A program designed to provide educational support to patients throughout treatment

Explore the program

Genentech Access Solutions is your resource for access and reimbursement support services

Genentech Access Solutions provides effective access and reimbursement services to assist your patients and practice

 

At Genentech Access Solutions, we are dedicated to ensuring our medications are accessible for the patients who need them. Once we have received the completed and signed Statement of Medical Necessity form and the Patient Authorization and Notice of Release of Information (PAN) form,* your dedicated Genentech Access Solutions Specialist can:

  • Complete an initial benefits investigation (BI), if requested
  • Identify necessary prior authorizations (PAs)
  • Provide you with resources for the appeals process, should it become necessary
  • Refer patients to the appropriate patient assistance option, if needed

*Only the information requested on these forms is required. Providing additional documents or information will delay processing.

 

Find patient assistance*

Our patient assistance options help eligible patients with commercial insurance, public insurance or no insurance.

  • Is your patient insured?

  • Does your patient have commercial insurance?

    What does this mean?
  • Has your patient already been referred to a Genentech co-pay card 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 for assistance or no longer receiving it?

  • Is the patient over 18 years of age?

Genentech BioOncology Co-pay Card

This program may be able to help reduce your eligible patients’ out-of-pocket expenses associated with their prescriptions.

 

Click here to learn more about the Genentech BioOncology Co-pay Card.

Independent Co-pay Assistance Foundations

If patients need help with their medication co-pays, Erivedge Access Solutions can refer them to an independent co-pay assistance foundation supporting their disease state.

 

Click here to learn more about independent co-pay assistance foundations.

About GATCF

GATCF helps qualified patients receive their medicine free of charge. To qualify for free medicine from GATCF, patients need to meet specific criteria.

 

Click here to learn more about GATCF.

*All assistance programs are subject to eligibility criteria. 

Patient assistance programs*

If you are already aware of the appropriate assistance program for your patient, select the relevant option below:

Genentech Biooncology
Co-Pay Card

Genentech offers the Genentech BioOncology Co-pay Card, which may help qualified patients with the costs associated with their Erivedge prescription.

Learn more >

Referrals to Co-Pay Assistance Foundations

Genentech Access Solutions offers referrals to independent co-pay assistance foundations for eligible patients who are commercially or publicly insured, including those covered by Medicare and Medicaid.

Learn more >

The Genentech® Access to Care Foundation (GATCF)

GATCF provides free medicine to eligible patients who are uninsured, rendered uninsured by payer denial or underinsured. To qualify, patients must meet specific criteria.

Learn more >
 

*All assistance programs are subject to eligibility criteria.

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 Genentech 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.

To be eligible for free medicine from GATCF, insured patients must have exhausted all other forms of patient assistance (including Genentech brand-specific co-pay cards and support from independent co-pay assistance foundations) and meet additional criteria.

Enroll in services

Erivedge Access Solutions enrollment forms

The Statement of Medical Necessity and Patient Authorization and Notice of Release of Information forms are required for enrollment in Erivedge Access Solutions.

To learn more about Erivedge Access Solutions or to enroll a patient, you can:

  • Speak live to a Support Specialist at (888) 249-4918, 6 AM to 5 PM PT, Monday through Friday
  • Visit ErivedgeAccessSolutions.com 

Additional assistance for your patients

Co-pay card for privately insured patients*

 

Genentech offers the Genentech BioOncology Co-pay Card to help qualified patients with the out-of-pocket costs associated with their Erivedge prescription.

Some health plans might not accept a co-pay card. Patients should contact their insurance provider to find out if their plan allows the use of co-pay cards.

To verify your patients' eligibility or to enroll them in the Co-pay Card Assistance Program, call
(855) MYCOPAY/(855) 692-6729, 6 AM to 5 PM PT, Monday through Friday or click Get Started.

*Not available for patients covered by federally funded health insurance. Patients who purchase health insurance through a state or federal exchange pursuant to the ACA can qualify to use the Co-pay Card. 

 

The Erivedge Cares Program is a free program designed to support you throughout treatment by providing educational resources and other tools.

