COMMITTED TO HELPING YOU FIND ASSISTANCE OPTIONS FOR ESBRIET

Find out what your insurance covers and where to get extra assistance

Genentech Access Solutions is a program that helps people who are taking Esbriet® (pirfenidone). Genentech Access Solutions can help you understand if your health insurance covers Esbriet, and refer you to patient assistance options if you are eligible.

Even with health insurance, you may still have concerns about treatment costs. If you are eligible, there may be options to help you pay for Esbriet.

 


 

For people with commercial health insurance

 

The Esbriet $5 Co-pay Program helps people with commercial health insurance*

You pay as little as $5 for a 30-day supply of Esbriet

The rest of your co-pay or co-insurance is covered, up to a $25,000 yearly limit

There are no income requirements for this program

To learn if you're eligible for the Esbriet $5 Co-pay Program:

Call 1-844-My-Esbriet (1-844-693-7274) and press 2

*This Esbriet $5 Co-pay Program is valid ONLY for patients with commercial insurance who have a valid prescription for a Food and Drug Administration (FDA)-approved indication of a Genentech medication. Patients using Medicare, Medicaid, or any other federal or state government program to pay for their medications are not eligible.

Under the Program, the patient will pay a co-pay. After reaching the maximum Program benefit, the patient will be responsible for all out-of-pocket costs.

All participants are responsible for reporting the receipt of all Program benefits as required by any insurer or by law. No party may seek reimbursement for all or any part of the benefit received through this Program. This Program is void where prohibited by law. Genentech reserves the right to rescind, revoke, or amend the Program without notice at any time. Additional eligibility criteria apply. See full terms and conditions at EsbrietCopay.com.

 


 

For people with public health insurance or commercial insurance

 

Independent co-pay assistance foundations help people with public or commercial health insurance

Charitable organizations that provide financial assistance for medicines*

Usually provide assistance for a full year

You can apply to a foundation on your own, or if you are eligible, Genentech Access Solutions can refer you to one

Call 1-844-My-Esbriet (1-844-693-7274) and press 2

Independent co-pay assistance foundations have their own rules for eligibility. We cannot guarantee a foundation will help you. We can only refer you to a foundation that supports your disease state. We do not endorse or show financial preference for any particular foundation. The foundations we refer you to are not the only ones that might be able to help you.

 


 

For people with Medicare Part D and a limited income

The Extra Help program from Medicare

The Extra Help program from Medicare helps people with Medicare Part D and limited incomes

Helps people with Medicare prescription drug plans who meet certain income and resource limits

If you qualify, your co-pay for brand name drugs, including Esbriet, could be $8.95 in 20201†

For more information or to apply for Extra Help, contact Social Security

Call 1-800-772-1213 TTY 1-800-325-0778

The Medicare Extra Help program is not a Genentech program. It is administered by the Social Security Administration. The co-pay amount for Medicare Extra Help changes each year.

Reference: 1. Medicare.gov. Save on drug costs. https://www.medicare.gov/your-medicare-costs/get-help-paying-costs/save-on-drug-costs. Accessed January 9, 2019 to July 21, 2020.

 


 

For people with no health insurance or no coverage for Esbriet

 

The Genentech Patient Foundation helps people affected by serious medical conditions get the Esbriet they need

The Genentech Patient Foundation gives eligible patients their Esbriet free of charge

One form is all you need to enroll in the Genentech Patient Foundation

To apply for the Genentech Patient Foundation, you must enroll in Esbriet Access Solutions. Learn more here:

Call 1-844-My-Esbriet (1-844-693-7274) and press 2

To be eligible for free Genentech medicine from the Genentech Patient Foundation, insured patients who have coverage for their medicine must have exhausted all other forms of patient assistance (including the Esbriet $5 Co-pay Program and support from independent co-pay assistance foundations) and must meet certain financial criteria. Uninsured patients and insured patients without coverage for their medicine must meet different financial criteria. 

My doctor and his staff helped me connect with Genentech Access Solutions. The people there went over my financial situation and we found an assistance program that I was eligible for. Now, everyone's financial situation is different, and this is just my experience."

Dave
Esbriet Ambassador