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Genentech Access to Care Foundation (Lucentis)

Genentech Inc.

Contact Information
Genentech Access to Care Foundation
1 DNA Way, MS-857A
South San Francisco, CA 94080-4918
1-(800) 232-0592 (phone)
1-(888) 727-7773 (fax)
Physician requests should be directed to:
Genentech, Inc.
1 DNA Way, MS-857A
South San Francisco, CA 94080-4918
1-(800) 232-0592 (phone)
How to Apply:
Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to PPA.
  • Click here to visit the program's web site.
  • Eligibility:
    The Genentech® Access to Care Foundation (GATCF) was created to help qualified patients with unmet medical needs who are uninsured - or who have been denied coverage by their health plans to obtain therapy. Therefore, if your patient has no insurance or their health plan has denied coverage for treatments, they can apply to GATCF to receive their medicine free of charge.
    Other Information:
    Application Process: Your healthcare provider will work with Genentech Access To Care Foundation to complete the application process. Hospital/facility must complete Genentech Access To Care Foundation Statement of Medical Necessity Form. Patient must complete the Patient Authorization and Notice of Release of Information form and also provide proof of income. The medication is sent to the doctor's office, hospital or pharmacy.
    Product(s) covered by program:
    • Lucentis™