ALECENSA

Indicated For

ALK-positive NSCLC

About This Medication

# Genentech Patient Foundation Patient Guide: How to Get ALECENSA (alectinib) at Low or No Cost ALECENSA (alectinib) is a prescription medication used to treat **ALK-positive non-small cell lung cancer (NSCLC)**, a type of lung cancer with specific genetic changes. The **Genentech Patient Foundation** helps eligible patients get ALECENSA for free if they meet financial and insurance criteria.[1][2][4] ## About ALECENSA (alectinib) ALECENSA is an oral targeted therapy approved for adults with **ALK-positive metastatic NSCLC**, either as first-line treatment or after other ALK inhibitors. It works by blocking abnormal ALK proteins that cause cancer cells to grow. Common side effects include fatigue, constipation, muscle pain, and liver issues—always discuss with your doctor. This program focuses on access, not medical advice.[1][2] ## Who Qualifies for the Genentech Patient Foundation? Eligibility depends on your **insurance status** and **financial need**. The program serves **U.S. residents** (including Puerto Rico) treated by U.S.-licensed physicians. Key groups include: - **Uninsured patients** with household income under **$150,000** (some exceptions apply).[4][7] - **Insured patients** without coverage for Genentech medicines like ALECENSA, or with out-of-pocket maximums over **7.5% of yearly income**, meeting income criteria.[4] - Not eligible: Federal/state government programs (e.g., Medicare Part A/B in some cases), accumulator/maximizer plans requiring AFP vendors, or if insurance forbids applying.[2][5] **Important**: Insured patients must try other assistance first. No citizenship/immigration info required.[4] ## Income Eligibility Breakdown Specific Federal Poverty Level (FPL) percentages aren't publicly detailed, but guidelines emphasize household income and size. Use this table for general reference (call for exacts).[4][9] | Household Size | Example Max Income (Under $150K Cap)* | Notes | |---------------|---------------------------------------|-------| | 1 (Individual) | Under $150,000 | Uninsured primary criterion[4] | | 2 (Couple) | Under $150,000 | Adjusted for size[4] | | 3 | Under $150,000 | Financial need confirmed[9] | | 4 | Under $150,000 | Exceptions possible[4] | | 5+ | Under $150,000 | Call (888) 941-3331 to verify[2] | *Income under $150K for uninsured; insured have additional OOP checks. Confirm via Foundation Specialist.[4][7] ## Insurance Requirements - **Eligible**: Uninsured, insured without ALECENSA coverage, or unable to afford insurance cost-sharing.[4] - **Ineligible**: Government-reimbursed prescriptions, Medicare patients if plan covers (check exceptions), accumulator plans.[5] - Pursue appeals or other help first—no proof needed with application.[5] - Program ships free medicine for **one year** if approved, with annual reverification.[7] ## Step-by-Step Application Process Applications require **two forms**: Patient Consent Form (English/Spanish) and Prescriber Foundation Form. Multiple methods available.[1][4] 1. **Patient**: Complete **Patient Consent Form** online at gene.com/patients/enrollment (Boxes 1-2, income/household info).[1][6] 2. **Prescriber**: Doctor completes **Prescriber Foundation Form** (Page 2).[1][4] 3. **Submit together** (both required): - **Online**: My Patient Solutions (for practices) or eSubmit.[1][3] - **Text**: Photo to (650) 877-1111.[1] - **Fax**: (833) 999-4363.[1][2] - **Phone help**: (888) 941-3331, Mon-Fri 6am-5pm PT.[2] 4. **Track**: Office contacted within **5 business days**.[1] **Tip**: Start with Foundation Specialist call for guidance.[2] ## Timeline and Delivery - **Processing**: 5 business days after both forms received; patient/prescriber contacted with outcome.[1][8] - **Approval**: Free ALECENSA shipped to **patient or doctor's office**.[7] - **Duration**: One year product; no re-enrollment if still eligible—annual reverification checks status.[7] - Current enrollees unaffected by changes unless reverified.[5] ## Alternatives if Denied - **Appeal denial**: Contact Foundation Specialist (888) 941-3331 for reasons/next steps.[2] - **Other Genentech support**: Genentech Access Solutions for copay help if insured.[6] - **External options**: Patient Access Network (PAN), HealthWell Foundation, or state programs. - **RxAssist.org** or NeedyMeds for copay cards/maximizers. - Doctor can explore generics/biosimilars (none for ALECENSA listed).[5] ## Disclaimer This guide summarizes publicly available info as of 2026—**not official advice**. Eligibility can change; **always verify with Genentech at (888) 941-3331**. Not affiliated with Genentech. Consult your doctor for treatment. Program details subject to update; no guarantee of approval.[1][2][4]

Program information last verified: March 30, 2026