Genentech: Patient Support Services

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The browser you are using, Internet Explorer 10, is no longer supported.</h2> </div> </div>  <div class="header__spacer "></div> <div class="js-nav-container "> <div class="constrained"> <div style="position: absolute; width: 260px; height: 100%;"> <div class="l-rail-left"> <div class="nav-secondary-container"> <nav class="nav-secondary js-nav-secondary"> <div class="nav-secondary__header current"> <a class="nav-secondary__link" href="/patients/patient-support-services">Patient Support Services</a> </div> <ul class="nav-secondary__children"> <li class="nav-secondary__child "> <a class="nav-secondary__link" href="/patients/patient-support-services/affordability-options">Affordability Options</a> </li> </ul> </nav> </div> </div> </div> </div> <div class="v4-constrained"> <div class="l-grid"> <div class="l-content-container"> <div class="l-content"> <div class="breadcrumbs"> <a href="/patients">Patients</a> / <a href="/patients/patient-support-services">Patient Support Services</a> </div> <header class="v4-hero-text"> <h1>Helping People Who Have Been Prescribed Our Medicines</h1> <p><strong>Genentech patient support services</strong> provide resources for people who have been prescribed a Genentech medicine. Our programs can help based on your needs and situation.</p> </header> <header class="section-title section-title--no-spacer"> <div class="section-title__main"> <h1 class="section-title__head">How can we help?</h1> <p></p> </div> </header> <section class="multipoint-grid multipoint-grid--left"> <div class="multipoint-grid__tile"> <div class="multipoint-grid__image"> <div style="overflow:hidden; height:0; padding-bottom: 56.25%; position: relative;"> <img src="/assets/content/block_column/block_column_item_image/generated_1195_Home-56_1400x788-large.png?w=1280&h=720&fit=crop"> <img class="quick-replace-image__placeholder" src="data:image/png;base64,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" > </div> </div> <div class="multipoint-grid__text"> <h5 class="multipoint-grid__head">If you need help with your co-pays</h5> <p class="multipoint-grid__body">Find <strong>affordability options</strong> to help you pay for your Genentech medicine. Financial assistance may be available no matter what type of health insurance you have.</p> <a href="/patients/patient-support-services/affordability-options" class="multipoint-grid__link"><span class="inner-text">Learn more</span><svg class="icon"><use xlink:href="#icon-chevron-right"></use></svg></a> </div> </div> <div class="multipoint-grid__tile"> <div class="multipoint-grid__image"> <div style="overflow:hidden; height:0; padding-bottom: 56.25%; position: relative;"> <img src="/assets/content/block_column/block_column_item_image/generated_1195_patient%2Bhand-holding_1400x788-large.png?w=1280&h=720&fit=crop"> <img class="quick-replace-image__placeholder" src="data:image/png;base64,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" > </div> </div> <div class="multipoint-grid__text"> <h5 class="multipoint-grid__head">If you don鈥檛 have health insurance coverage or have financial concerns</h5> <p class="multipoint-grid__body">Learn how the <strong>Genentech Patient Foundation</strong> may be able to help you get free Genentech medicine.</p> <a href="/patients/patient-foundation" class="multipoint-grid__link"><span class="inner-text">Learn more</span><svg class="icon"><use xlink:href="#icon-chevron-right"></use></svg></a> </div> </div> <div class="multipoint-grid__tile"> <div class="multipoint-grid__image"> <div style="overflow:hidden; height:0; padding-bottom: 56.25%; position: relative;"> <img src="/assets/content/block_column/block_column_item_image/generated_1195_Home-21_1400x788-large.png?w=1280&h=720&fit=crop"> <img class="quick-replace-image__placeholder" src="data:image/png;base64,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" > </div> </div> <div class="multipoint-grid__text"> <h5 class="multipoint-grid__head">If you need help understanding your health insurance coverage for your Genentech medicine</h5> <p class="multipoint-grid__body"><strong>Genentech Access Solutions</strong> helps people who are taking a Genentech medicine. We work with your doctor鈥檚 office, your health insurance plan and/or your specialty pharmacy to help you get your medicine.<br><br> Call <strong>(877) GENENTECH</strong>/(877) 436-3683 to learn more</p> </div> </div> </section> <div class="callout-text "> <div class="callout__body"> <h4 class="callout-text__head">Need help understanding your insurance plan?