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Submit the Patient Consent Form online using eSubmit. You do not have to create a signature with your finger or the mouse to sign the form.

We are dedicated to helping you understand your insurance coverage and assistance options. This can help you get the Genentech medicine your doctor prescribed.

Find Patient Assistance

How Can My OCREVUS Patient Navigator Help?

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Helping you prepare for your infusion

Your Patient Navigator will work with you and your health care provider to find an infusion site. He or she will also review the infusion process with you from start to finish, and provide an infusion checklist.

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Checking your coverage and costs

Your Patient Navigator can walk you through the details of your health insurance plan coverage and tell you how much your out-of-pocket costs will be.

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Helping you find ways to pay for your medicine

Your Patient Navigator can refer you to patient assistance options to help you afford the medicine you need.

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Working to get your medicine to you

Your Patient Navigator works with your doctor's office and/or your specialty pharmacy to help you get your medicine.

wallet icon

Helping you find ways to pay for your medicine
Your Patient Navigator can refer you to patient assistance options to help you afford the medicine you need.

Product Distribution Icon

Working to get your medicine to you
Your Patient Navigator works with your doctor's office and/or your specialty pharmacy to help you get your medicine.