Susvimo

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:

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.