Committed to Helping You Get Your Genentech Medicine

Knowing what to expect can make all the difference. We can help walk you through each step of getting your Genentech medicine and assist you along the way. 

Frequently Asked Questions

About Genentech Rheumatology Access Solutions

Genentech Rheumatology Access Solutions is a resource for people who take a Genentech medicine. We connect you to the medicine you need.

I Am Concerned About Paying for ACTEMRA

There may be options to help you get the Genentech medicine your doctor has prescribed. Genentech Rheumatology Access Solutions can refer you to patient assistance options.

Getting My Medicine

You can’t get your Genentech medicine from your local pharmacy. Instead, it will come to you from a specialty pharmacy.

Your specialty pharmacy is different from your regular mail-order pharmacy. It handles drugs like ACTEMRA.

When we check your coverage, we also refer you to a specialty pharmacy your health insurance plan will cover.

You might not be able to get your Genentech medicine right away. First, your doctor’s office or specialty pharmacy will have to check to make sure your health insurance plan covers your medicine. This is called a “benefits investigation.” They also might have to send some more information before your plan covers your medicine. This is called a “prior authorization.”

Enrolling in Genentech Rheumatology Access Solutions

  1. You fill out a form called the PAN.
  2. Your doctor fills out a form called the SMN. You do not have to fill out anything on this form.
  3. Your doctor sends both of these forms to Genentech Rheumatology Access Solutions.

There are 2 ways to fill out the PAN form:

  • You can fill out the form online
  • You can download and print it to fill out a paper copy

The PAN form lets us discuss your health information with your doctor and your health insurance plan. We can’t work with you without a signed PAN.

You do not need to do anything else, but your doctor does. He or she needs to submit a form called the Statement of Medical Necessity, or SMN. The SMN tells us your doctor wants to treat you with ACTEMRA. Make sure your doctor has sent us the SMN so you get help from us.

You do not need to fill out anything on the SMN form.

My Health Plan Denied Coverage for ACTEMRA

If your health insurance plan will not cover your Genentech medicine, you and your doctor’s office can file an appeal. Contact your doctor to find out if filing an appeal is right for you.

We have resources to help you and your doctor file an appeal.

We have resources to help you and your doctor file an appeal. You or your doctor’s office has to file the appeal directly with your health insurance plan.

This depends on your health insurance plan. You should ask your plan directly about its process. Sometimes the appeals process is quick. However, it can also take several months if you have to appeal several times.

My Insurance Might Change

If your insurance changes while you’re taking your Genentech medicine, call us. We can help you understand your new coverage.

GATCF helps people who don't have health insurance. It also helps people who have health insurance but have trouble paying for their Genentech medicine. If you qualify for GATCF, you could receive your medicine for free.

It is your and your doctor's responsibility to complete and submit all required paperwork to your health insurance plan. Genentech cannot guarantee your plan will cover any treatments.

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.