Cathflo Activase

Indicated For

catheter occlusion restoration

About This Medication

# Genentech Patient Foundation Patient Guide: How to Get Cathflo Activase (alteplase) at Low or No Cost Cathflo Activase (alteplase) is a prescription medication used to restore function to central venous access devices (CVADs) blocked by blood clots. The **Genentech Patient Foundation** offers this medicine **free** to eligible patients without insurance or facing financial hardship, regardless of specific income limits like FPL percentages[1][2][4][9]. ## About Cathflo Activase (alteplase) Cathflo Activase is a tissue plasminogen activator (tPA), a clot-dissolving enzyme that helps clear blockages in catheters and ports used for treatments like chemotherapy or IV nutrition. Administered by healthcare professionals, it's typically a one-time dose per blockage but may be needed repeatedly. Without assistance, costs can exceed thousands per treatment, making programs like Genentech Patient Foundation vital for access[1][7]. ## Who Qualifies for the Genentech Patient Foundation? This program targets U.S. residents (including Puerto Rico) treated by U.S.-licensed physicians, focusing on financial need and insurance status rather than strict income cutoffs. You may qualify if:[4][9] - **Uninsured**: No health insurance coverage for Cathflo Activase. - **Insured with financial hardship**: Coverage exists, but out-of-pocket maximum exceeds 7.5% of yearly household income, or cost-sharing is unaffordable. - **Income consideration**: Households under $150,000 may qualify more readily, but no rigid FPL threshold applies—eligibility is case-by-case[4][7]. **No citizenship or immigration proof required**. Medicare patients can qualify if facing high costs[4]. Exceptions may apply; call (888) 941-3331 for personalized review[2][5]. ## Income Eligibility Breakdown Unlike programs tied to Federal Poverty Level (FPL), Genentech uses flexible criteria emphasizing affordability. Use this table as a guide: | Household Size | Key Income Factor | Example Eligibility Notes | |---------------|------------------|---------------------------| | 1 (Individual) | Under $150,000 AGI recommended | Uninsured or OOP max >7.5% income[4] | | 2 (Couple) | Under $150,000 AGI recommended | Same; household income assessed[4][6] | | 3 | Under $150,000 AGI recommended | Financial hardship primary[4] | | 4+ | Under $150,000 AGI recommended | Case-by-case; no upper FPL limit[4][7] | *AGI = Adjusted Gross Income. Provide recent tax returns or pay stubs. Program notes: 'For patients without insurance or with financial concerns'—confirm via Foundation Specialist[1][6]. ## Insurance Requirements - **Uninsured**: Fully eligible if financially needy. - **Private insurance**: Eligible if copays/deductibles unaffordable (e.g., OOP >7.5% income). - **Medicare/Medicaid**: Possible if high cost-sharing; program doesn't require prior denial[4][5]. - **No prior authorization or appeal proof needed**—apply directly[5]. Your doctor's office verifies coverage details[1][10]. ## Step-by-Step Application Process 1. **Discuss with your doctor**: Confirm Cathflo Activase prescription and program fit. Doctor completes **Prescriber Foundation Form** (Page 2)[1][4][10]. 2. **Complete Patient Consent Form**: Fill Boxes 1-2 online (English/Spanish) at gene.com/patients/enrollment. Include household size, income, insurance details[1][6][9]. 3. **Submit together**: Both forms required—no action without them[1][4][8]. Options: - **Online**: eSubmit or My Patient Solutions (doctor's account)[1][3]. - **Text photo**: 650-877-1111[1][3]. - **Fax**: 833-999-4363[1][2][4]. - **Phone help**: (888) 941-3331 (Mon-Fri, 6am-5pm PT)[2][5]. **Required Documents**: - Proof of income (pay stubs, tax return). - Proof of residency (utility bill, etc.). - Valid prescription[1][6]. Avoid extra docs to prevent delays[5][10]. ## Timeline and Delivery - **Processing**: 5 business days after receiving both forms. Doctor's office contacted first, then you[1][8]. - **Delivery**: Shipped free to your home or physician's office via specialty pharmacy[1][7]. One-year supply possible if eligible[7]. - **Reauthorization**: Required annually or if status changes; no full reenrollment if still qualifying[7]. Foundation Specialists guide next steps[2][5]. ## Alternatives if Denied or Ineligible - **Genentech Access Solutions**: Broader support like copay help (separate enrollment)[6]. - **Other PAPs**: PAN Foundation, HealthWell Foundation (search for alteplase). - **Manufacturer copay cards**: Check genentech-access.com. - **State programs**: Medicaid extra help or charity care. - **Appeal/Recheck**: Call (888) 941-3331—situations change[5][9]. ## Important Disclaimer This guide summarizes publicly available info as of latest updates; eligibility/rules can change. Not medical/financial advice—consult your doctor, Foundation Specialist at (888) 941-3331, or gene.com/patients/patient-foundation. Genentech not liable for application outcomes. Word count: 1028.

Program information last verified: March 30, 2026