</h4> <p>Find resources to help you understand your health insurance options. This may aid you during open enrollment.</p> <a href="/patients/understanding-insurance" class="callout-text__link callout-text__link--centered"><span class="inner-text">Learn more</span><svg class="icon"><use xlink:href="#icon-chevron-right"></use></svg></a> </div> </div> <section class="editorial"> <br> <div class="block-basic"> <h2>How do I sign up for Genentech patient support services?</h2> <h3><a href="https://www.genentech-access.com/patient/patientconsent.html" target="_blank">Complete the Patient Consent Form online</a></h3> <p>You can also <a href="https://www.genentech-access.com/patient/patientconsent.html" target="_blank">download the form</a> and either: <ul> <li>Text a picture of your signed form to <strong>(650) 877-1111</strong> </li> <li>Download the form and give it to your doctor to fax to <strong>(866) 480-7762</strong></li> </ul> <p>Your doctor must complete a different form. You do not have to fill out anything on this form. Once we have both forms, we can begin to help you.</p> <h3>Once you are enrolled, we will call you from a toll-free number. Be sure to answer and return all calls.</h3> </div> </section> </div> </div> </div> </div> </div> <script>window.GeneJs = window.GeneJs || {};GeneJs.currentNode = {"rootNode":{"id":"033e314b-6cfd-4977-9449-383a7a165faa","parent_id":"0","title":"Patients","node_type":"static","request_path":"patients","lang_id":"en","source_translation_id":"86a3164e-f08c-11ed-9d94-0242ac150003","target_id":null,"target_path":"","meta_description":"Learn more about our medicines, get help with coverage, and find the right resources for you.","url_suffix":"","position":6,"prefix":"For","show_in_secondary_navigation":true,"show_in_header":1,"show_in_footer":1,"secondary_navigation_dynamic_children":false,"include_css":null,"include_js":null,"added_date":"2019-12-19T08:00:00.000000Z","added_by":"admin","updated_date":"2021-08-25T22:26:19.000000Z","header_image":null,"body_html":null,"right_rail_html":null,"published":true,"is_unlisted":false,"hide_secondary_navigation":0,"node_parent":null}};</script><script>window.GeneJs = window.GeneJs || {};GeneJs.secondaryNavNode = {"title":"Patient Support Services","requestPath":"patients\/patient-support-services","ancestors":[{"id":"033e314b-6cfd-4977-9449-383a7a165faa","parent_id":"0","title":"Patients","node_type":"static","request_path":"patients","lang_id":"en","source_translation_id":"86a3164e-f08c-11ed-9d94-0242ac150003","target_id":null,"target_path":"","meta_description":"Learn more about our medicines, get help with coverage, and find the right resources for you.","url_suffix":"","position":6,"prefix":"For","show_in_secondary_navigation":true,"show_in_header":1,"show_in_footer":1,"secondary_navigation_dynamic_children":false,"include_css":null,"include_js":null,"added_date":"2019-12-19T08:00:00.000000Z","added_by":"admin","updated_date":"2021-08-25T22:26:19.000000Z","header_image":null,"body_html":null,"right_rail_html":null,"published":true,"is_unlisted":false,"hide_secondary_navigation":0,"node_parent":null}],"shouldShow":true};</script><script>window.GeneJs = window.GeneJs || {};GeneJs.geneHeader = {"topNavNodes":{"2":{"id":"033e314b-6cfd-4977-9449-383a7a165faa","parent_id":"0","title":"Patients","node_type":"static","request_path":"patients","lang_id":"en","source_translation_id":"86a3164e-f08c-11ed-9d94-0242ac150003","target_id":null,"target_path":"","meta_description":"Learn more about our medicines, get help with coverage, and find the right resources for you.","url_suffix":"","position":6,"prefix":"For","show_in_secondary_navigation":true,"show_in_header":1,"show_in_footer":1,"secondary_navigation_dynamic_children":false,"include_css":null,"include_js":null,"added_date":"2019-12-19T08:00:00.000000Z","added_by":"admin","updated_date":"2021-08-25T22:26:19.000000Z","header_image":null,"body_html":null,"right_rail_html":null,"published":true,"is_unlisted":false,"hide_secondary_navigation":0},"8":{"id":"59bd7ce6-7a93-4a5b-8ce4-2044dbb5ce7e","parent_id":"0","title":"Medical Professionals","node_type":"static","request_path":"medical-professionals","lang_id":"en","source_translation_id":"86c029be-f08c-11ed-82a4-0242ac150003","target_id":null,"target_path":"","meta_description":"Innovative clinical science. 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