Genentech® Access to Care Foundation (GATCF)

GATCF helps eligible patients who meet specific criteria receive Genentech medicines free of charge.

Is My Patient Eligible?

*Including Genentech brand-specific co-pay cards and support from independent co-pay assistance foundations.

Download this PDF file to view a summary of GATCF eligibility and enrollment information.

How Do I Get My Patient Started?

Complete and submit enrollment forms and submit them to LUCENTIS Access Solutions:

  • Statement of Medical Necessity (SMN)
  • Patient Authorization and Notice of Release of Information (PAN)

These forms can be submitted online via My Patient Solutions™ or downloaded from Forms and Documents.

When completing the SMN, be sure to complete all sections of the form.


Only the information requested on these forms is required. Providing additional documents or information will delay processing.

Once we receive your patient’s information, LUCENTIS Access Solutions will contact the patient within 24 hours with further instructions. This may include verifying financial eligibility.