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 the patient's insurance cover his or her Genentech treatment?
Does your patient have commercial insurance?
Has your patient already been referred to the Genentech Ophthalmology Co-pay Program and is either ineligible or no longer receiving assistance?
Has your patient already been referred to an independent co-pay assistance foundation and is either ineligible or no longer receiving assistance?
Is the patient taking SUSVIMO for an FDA-approved indication?

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

If eligible commercially insured patients need assistance with their drug and/or administration out-of-pocket costs, the Genentech Ophthalmology Co-pay Program may help.*

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*Eligibility criteria apply. Not valid for patients using federal or state government programs to pay for their medications and/or administration of their Genentech medication. Patient must be taking the Genentech medication for an FDA-approved indication. See full Terms and Conditions at EyeOnCopay.com.

Your Patient Might Qualify for a Referral to an Independent Co-pay Assistance Foundation

For eligible patients with commercial or public health insurance, SUSVIMO Access Solutions offers referrals to independent co-pay assistance foundations.*

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*Independent co-pay assistance foundations have their own rules for eligibility. Genentech has no involvement or influence in independent foundation decision-making or eligibility criteria and does not know if a foundation will be able to help your patient. We can only refer your patient to a foundation that supports their disease state. Genentech does not endorse or show preference for any particular foundation. The foundations to which we refer your patient may not be the only ones that might be able to help.

Your Patient Might Qualify for a Referral to the Genentech Patient Foundation

The Genentech Patient Foundation provides free Genentech treatment to people who don't have insurance coverage or who have financial concerns and meet eligibility criteria.*

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*To be eligible for free Genentech treatment from the Genentech Patient Foundation, insured patients who have coverage for their treatment should try to pursue other forms of financial assistance, if available, and meet certain income requirements. Uninsured patients and insured patients without coverage for their treatment must meet a different set of income requirements. Genentech reserves the right to modify or discontinue the program at any time and to verify the accuracy of information submitted.

Patient Assistance Options

The Genentech Ophthalmology Co-pay Program

If eligible commercially insured patients need assistance with their drug and/or administration out-of-pocket costs, the Genentech Ophthalmology Co-pay Program may help.*

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independant copay assistance foundations

Referrals to Independent
Co-pay Assistance Foundations

For eligible patients with commercial or public health insurance, SUSVIMO Access Solutions offers referrals to independent co-pay assistance foundations.^†

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The Genentech Patient Foundation

If patients don't have health insurance coverage or have financial concerns and meet eligibility criteria, they may be able to get free treatment from the Genentech Patient Foundation.^‡

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^†Independent co-pay assistance foundations have their own rules for eligibility. Genentech has no involvement or influence in independent foundation decision-making or eligibility criteria and does not know if a foundation will be able to help your patient. We can only refer your patient to a foundation that supports their disease state. Genentech does not endorse or show preference for any particular foundation. The foundations to which we refer your patient may not be the only ones that might be able to help.

^‡To be eligible for free Genentech treatment from the Genentech Patient Foundation, insured patients who have coverage for their treatment should try to pursue other forms of financial assistance, if available, and meet certain income requirements. Uninsured patients and insured patients without coverage for their treatment must meet a different set of income requirements. Genentech reserves the right to modify or discontinue the program at any time and to verify the accuracy of information submitted.

For assistance, call (877) GENENTECH/(877) 436-3683
6 a.m.–5 p.m. PT, Monday through Friday

Patient Assistance Tool
Find the right assistance option for your patients