer receiving assistance?

  • Is the patient 18 years of age or older?

Your Patient Might Qualify for a Referral to the HEMLIBRA Co-pay Program

If eligible commercially insured patients need assistance with their out-of-pocket costs, HEMLIBRA Access Solutions can refer them to the HEMLIBRA Co-pay Program.*

 

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*In order to be eligible for the HEMLIBRA Co-pay Program, the patient must have commercial insurance, must not have Medicare, Medicaid or other government insurance, and must meet other eligibility criteria. They also must agree to the rules set forth in the terms and conditions for the program. Please visit HEMLIBRACopay.com for the full list of terms and conditions.

Please Contact Us

Please contact HEMLIBRA Access Solutions at (877) 233-3981 for assistance for your patient.

Your Patient Might Qualify for a Referral to the Genentech® Access to Care Foundation (GATCF)

GATCF helps eligible patients who meet specific criteria receive their Genentech medicine free of charge.*

 

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*To be eligible for free Genentech medicine from GATCF, insured patients must have exhausted all other forms of patient assistance (including the HEMLIBRA Co-pay Program) and meet financial criteria. Uninsured patients must meet different financial criteria.

Patient Assistance Options

Referrals to the HEMLIBRA Co-pay Program

HEMLIBRA Access Solutions can refer eligible patients to the HEMLIBRA Co-pay Program for help with the out-of-pocket costs associated with their Genentech medicine.*

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Referrals to the Genentech® Access to Care Foundation (GATCF)

GATCF helps eligible patients who meet specific criteria receive their Genentech medicine free of charge.†

Learn More

*In order to be eligible for the HEMLIBRA Co-pay Program, the patient must have commercial insurance, must not have Medicare, Medicaid or other government insurance, and must meet other eligibility criteria. They also must agree to the rules set forth in the terms and conditions for the program. Please visit HEMLIBRACopay.com for the full list of terms and conditions.

†To be eligible for free Genentech medicine from GATCF, insured patients must have exhausted all other forms of patient assistance (including the HEMLIBRA Co-pay Program) and meet financial criteria. Uninsured patients must meet different financial criteria.

PAN=Patient Authorization and Notice of Request for Transmission of Health Information to Genentech Access Solutions and Genentech® Access to Care Foundation.

SMN=Statement of Medical Necessity.