What Options Are There?
Whether you have insurance or not, you might feel concerned about the cost of your treatment. If you are eligible, there are options to help you pay for your ACTEMRA.*
*Each program has its own eligibility criteria.
We can refer you to a co-pay assistance foundation that might help pay for your Genentech medicine.
Co-pay assistance foundations are non-profit organizations that help patients with their out-of-pocket costs. The foundations listed here might be able to help you pay for your Genentech medicine.
Call Genentech Rheumatology Access Solutions at (866) 681-3261 for a referral.
If you would like to contact a foundation directly, you can use the information below:
Moderate-to-Severe Rheumatoid Arthritis
No funds are available at this time.
Please call Genentech Access Solutions at (866) 4ACCESS / (866) 422-2377. We may be able to help.
We cannot guarantee you will get help from a co-pay assistance foundation. The co-pay assistance foundations each have their own rules, including financial rules. Genentech does not influence or control these co-pay assistance foundations. But Genentech Rheumatology Access Solutions can help you. We can refer you to an appropriate co-pay assistance foundation.
You might qualify if you meet the requirements below.
To apply for this program, you must be enrolled in Genentech Rheumatology Access Solutions.
To enroll in Genentech Rheumatology Access Solutions, you must complete a form called the Patient Authorization and Notice of Release of Information, or PAN. This form is located under Forms and Documents.
We also need a form from your doctor. This is called a Statement of Medical Necessity, or SMN.
If you think you might qualify for GATCF, be sure to complete Sections 5 and 6 when you fill out the PAN.
†Including Genentech brand-specific co-pay cards and support from independent co-pay assistance foundations.
What Can I Expect?
Here is what you can expect as we work with you, your doctor and/or your health insurance plan, if you have one.