Cotellic

Indicated For

melanoma

About This Medication

# COTELLIC Access Solutions Patient Guide: How to Get Cotellic (cobimetinib) at Low or No Cost Cotellic (cobimetinib) is a prescription medication used to treat certain types of skin cancer, specifically **BRAF V600E or V600K mutation-positive unresectable or metastatic melanoma** in combination with vemurafenib, as approved by the FDA.[1][2] This guide explains the **Genentech patient assistance programs** through COTELLIC Access Solutions, which help eligible patients reduce or eliminate out-of-pocket costs for Cotellic. These include the **Genentech Oncology Co-pay Assistance Program** for commercially insured patients, referrals to independent co-pay foundations, and the **Genentech Patient Foundation** for uninsured or financially needy individuals.[1][2][3] ## About Cotellic and Why Assistance Matters Cotellic is a targeted therapy that works by blocking specific proteins to slow cancer cell growth. It's typically taken orally and prescribed by oncologists for advanced melanoma.[3] Treatment can be expensive, often costing thousands per month without insurance or with high co-pays. Genentech's programs aim to make it accessible by covering co-pays, co-insurance, or providing free medicine.[1][2] Always consult your doctor for medical advice, and report side effects to the FDA at 800-FDA-1088 or Genentech at 888-835-2555.[3] ## Who Qualifies for Assistance? Qualification depends on your insurance type and financial situation: - **Commercially insured patients** (e.g., employer plans or Marketplace): Eligible for the **Genentech Oncology Co-pay Assistance Program** if prescribed for an FDA-approved use. Provides up to $25,000 annually for co-pays, co-insurance, or deductibles. **Not valid for government programs** like Medicare, Medicaid, or VA.[1][4][7] - **Public or commercial insurance**: Referrals to **independent co-pay assistance foundations** (e.g., CancerCare, Good Days, PANF, HealthWell Foundation for oncology/skin cancer). These have their own rules; Genentech only refers.[2][4] - **Uninsured or underinsured with financial hardship**: **Genentech Patient Foundation** provides free medicine if you meet income guidelines and live in the US, treated by a US-licensed physician. No citizenship required. Excludes those required to use Alternative Funding Programs (AFPs) by insurers.[2][3][6] **Key exclusions**: Federal/state government insurance, non-FDA uses, or AFP mandates.[1][2] ## Income Eligibility Breakdown Specific income thresholds (e.g., Federal Poverty Level percentages) are not publicly detailed but based on financial concerns for the Patient Foundation. Co-pay programs focus on insurance type over strict income.[2][6] Contact programs for personalized assessment. Here's a general overview: | Program | Insurance Type | Income Considerations | Max Benefit | |---------|----------------|-----------------------|-------------| | **Genentech Oncology Co-pay** | Commercial only | Not primary; other criteria apply | Up to $25,000/year[1][7] | | **Independent Foundations** | Commercial/Public | Varies by foundation (often 400-500% FPL) | Varies[2][4] | | **Genentech Patient Foundation** | None or financial hardship | Meets income guidelines (call for details) | Free medicine[2][6] | Notes: FPL varies by household size (e.g., 2026 guidelines: ~$15,060 individual, ~$20,440 couple). Always verify current limits.[2] ## Insurance Requirements - **Commercial insurance**: Primary option for co-pay help. Program ineligible if government-funded.[1][2] - **Medicare/Medicaid**: No direct co-pay aid; seek foundation referrals.[2] - **No insurance**: Patient Foundation if income-eligible.[6] COTELLIC Access Solutions performs **benefits investigations** to check coverage, prior authorizations (PAs), and specialty pharmacy needs. Both **Prescriber Service Form** and **Patient Consent Form** required to start.[4] ## Step-by-Step Application Process 1. **Contact COTELLIC Access Solutions**: Call **(888) 249-4918** or **(877) GENENTECH (877-436-3683)**, Mon-Fri 6am-5pm PT. They offer multilingual/TTY support and coordinate with your doctor, insurer, and pharmacy.[2][3] 2. **Enroll**: Doctor completes **Prescriber Service Form**; you sign **Patient Consent Form**. Submit via My Patient Solutions online portal, download, or fax.[4] 3. **Benefits Check**: Team verifies coverage, out-of-pocket costs, PAs.[4] 4. **Choose Program**: - Co-pay: Call **(855) MYCOPAY (855-692-6729)** or visit CopayAssistanceNow.com.[1] - Patient Foundation: Visit GenentechPatientFoundation.com or call (888) 941-3331.[2][6] - Foundations: Get referral via Access Solutions.[2] 5. **Specialty Pharmacy**: Medicine ships via preferred SP (insurer may dictate).[4] **Tip**: Start early; provide only requested info to avoid delays.[4] ## Timeline and Delivery Processing varies: Benefits investigations quick; co-pay instant eligibility check online. Patient Foundation applications reviewed promptly but call for estimates. Medicine delivered via specialty pharmacy—direct to home or doctor's office. Refills coordinated through SP and Access Solutions.[2][4] Expect 1-2 weeks typically, faster for urgent cases. ## Alternatives if Denied - **Appeal denials**: Review insurer letter with Access Solutions/FRM for appeal letter samples. They guide but don't submit.[4] - **Switch programs**: Uninsured? Try Patient Foundation. Commercial denied? Foundations.[2] - **Other resources**: Genentech Patient Resource Center at (877) 436-3683.[3] - **No biosimilars** available for Cotellic.[ ] ## Disclaimer This guide is for informational purposes based on Genentech resources as of latest data. Eligibility, terms, and availability change—**always verify directly with programs**. Not medical/financial advice. Consult healthcare provider/ advisor. Genentech not liable for third-party sites/foundations.[1][2] Word count: 1028.

Program information last verified: March 25, 2026