Susvimo

Indicated For

neovascular age-related macular degeneration (wet AMD), diabetic macular edema (DME), diabetic retinopathy (DR)

About This Medication

# Genentech Patient Foundation Patient Guide: How to Get Susvimo (ranibizumab) at Low or No Cost Susvimo (ranibizumab injection) is a prescription eye treatment delivered through a small implant for certain adults with wet age-related macular degeneration (AMD), diabetic macular edema (DME), or macular edema following retinal vein occlusion (RVO).[10] The **Genentech Patient Foundation** offers **free Susvimo** to eligible patients without health insurance coverage or those with financial concerns who meet specific criteria.[1][2][5] ## About Susvimo **Susvimo** is an innovative treatment where ranibizumab—a medication that blocks abnormal blood vessel growth in the eye—is continuously released from a refillable ocular implant surgically placed in the eye.[10] Unlike traditional eye injections, the implant provides treatment for up to six months before needing a refill by your doctor. It's FDA-approved for wet AMD and used for other retinal conditions as determined by your ophthalmologist.[10] Common side effects include eye discomfort, redness, or infection risk at the implant site—discuss risks with your doctor. This guide explains how the Genentech Patient Foundation can help you access **Susvimo at no cost** if you qualify. The program ships medication directly to you or your provider.[2] ## Who Qualifies? The program targets patients facing high costs for Susvimo due to lack of insurance or financial hardship.[3][4] Key eligibility: - **Uninsured patients** or those without coverage for Susvimo. - **Insured patients** with financial concerns (e.g., high copays, deductibles) who exhaust other assistance options first.[3] - Must meet income requirements, which vary by insurance status (specific Federal Poverty Level (FPL) percentages not publicly detailed; call for personalized review).[3] - U.S. residents prescribed Susvimo by a licensed provider.[2] Genentech verifies all information and reserves the right to change or end the program.[3][4] ## Income Eligibility Breakdown Exact income thresholds aren't listed publicly and depend on household size, insurance status, and FPL.[3] Uninsured patients have different criteria from insured ones.[3] Use this table as a general guide—contact the Foundation for your situation: | Household Size | Uninsured Max Income (est. <400-500% FPL) | Insured w/ Concerns (stricter, pursue other aid first) | |---------------|-------------------------------------------|-----------------------------------------------------| | 1 (Individual)| Call for details | Must try other assistance; income reviewed | | 2 (Couple) | Call for details | Must try other assistance; income reviewed | | 3 | Call for details | Must try other assistance; income reviewed | | 4+ | Call for details; scales with family size | Must try other assistance; income reviewed | **Notes**: FPL adjusts yearly. Provide household income, size, and insurance details during application. A Foundation Specialist at (888) 941-3331 can pre-screen you Monday–Friday, 6 a.m.–5 p.m. PT.[2][4] ## Insurance Requirements - **Primary for uninsured** or no Susvimo coverage.[5] - **Insured patients**: Try copay cards, independent foundations, or appeals first. Genentech refers to disease-specific foundations but doesn't guarantee approval.[3][8] - Medicare patients: Often ineligible for free drug if coverage exists; explore appeals or Low-Income Subsidy (LIS). Program may cover if no coverage and income qualifies.[3] - Submit proof of denial or benefits investigation if applicable.[6] ## Step-by-Step Application Process Applying is straightforward and free. **Two forms are required**: Patient Consent Form (you complete) and Prescriber Foundation Form (your doctor completes).[1][5][7] 1. **Check Eligibility**: Call (888) 941-3331 or use the online tool at gene.com/patients/patient-foundation.[2] 2. **Complete Patient Consent Form**: Download English/Spanish versions or do online. Sign to allow Genentech to contact your doctor/insurer.[7][8][9] 3. **Doctor Completes Prescriber Form**: Provides treatment and eligibility info.[1][5] 4. **Submit Forms** (both needed): - **Online**: Via My Patient Solutions (Quick Enroll if new).[6][8] - **Fax**: (833) 999-4363[2][7] - **Text**: Photo to (650) 877-1111[7][8] 5. **Wait for Review**: Processed in 5 business days; doctor's office contacted with outcome.[7][8] 6. **Approval**: Medicine shipped to you or provider.[2] Call for help anytime. Audio/video guides available.[2] ## Timeline and Delivery - **Processing**: 5 business days after both forms received.[7][8] - **Delivery**: Shipped free to patient or doctor's office/pharmacy.[2][8] - **Start Date**: Covers services up to 180 days pre-enrollment if eligible.[8] - Refills/reauthorization: Doctor resubmits forms as needed (details not specified).[8] Appeals for insurance denials take longer (weeks to months).[9] ## Alternatives if Denied - **Independent Foundations**: Genentech refers to those matching your condition (e.g., for retinal diseases).[3] - **Copay Programs**: Check Genentech Ophthalmology Access Solutions for Susvimo-specific help.[6] - **Appeals**: Doctor submits to insurer with SUSVIMO Access Solutions resources.[6][9] - **Other Aid**: State programs, NeedyMeds, or PAN Foundation. - **Reapply**: Fix issues (e.g., income proof) and resubmit. - No biosimilars listed for Susvimo.[ ] ## Disclaimer This guide is for informational purposes based on Genentech resources as of latest updates. Eligibility isn't guaranteed—Genentech verifies all claims and may modify/discontinue programs.[3][4][8] Not medical/financial advice. Consult your doctor for treatment suitability and a tax advisor for benefits reporting. Genentech doesn't guarantee insurance coverage.[6] Call (888) 941-3331 for latest details. Word count: 1028.

Program information last verified: March 30, 2026