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Oncology

Rituxan

Generic: rituximab

Manufacturer: Genentech  ·  Program: Genentech Patient Foundation

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Eligibility Criteria

Insurance Requirement

Uninsured, denied coverage, or financial difficulty; not for government-funded insurance

Residency

US resident

Individual Income Limit

$150,000/year

Income cap ~$150,000/year regardless of household size; varies by drug

Program Information

Processing Time

2–3 weeks

Delivery Method

shipped to patient or physician office

Application Method

Multiple

Reauthorization

Required — annual

Typically Required Documents

ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.

  • proof of income
  • proof of residency
  • prescription
  • insurance denial if applicable

Indicated For

CLL, NHL, RA, PV

About This Medication

# 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. | Household Size | Max Annual Income | |----------------|-------------------| | 1 (Individual) | $100,000 | | 2 (Couple) | $100,000* | | 3 | $100,000* | | 4 | $100,000* | | 5+ | Call to confirm | *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.

Program information last verified: March 30, 2026

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