You Might Qualify for a Referral to the Esbriet Co-pay Program
Esbriet Access Solutions can refer you to the Esbriet Co-pay Program. It can help you with the out-of-pocket costs of your Genentech medicine, if you’re eligible.*
*In order to be eligible for the Esbriet Co-pay Program, the patient must have commercial insurance, must not have Medicare, Medicaid or other government insurance, and must meet other eligibility criteria. They also must agree to the rules set forth in the terms and conditions for the program. Please visit EsbrietCopay.com for the full list of terms and conditions.
You Might Qualify for a Referral to an Independent Co-pay Assistance Foundation
If you need help with your co-pay for your Genentech medicine, we can refer you to an independent co-pay assistance foundation.*
*Independent co-pay assistance foundations have their own rules for eligibility. We cannot guarantee a foundation will help you. We only can 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.
You Might Qualify for a Referral to the Genentech® Access to Care Foundation, or GATCF
GATCF can help you receive your Genentech medicine free of charge, if you qualify.*
*If you have health insurance, you must have already tried other types of patient assistance to qualify for free Genentech medicine from GATCF. This includes the Esbriet Co-pay Program and support from independent co-pay assistance foundations. You must also meet financial criteria. If you do not have insurance, you must meet different financial criteria.
The Esbriet Co-pay Card*
If you have commercial insurance, such as one through your employer or Healthcare.gov, Genentech offers the Esbriet Co-pay Card that may be able to help you with the out-of-pocket costs for Esbriet.
Independent Co-pay Assistance Foundations†
If you need help with your co-pay for Esbriet, Esbriet Access Solutions can refer you to an independent co-pay assistance foundation.
The Genentech® Access to Care Foundation (GATCF)‡
GATCF helps people who don't have health insurance. It also helps people who have health insurance but have trouble paying for Esbriet. If you qualify for GATCF, you could receive Esbriet free of charge.