[Roche](https://www.gene.com/good/giving/corporate-giving)

Rolling (open year-round)

Free Genentech medicines for eligible patients; no explicit cap or duration specified.

Provides access to Genentech medicines at no cost for eligible US patients facing financial hardship or lacking insurance.

Available to US residents treated by US-licensed physicians; application requires both patient and prescriber forms.

--- ## Description The Genentech Patient Foundation is designed to help US residents who are uninsured or experiencing significant financial barriers obtain Genentech medicines at no cost. As part of Roche’s broader commitment to equitable healthcare access, the foundation ensures that financial hardship or lack of insurance does not prevent eligible patients from receiving necessary, prescribed Genentech therapies. The program is open year-round and supports a wide range of Genentech pharmaceutical products for qualifying individuals. --- ## Due Dates - Rolling (applications accepted year-round; no specific deadlines) --- ## Funding Amount - The foundation covers the full cost of eligible Genentech medicines for approved patients. - There is no stated maximum amount or duration; support continues as long as eligibility is maintained and the need persists. - The program does not provide cash grants or research funding—support is exclusively in the form of access to medicines. --- ## Eligibility - **Residency:** Must be a US resident. - **Physician:** Must be under the care of a physician licensed in the United States. - **Insurance/Financial Status:** - For those who are uninsured, underinsured, or whose insurance does not adequately cover Genentech medicines. - Applicants must meet specified financial criteria (details available via the [financial eligibility tool](https://www.gene.com/patients/patient-foundation/see-if-you-qualify#financial-aid-widget) or by speaking with a Foundation Specialist). - **Medicine:** Must be prescribed a participating Genentech medicine for an FDA-approved indication. - **Other Restrictions:** - Patients whose insurer or employer requires application to a Patient Assistance Program (PAP) as a prerequisite for coverage are not eligible. - No citizenship information is required. - The foundation does not support patients in Patient Assistance Diversion Programs (PADP). --- ## Application Process 1. **Determine Eligibility:** - Use the [online eligibility tool](https://www.gene.com/patients/patient-foundation/see-if-you-qualify#financial-aid-widget) or call (888) 941-3331. 2. **Obtain Required Forms:** - [Patient Consent Form](https://genentech-pps.my.site.com/digitalconsent/s/?source=gene&preferredLanguage=en) (to be completed by the patient or their legal representative). - [Prescriber Foundation Form](https://www.gene.com/patients/patient-foundation/apply-for-help) (to be completed by the treating physician). 3. **Submit Forms:** - Patient Consent Form can be submitted online, by text, fax, or mail. - Prescriber Foundation Form is typically submitted by the physician. 4. **Review and Decision:** - Once both forms are received, the foundation will review the application and notify the applicant and provider of the outcome. 5. **Continued Support:** - Eligibility may be reassessed periodically; continued support depends on ongoing eligibility and medical need. --- ## Additional Information - The program does not require applicants to provide citizenship information. - Language support is available for applicants. - A list of [participating Genentech medicines](https://www.gene.com/patients/patient-foundation/our-participating-medicines) is available online. - For those not eligible, alternative support options may be available through Genentech Access Solutions or independent co-pay foundations. --- ## External Links - [Genentech Patient Foundation program page](https://www.gene.com/patients/patient-foundation) - [Eligibility criteria and financial aid widget](https://www.gene.com/patients/patient-foundation/see-if-you-qualify#financial-aid-widget) - [Apply for help (forms and instructions)](https://www.gene.com/patients/patient-foundation/apply-for-help) - [Participating Genentech medicines](https://www.gene.com/patients/patient-foundation/our-participating-medicines) - [Patient Consent Form (eSubmit)](https://genentech-pps.my.site.com/digitalconsent/s/?source=gene&preferredLanguage=en) - [Genentech Access Solutions](https://www.genentech-access.com/patient.html) - [Frequently Asked Questions](https://www.gene.com/patients/patient-foundation/patient-foundation-faqs) --- ## Contact Information | Method | Details | |-----------------------|---------------------------------------| | Foundation Specialist | (888) 941-3331 (Mon–Fri, 6am–5pm PT) | | Fax | (833) 999-4363 | | General Support | (877) GENENTECH / (877) 436-3683 | | Online Contact | [Contact Page](https://www.gene.com/good/giving/contact-us) |

Genentech Patient Foundation

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