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 Tarceva.
Frequently Asked Questions
About Tarceva Access Solutions
What is Tarceva Access Solutions?
Tarceva Access Solutions is a resource for people who take Tarceva.
We connect you to the medicine you need.
I Am Concerned About Paying for Tarceva
My co-pays for Tarceva are too high. How can you help me?
There may be options to help you get the Tarceva your doctor has prescribed. Tarceva Access Solutions can refer you to patient assistance options.
Getting My Medicine
Can I pick up my medicine from my local pharmacy?
You can’t get Tarceva 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 Tarceva.
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 Tarceva 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 Tarceva Access Solutions
How do I enroll in Tarceva Access Solutions?
- You fill out a form called the PAN.
- Your doctor fills out a form called the SMN. You do not have to fill out anything on this form.
- Your doctor sends both of these forms to Tarceva 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
Why do I need to sign the PAN form?
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
I submitted the PAN online or gave the signed PAN 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 submit a form called the SMN. The SMN tells us your doctor wants to treat you with Tarceva. 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 Tarceva
My health insurance plan will not cover Tarceva. What do I do?
If your health insurance plan will not cover Tarceva, 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 Tarceva 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 Tarceva Access Solutions and my health insurance plan has changed. What do I do next?
If your insurance changes while you’re taking Tarceva, call us. We
can help you understand your new coverage.
I no longer have a health insurance plan. What should I do?
GATCF helps people who don't have health insurance. It also helps
people who have health insurance but have trouble paying for Tarceva.
If you qualify for GATCF, you could receive your medicine for
It is your and your doctor's responsibility to complete and submit
all required paperwork to your health insurance plan. Genentech and
Astellas 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.
Important Safety Information & Indication
What it Treats
Who is Tarceva (erlotinib) for?
- Tarceva is prescribed for patients with non-small cell lung cancer (NSCLC) whose cancer has spread to other parts of the body and that has certain types of epidermal growth factor receptor (EGFR) mutations. Your healthcare provider will perform a test to make sure that Tarceva is right for you.
- Tarceva is not meant to be used at the same time as certain types of chemotherapy for NSCLC.
- It is not known if Tarceva is safe and effective in EGFR mutations other than those included in the FDA-approved prescribing information.
Tarceva is approved for advanced-stage pancreatic cancer.
- Tarceva in combination with gemcitabine is prescribed for patients with advanced-stage pancreatic cancer whose cancer has spread, grown, or cannot be surgically removed and who have not received previous chemotherapy.
Important Safety Information
Contact your HCP right away if you experience any of the side effects listed below.
What are the possible side effects of Tarceva?
Tarceva can cause serious side effects, including:
- Lung problems (called interstitial lung disease [ILD] events). Tarceva has been shown to cause lung problems, including death. Symptoms of lung problems may include shortness of breath, cough, and fever. Tarceva may need to be stopped if you have any of these symptoms.
- Liver and kidney problems. Tarceva has been shown to cause severe kidney and liver problems, including death. Some people had their kidneys and liver stop working. Let your HCP know if you have a history of liver or kidney disease.
- Stomach and intestinal problems (called gastrointestinal [GI] perforation). Tarceva has been shown to cause GI perforation, which has led to death. A GI perforation is a hole that develops in your stomach or intestine. Tarceva patients may be at a higher risk for GI perforation if they:
- Are taking medicines including those that may help block the growth of blood vessels; steroids; non-steroidal anti-inflammatory drugs (NSAIDs); and certain chemotherapies. Always tell your HCP about any medicines you are taking.
- Have a history of ulcers or other stomach disease.
- Serious skin conditions. Tarceva has been shown to cause blistering and skin peeling. This may result in other serious skin disorders or death.
- Blood, bleeding, and clotting problems. Tarceva has been shown to cause certain blood problems and other bleeding and clotting problems. These have led to stroke and death.
- Eye disorders. Tarceva has been shown to cause dry eyes, unusual eyelash growth, or swelling of the cornea. The cornea is the clear coating of the eyeball. This swelling may irritate or damage the eye.
- Bleeding events when taking warfarin with Tarceva. Tell your HCP if you are taking a blood thinner, such as warfarin. Taking Tarceva with this medicine can cause death.
- Pregnancy. Tarceva can harm an unborn baby. Women should use effective birth control during treatment and for at least 1 month after the last dose of Tarceva. Tell your HCP if you have become pregnant, or if you think you may be pregnant, during treatment with Tarceva. Do not breast-feed during treatment with Tarceva and for 2 weeks after the final dose.
When should I call my HCP while taking Tarceva?
Call your HCP if you have:
- Serious or ongoing diarrhea, nausea (feeling sick to your stomach), loss of appetite, or vomiting.
- New or worsening shortness of breath or cough.
- Eye irritation.
- New or worsening rash, blistering, or peeling of the skin.
- Any changes in smoking habits.
What are some of the most common side effects of Tarceva?
- In 1st-line NSCLC treatment: Diarrhea, weakness, rash, cough, shortness of breath, loss of appetite (not wanting to eat).
- In maintenance/2nd- or 3rd-line NSCLC treatment: Rash and diarrhea.
- In pancreatic cancer treatment: Fatigue (feeling very tired), rash, nausea, loss of appetite, diarrhea.
What should I know about skin (including rash), hair, and nail problems or diarrhea while taking Tarceva?
- Skin (including rash):
- While taking Tarceva, rash could happen or get worse if the skin is exposed to the sun. You may want to use alcohol-free lotions and sunscreens or avoid being out in the sun.
- Your skin and nails may get darker. You may also have dry skin that may or may not crack. This most often happens with rash.
- Talk with your HCP if you notice a rash. He or she may be able to help you manage it.
- Hair and nails: Hair and nail problems have been seen in patients taking Tarceva. These include increased hairiness and brittle or loose nails.
- Diarrhea: Diarrhea can usually be treated with anti-diarrhea medicine. Your HCP can help you find the right medicine for you.
What should I do if I am taking or am prescribed other medicines or supplements while taking Tarceva?
- Always tell your HCP about all of the medicines and herbal supplements you are taking.
- DO NOT start taking any new medicines or herbal supplements before talking with your HCP.
- DO NOT eat grapefruit or drink grapefruit juice before talking with your HCP.
Will smoking affect my treatment with Tarceva?
- If you smoke, you should stop smoking before you start treatment with Tarceva.
- If you continue to smoke, your treatment with Tarceva may need to be adjusted. Talk with your HCP if you continue to smoke.
Always talk with your HCP about any side effects you may have with Tarceva.
You may report side effects to the FDA at (800) FDA-1088 or www.fda.gov/medwatch. You may also report side effects to Genentech at (888) 835-2555.