What Options Are There?
There may be options to help you afford VENCLEXTA, no matter what
type of health insurance you have.
If you need help with your co-pay for VENCLEXTA, VENCLEXTA Access Solutions can refer you to an independent co-pay assistance foundation.
An independent co-pay assistance foundation is a charitable
organization that gives financial assistance for medicines.
Call VENCLEXTA Access Solutions at (888) 249-4918 for a referral.
If you would like to contact a foundation directly, you can use the information below:
Chronic Lymphocytic Leukemia
Independent co-pay assistance foundations have their own rules for
eligibility. We cannot guarantee a foundation will help you. We only
can refer you to a foundation that supports your disease state. This
information is provided as a resource for you. We do not endorse or
show financial preference for any particular foundation. The
foundations in this list are not the only ones that might be able to
The Genentech Access to Care Foundation, or GATCF, can help you receive VENCLEXTA free of charge, if you qualify.
GATCF helps people who are:
- Uninsured—People who do not have insurance
- Rendered uninsured—People whose health insurance does not cover their VENCLEXTA
Underinsured—People who have health insurance (including
commercial or government insurance plans), but pay more than a
certain amount for VENCLEXTA each year
Other eligibility criteria must be met to qualify for free medicine from GATCF. You might qualify if you meet the requirements below.
Do you have health insurance?
Is your yearly household income less than $100,000?
Is your yearly household income less than $150,000?
Do you spend 5% or more of your yearly household income on the out-of-pocket costs for VENCLEXTA?
You Might Qualify for Free Medicine From GATCF
To apply for GATCF, you’ll need to complete the PAN form and your doctor’s office will need to complete the SMN form.
Be sure to fill out Sections 5 and 6 on the PAN form.
Other Options May Be Available
You do not appear to qualify for free medicine from GATCF. However, other patient assistance options may be available to help you.
You can also call VENCLEXTA Access Solutions at (888) 249-4918 and speak with one of our Specialists.
You’ll have to fill out Sections 5 and 6 of the PAN form to apply
If you have health insurance, you must have already tried other
types of patient assistance to qualify for free medicine from GATCF.
This includes support from independent co-pay assistance
foundations. You must also meet financial criteria. If you do not
have insurance, you must meet different financial criteria.
How to Work With VENCLEXTA Access Solutions
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.