 

Two convenient ways for patients to enroll

Visit
Erivedge.com

Complete the Patient Authorization and Notice of Release of Information (PAN) form

 

The Erivedge Cares Program is for educational purposes only; it is not intended to provide medical advice or to be a substitute for the guidance you provide to your patients.

Encourage your patients to enroll in the Erivedge Cares Program today

INDICATION

Erivedge® (vismodegib) capsule is indicated for the treatment of adults with metastatic basal cell carcinoma, or with locally advanced basal cell carcinoma that has recurred following surgery or who are not candidates for surgery, and who are not candidates for radiation.

BOXED WARNING AND ADDITIONAL IMPORTANT SAFETY INFORMATION

Embryo-Fetal Toxicity

  • Erivedge can cause embryo-fetal death or severe birth defects when administered to a pregnant woman. Erivedge is embryotoxic, fetotoxic, and teratogenic in animals. Teratogenic effects included severe midline defects, missing digits, and other irreversible malformations
  • Verify pregnancy status of females of reproductive potential within 7 days prior to initiating Erivedge therapy. Advise females of reproductive potential to use effective contraception during and after Erivedge therapy. Advise males of the potential risk of Erivedge exposure through semen and to use condoms with a pregnant partner or a female partner of reproductive potential. Advise pregnant women of the potential risks to a fetus
  • Advise female patients and female partners of male patients to contact their healthcare provider with a known or suspected pregnancy. Report pregnancies to Genentech at (888) 835‑2555

Female Patients

  • Advise females of reproductive potential to use effective contraception during therapy with Erivedge and for 24 months after the final dose

Male Patients

  • Advise males of the potential risk to an embryo or fetus if a female partner of reproductive potential is exposed to Erivedge. Advise male patients to use condoms with a pregnant partner or a female partner of reproductive potential, even after a vasectomy, during therapy and for 3 months after the final dose of Erivedge

Blood Donation

  • Advise patients not to donate blood or blood products while receiving Erivedge and for 24 months after the final dose of Erivedge

Semen Donation

  • Vismodegib is present in semen. It is not known if the amount of vismodegib in semen can cause embryo-fetal harm. Advise male patients not to donate semen during and for 3 months after the final dose of Erivedge

Premature Fusion of the Epiphyses

  • Premature fusion of the epiphyses has been reported in pediatric patients exposed to Erivedge. In some cases, fusion progressed after drug discontinuation

Adverse Reactions

  • The most common adverse reactions (≥10%) were muscle spasms, alopecia, dysgeusia, weight loss, fatigue, nausea, diarrhea, decreased appetite, constipation, arthralgias, vomiting, and ageusia
  • Amenorrhea can occur in females of reproductive potential. Reversibility of amenorrhea is unknown. In clinical trials, a total of 3 of 10 pre-menopausal women developed amenorrhea while receiving Erivedge
  • Treatment-emergent Grade 3 laboratory abnormalities observed in clinical trials were hyponatremia in 6 patients (4%), hypokalemia in 2 patients (1%), and azotemia in 3 patients (2%)
  • Additionally, in a post-approval clinical trial conducted in 1232 patients with locally advanced or metastatic BCC treated with Erivedge, a subset of 29 patients had baseline values for CPK reported. Within the subset of patients, 38% had a shift from baseline, and one of the patients had a Grade 3 value. The prevalence of Grade 3/4 CPK elevation across the entire study population with any CPK measurement was 2.4% (11 out of 453 patients)

Use in Specific Populations

Lactation

  • No data are available regarding the presence of vismodegib in human milk, the effects of the drug on the breastfed infant, or the effects of the drug on milk production. Because of the potential for serious adverse reactions in breastfed infants from Erivedge, advise a nursing woman that breastfeeding is not recommended during therapy with Erivedge and for 24 months after the final dose

You may report side effects to the FDA at (800) FDA-1088 or www.fda.gov/medwatch. You may also report side effects to Genentech at (888) 835-2555.

Please see full Prescribing Information, including the BOXED WARNING and the Medication Guide, for a complete discussion of the risks associated with Erivedge.