Is your patient insured?
Does your patient have commercial insurance?What does this mean?
Has your patient already been referred to the HEMLIBRA Co-pay Program and is either ineligible or no longer receiving assistance?
Has your patient already been referred to an independent co-pay assistance foundation and is either ineligible or no longer receiving assistance?
Is the patient taking HEMLIBRA for an approved use?
Your Patient Might Qualify for a Referral to the HEMLIBRA Co-pay Program
If eligible commercially insured patients need assistance with their out-of-pocket costs, HEMLIBRA Access Solutions can refer them to the HEMLIBRA Co-pay Program.*
*In order to be eligible for the HEMLIBRA Co-pay Program, the patient must have commercial insurance, must not have Medicare, Medicaid or other government insurance, and must meet other eligibility criteria. They also must agree to the rules set forth in the terms and conditions for the program. Please visit HEMLIBRACopay.com for the full list of terms and conditions.
Your Patient Might Qualify for a Referral to an Independent Co-pay Assistance Foundation
For eligible patients with commercial or public health insurance, HEMLIBRA Access Solutions offers referrals to independent co-pay assistance foundations.*
*Genentech does not influence or control the operations or eligibility criteria of any independent co-pay assistance foundation and cannot guarantee co-pay assistance after a referral from HEMLIBRA Access Solutions. The foundations to which we refer patients are not exhaustive or indicative of Genentech’s endorsement or financial support. There may be other foundations to support the patient's disease state.
Your Patient Might Qualify for a Referral to the Genentech® Access to Care Foundation (GATCF)
GATCF helps eligible patients who meet specific criteria receive their Genentech medicine free of charge.*
*To be eligible for free Genentech medicine from GATCF, insured patients must have exhausted all other forms of patient assistance (including the HEMLIBRA Co-pay Program and support from independent co-pay assistance foundations) and meet financial criteria. Uninsured patients must meet different financial criteria.
Does Your Patient Have Commercial Insurance?
HEMLIBRA Access Solutions can refer eligible patients to the HEMLIBRA Co-pay Card,* for help with the out-of-pocket cost associated with HEMLIBRA.
Is Your Patient Uninsured or Underinsured?
Genentech® Access to Care Foundation (GATCF) provides free medicine to eligible patients who are uninsured, rendered uninsured by payer denial or underinsured. To qualify, patients must meet financial criteria.‡