Sign and submit the form, along with a copy of your prescription receipt and label (e.g, the sticker on the medicine bottle or the paper that’s stapled to the pharmacy bag). If you have confirmed that you are eligible and active with the program and the pharmacy still cannot process the claim, visit to enter and print a patient rebate reimbursement form. Q: What happens if the pharmacy does not process the card when I get my CellCept prescription filled?Ī: First, call 1-833-CellCept (1-83) 8:00 AM - 8:00 PM ET (Monday - Friday) to confirm that you are enrolled and have an active co-pay card.
If you have questions call us at 1-833-CellCept (1-83) 8:00 AM to 8:00 PM ET (Monday - Friday). If using a specialty or mail order pharmacy, you have to call the pharmacy and provide the co-pay card details over the phone.Ī: No, effective January 1st, 2022, once you have qualified for the program and have activated your card, you will be automatically re-enrolled each year on January 1st as long as you continue to meet program eligibility criteria. Any pharmacy can process the co-pay card. Patients are responsible for all out of pocket costs after $10,000.Ī: Yes. The maximum co-pay assistance allowable to any patient under the program is $10,000. The pharmacy will process the co-pay card with your insurance, so you may pay as little as $15 per month for the medication, regardless of your income level. If you are using a specialty or mail order pharmacy, call them with the information. Q: How do I use the CellCept ® Co-pay Card?Ī: Once you’ve signed up or activated your co-pay card, you simply take the co-pay card to the pharmacy. Are not receiving assistance through the Genentech ® Access to Care Foundation (GATCF) or any other charitable organization for the same expenses covered by the program.Are not a participant in a federal or state-funded healthcare program, including but not limited to Medicare, Medicaid, VA/DoD, TRICARE, and Medigap.Live and receive treatment in the United States or U.S.Currently pay more than $15 per month for their CellCept medication co-pay.This includes insurance from an employer or from the Healthcare Marketplace ("Exchanges") Are on commercial (also known as private) insurance.
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