Gazyva

Indicated For

CLL, follicular lymphoma

About This Medication

# Genentech Patient Foundation Patient Guide: How to Get Gazyva at Low or No Cost Gazyva (obinutuzumab) is a prescription medication used to treat certain types of blood cancers, like chronic lymphocytic leukemia (CLL) and follicular lymphoma. The **Genentech Patient Foundation** helps eligible patients get Gazyva for free if they lack insurance coverage or face high financial burdens.[1][2][4] ## About Gazyva and Why Assistance Matters **Gazyva** is a targeted therapy that works by helping your immune system fight cancer cells. It's often given in combination with other drugs through IV infusions at your doctor's office. Treatment can be expensive—thousands of dollars per dose without help—which is why programs like the Genentech Patient Foundation exist. This independent foundation provides free Genentech medicines, including Gazyva, to patients in financial need living in the US or Puerto Rico.[1][2][8] The program fills gaps for those uninsured, underinsured, or unable to afford copays/deductibles. It's not government-funded aid, so it's available even if other options fall short.[4][5] ## Who Qualifies? Eligibility focuses on your insurance status and finances. You may qualify if you fit one of these groups:[4][9] - **Uninsured or no coverage for Gazyva**: Meet income limits based on household size (typically under $150,000 AGI for many, but exact thresholds vary).[4][8] - **Insured but high costs**: Your out-of-pocket maximum exceeds 7.5% of yearly income, and household income fits criteria.[4] - **Financial hardship**: Unable to afford insurance cost-sharing for Gazyva.[4][6] **Notes**: Insured patients must first pursue other assistance (like copay cards). Not for government-insured prescriptions (e.g., Medicare Part A/B in certain cases). No citizenship proof needed.[1][4][5] ## Income Eligibility Breakdown Specific Federal Poverty Level (FPL) percentages aren't publicly fixed, but guidelines emphasize household income under $150,000 AGI or similar, adjusted for size. Use Genentech's online tool or call to confirm.[4][9] Here's a general guide based on program details: | Household Size | Approximate Max Income (AGI) | Notes | |---------------|------------------------------|--------| | 1 | Under $150,000 | Uninsured stricter; insured higher OOP allowed [4] | | 2 | Under $150,000+ adjustment | Call for exact [9] | | 3 | Varies by state/FPL | Household includes all living together [6] | | 4+ | Scaled up | Exceptions possible [4] | **Pro Tip**: Provide AGI, household size, and deductible info on forms. Foundation Specialists help verify at (888) 941-3331.[2][6] ## Insurance Requirements - **Uninsured/Underinsured**: Primary group; no coverage for Gazyva required.[1][8] - **Insured**: Must exhaust other help first (e.g., appeals, copay programs). Program covers if OOP max >7.5% income.[4] - **Medicare/Government**: Limited; not for Part A/B reimbursed meds. Medicare Part D patients may qualify if unaffordable.[4][5] - **Key Rule**: Doctor certifies no coverage or hardship on Prescriber Form.[1][7] ## Step-by-Step Application Process Applying is straightforward with multiple options. Both **Patient Consent Form** and **Prescriber Foundation Form** are required—no action until both received.[1][4] 1. **Prepare Forms**: - **Patient**: Complete Consent Form (English/Spanish) online or print. Include household size, income (AGI), DOB, ZIP. Sign Boxes 1-2.[1][6] - **Prescriber**: Doctor completes Page 2 of Prescriber Form, confirming prescription and insurance status.[4][7] 2. **Submit Together** (fastest via doctor's My Patient Solutions account): - **Online**: eSubmit at gene.com/patients/enrollment.[1][3] - **Text**: Photo to 650-877-1111.[1] - **Fax**: 833-999-4363.[1][2] - **Phone Help**: (866) 422-2377 or (888) 941-3331 (Mon-Fri 6am-5pm PT).[2][8] - Gazyva-specific: Start at gazyva.com financial support page.[query] 3. **What Happens Next**: Processed in ~5 business days. You'll be contacted with outcome.[1][7] ## Timeline and Delivery - **Processing**: 5 business days after both forms received.[1] - **Approval**: One year of free Gazyva; no re-enrollment if still eligible.[8] - **Delivery**: Shipped to patient home or doctor's office via specialty pharmacy.[query][6] - **Refills**: Automatic if qualified; prescriber re-certifies as needed (no annual reauth).[8] ## Alternatives if Denied - **Appeal Insurance**: File with your plan; no proof needed for Foundation reapply.[5] - **Other Genentech Support**: Copay cards, Access Solutions (if insured).[6] - **State Programs**: Local aid via Foundation Specialist.[2] - **Reapply**: Fix issues and resubmit; call for guidance.[5] - **No Biosimilars**: None listed for Gazyva.[query] ## Important Disclaimer This guide summarizes publicly available info as of 2026; eligibility can change. Always verify with Genentech at (888) 941-3331 or gene.com. Not medical/financial advice—consult your doctor. Program not for government-reimbursed meds. Genentech not liable for errors.[1][2][4][8]

Program information last verified: March 30, 2026