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 out-of-pocket costs, SUSVIMO Access Solutions can refer them to the Genentech Ophthalmology Co-pay Program.*

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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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*Advise your patient that these organizations are independent of Genentech and may require the patient to provide personal or financial information directly to the organization to enroll in their respective programs. Genentech cannot share any information the patient has provided to us.

Independent co-pay assistance foundations have their own rules for eligibility. We have no involvement or influence in independent foundation decision-making or eligibility criteria and do 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. This information is provided as a resource for you. We do not endorse or show preference for any particular foundation. The foundations in this list may not be the only ones that might be able to help your patient..

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.

Patient Assistance Options

Referrals to the Genentech Ophthalmology Co-pay Program

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

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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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Referrals 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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^†Advise your patient that these organizations are independent of Genentech and may require the patient to provide personal or financial information directly to the organization to enroll in their respective programs. Genentech cannot share any information the patient has provided to us.

^‡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.

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