Co-pay Assistance Foundations

Referring a Patient to an Independent Co-pay Assistance Foundation

If your patients need help with their medication co-pays, Herceptin Access Solutions can refer them to independent co-pay assistance foundations.*

Listing of Independent Co-pay Assistance Foundations

Select from the available disease states below for a list of foundations. This information is updated regularly.

Patient Advocate Foundation (PAF)
421 Butler Farm Road 
Hampton, VA 23666
Toll Free: 866-512-3861
www.patientadvocate.org

The HealthWell Foundation
P.O. Box 220410
Chantilly, VA 20153-0410
Toll Free: 1-800-675-8416
www.healthwellfoundation.org

Patient Access Network Foundation (PANF)
P.O. Box 221858
Charlotte, NC 28222-1858
Toll Free: 1-866-316-PANF (7263)
www.panfoundation.org

No funds are available at this time.

Please call Genentech Access Solutions at (866) 4ACCESS / (866) 422-2377. We may be able to help.

*Genentech does not influence or control the operations or eligibility criteria of any independent co-pay assistance foundation and cannot guarantee co-pay assistance after a referral from Herceptin Access Solutions. This information is provided as a resource to patients. Please note that this list is not indicative of Genentech's endorsement or financial support of any particular disease area and/or foundation, nor is it exhaustive. There may be other foundations to support the patient’s disease state.

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.