Committed to Helping You Get Your Genentech Medicine
Knowing what to expect can make all the difference. We can help you
through each step of getting your Genentech medicine.
Frequently Asked Questions
About ENSPRYNG Access Solutions
What is ENSPRYNG Access Solutions?
ENSPRYNG 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 ENSPRYNG
My co-pays for ENSPRYNG are too high. How can you help me?
There may be options to help you get the Genentech medicine your doctor has prescribed. Your ENSPRYNG Patient Navigator can refer you to patient assistance options.
My Patient Navigator
Who is my Patient Navigator?
When you enroll in ENSPRYNG Access Solutions, you will be teamed up with your own personal Patient Navigator.
This person is your point of contact during your treatment with
What does my Patient Navigator do?
Your Patient Navigator will work with your health care team during your treatment with ENSPRYNG to make sure you have the support you need.
Getting My Medicine
Can I pick up my Genentech medicine from my local pharmacy?
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 ENSPRYNG.
When we check your coverage, we also refer you to a specialty
pharmacy your health insurance plan will cover.
How long will it take to get my medicine?
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 ENSPRYNG Access Solutions
How do I enroll in ENSPRYNG Access Solutions?
- You fill out Section 1 of the ENSPRYNG Start Form.
- Your doctor fills out the rest of the form.
- Your doctor sends the form to ENSPRYNG Access Solutions.
By signing Section 1, you allow ENSPRYNG Access Solutions to talk about your health information with your doctor and health insurance plan.
You can also submit your section of the form online.
Why do I need to sign the ENSPRYNG Start Form?
By signing Section 1 of the ENSPRYNG Start Form, you allow ENSPRYNG Access Solutions to talk about your health information with your doctor and health insurance plan.
We can't work with you until we get this permission.
I submitted Section 1 of the ENSPRYNG Start Form online or gave the signed form to my doctor. Is there anything else I need to do to enroll?
You do not need to do anything else, but your doctor does. He or she needs to fill out the rest of the ENSPRYNG Start Form. The other sections of this form tell us your doctor wants to treat you with ENSPRYNG. Make sure your doctor has sent us the completed ENSPRYNG Start Form so you get help from us.
My Health Plan Denied Coverage for ENSPRYNG
My health insurance plan will not cover ENSPRYNG. What do I do?
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 ask if you should file an appeal.
We have resources to help you and your doctor file an appeal.
Does ENSPRYNG Access Solutions send the appeal to my health insurance plan?
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
How long does an appeal take?
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 take several months if you have to appeal several times.
My Insurance Might Change
I am enrolled in ENSPRYNG Access Solutions and my health insurance plan has changed. What do I do next?
If your insurance changes while you’re taking your Genentech
medicine, call us. Your Patient Navigator can walk you through your
I no longer have a health insurance plan. What should I do?
The Genentech Patient Foundation gives free Genentech medicine to
people who don't have insurance coverage or who have financial
concerns and meet certain eligibility criteria.
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.