Rituxan

Genentech Patient Foundation Patient Guide: How to Get Rituxan (rituximab) at Low or No Cost

Rituxan (rituximab) is a prescription medication used to treat certain types of cancer, autoimmune diseases, and other serious conditions by targeting specific cells in the immune system. The Genentech Patient Foundation offers eligible patients free access to Rituxan if they meet financial and insurance criteria, helping remove cost barriers for those in need.

About Rituxan (rituximab)

Rituxan is a monoclonal antibody infused into a vein, commonly prescribed for non-Hodgkin's lymphoma, chronic lymphocytic leukemia, rheumatoid arthritis, and conditions like granulomatosis with polyangiitis. It works by binding to CD20 proteins on B-cells, reducing their activity or number to control disease progression. Treatment typically occurs in a doctor's office or clinic under medical supervision, with dosages varying by condition—often weekly or monthly infusions. Common side effects include infusion reactions, fatigue, and infections; discuss risks with your doctor. Always follow your healthcare provider's guidance, as this guide focuses solely on financial assistance.

Who Qualifies for the Genentech Patient Foundation?

This program supports U.S. residents treated by U.S.-licensed physicians facing financial hardship with Rituxan. Eligibility hinges on insurance status and household income. You may qualify if:

• You're uninsured or your insurance denied coverage for Rituxan.
• You're insured but face high out-of-pocket costs exceeding 7.5% of your annual income.
• Your annual adjusted household income is under $100,000 (or up to $150,000 in some cases, per program updates).

Important exclusions: Not available for patients on government-funded insurance like Medicare, Medicaid, or similar programs. No citizenship or immigration info required.

Income Eligibility Breakdown

Income limits are based on household size and adjusted gross income. Use the program's Confirm Financial Eligibility tool or call (888) 941-3331 to check.

*Limits may extend to $150,000 with high copays; exceptions apply. Provide recent tax returns or pay stubs as proof.

Insurance Requirements

• Uninsured: Fully eligible if income-qualified.
• Insured but denied: Submit denial letter.
• Insured with coverage: Qualify if copays/deductibles >7.5% of income.
• Not eligible: Medicare, Medicaid, VA, or plans requiring accumulator/maximizer adjustments. Genentech Access Solutions may offer other help.

Step-by-Step Application Process

1. Confirm eligibility: Call (888) 941-3331 (Mon-Fri, 6 a.m.–5 p.m. PT) or use online tools at gene.com/patients.
2. Gather documents: Proof of income (tax return, W-2s), residency (utility bill), prescription, insurance denial (if applicable).
3. Complete forms:
   • Patient Consent Form (you fill Boxes 1-2; English/Spanish available).
   • Prescriber Foundation Form (your doctor completes Page 2).
4. Submit (multiple options):
   • Online: eSubmit or My Patient Solutions (for practices).
   • Text: Photo to 650-877-1111.
   • Fax: 833-999-4363.
   • Phone start: (888) 941-3331. Both forms required; submit together.
5. Wait for review: Processed in ~5 business days; office contacted with outcome.
6. Receive approval: Medicine shipped to you or doctor's office.

Timeline and Delivery

Expect decisions within 5 business days of complete submission. Reauthorization needed annually or per treatment cycle—resubmit forms. Delivery: Free shipping to patient home or physician office via specialty pharmacy. Track via Foundation Specialist.

Alternatives if Denied

• Appeal insurance denial (no proof needed for initial app).
• Genentech Access Solutions: Copay cards, coverage navigation (gene.com/patients).
• Other PAPs: Check NeedyMeds.org or RxAssist.org.
• State programs: Local Medicaid or charity care.
• No biosimilars listed for Rituxan currently.

Disclaimer

This guide is for informational purposes based on Genentech Patient Foundation details as of 2026. Eligibility, forms, and limits can change—verify at gene.com/patients/patient-foundation or call (888) 941-3331. Not medical advice; consult your doctor. Genentech not liable for application errors. Word count: 912.