TECENTRIQ

Indicated For

Bladder cancer, NSCLC, SCLC

About This Medication

# Genentech Patient Foundation Patient Guide: How to Get TECENTRIQ (atezolizumab) at Low or No Cost TECENTRIQ (atezolizumab) is a prescription immunotherapy medicine used to treat certain types of cancer, such as lung cancer, bladder cancer, and others, by helping your immune system fight cancer cells. The **Genentech Patient Foundation** offers this medication **free for up to one year** to eligible patients facing financial hardship who lack insurance coverage or can't afford their costs.[1][2][4][5] ## Who Qualifies for the Program? The Genentech Patient Foundation helps patients in the US treated by a US-licensed physician who meet financial need criteria. You may qualify if you: - Have **no health insurance** (uninsured). - Have insurance but **lack coverage** for TECENTRIQ. - Have insurance but the **out-of-pocket costs are unaffordable** (e.g., copays or out-of-pocket maximum over 7.5% of yearly income).[1][2][4] **Key eligibility highlights**: - Household income under **$150,000** (some exceptions apply).[4] - Program does **not require** citizenship or immigration info.[4] - Intended for those unable to afford the medicine or insurance cost-sharing.[4] - Provides **free TECENTRIQ** shipped directly if approved.[1][2] This is **not a co-pay program**—a separate Genentech co-pay assistance exists for commercially insured patients (excludes Medicare, Medicaid, or government programs).[1] ## About TECENTRIQ (atezolizumab) **TECENTRIQ** is an intravenous immunotherapy drug that blocks PD-L1 protein on cancer cells, enabling your immune system to attack tumors. It's FDA-approved for cancers like: - Non-small cell lung cancer (NSCLC) - Small cell lung cancer (SCLC) - Urothelial carcinoma (bladder cancer) - Triple-negative breast cancer - Hepatocellular carcinoma (liver cancer) - And others, often combined with other therapies. Common side effects include fatigue, nausea, decreased appetite, and immune-related issues like rash or thyroid problems. Always discuss with your doctor. Without assistance, TECENTRIQ can cost **tens of thousands per dose**—this program covers it fully for qualifiers.[5] ## Income Eligibility Breakdown Specific Federal Poverty Level (FPL) thresholds aren't publicly detailed, but financial need is key. General guidelines include: | Household Size | Max Income Threshold | Notes | |---------------|----------------------|-------| | 1 | Under $150,000 | Examples; exceptions possible [4] | | 2 | Under $150,000 | Household income considered [1] | | 3 | Under $150,000 | Include all in home [1] | | 4+ | Under $150,000 | 'Other' on form; call for details [1][4] | **Notes**: Income under $150,000 OR insured with high out-of-pocket (>7.5% income). Provide household size on form—no proof of income required upfront, but verification occurs.[1][4] Call (888) 941-3331 for personalized assessment.[2][7] ## Insurance Requirements - **Uninsured**: Fully eligible. - **Insured but uncovered/unaforable**: Eligible if medicine not covered or costs too high. - **Commercial insurance**: May qualify here or via separate co-pay program (not for government insurance). - **Medicare/Medicaid**: **Not eligible** for this foundation; other options via Genentech Access Solutions.[1][4] Your doctor attests coverage status on the form.[1] ## Step-by-Step Application Process Applying is straightforward—**both** Patient Consent Form and Prescriber Foundation Form are **required**. Takes ~10-15 minutes.[2][3] 1. **Download or access forms**: - Patient Consent Form (English/Spanish): GenentechPatientFoundation.com[2] - Prescriber Foundation Form: Your doctor completes.[1] 2. **Complete Patient Consent Form** (you or guardian signs): - Personal info (name, DOB, address, phone, email). - Household size (1,2,3,4,Other). - Insurance status (uninsured, insured no coverage, insured unaffordable). - Sign Boxes 1 & 2.[1][2][6] 3. **Doctor completes Prescriber Form**: - TECENTRIQ details, diagnosis codes, treatment info. - Shipment choice: Patient home, doctor's office, or product replacement. - Refills (up to 1 year).[1][4] 4. **Submit** (multiple options): - **Online**: My Patient Solutions (for practices).[2] - **Fax**: (833) 999-4363[1][2][3] - **Text photo**: (650) 877-1111[2][3] - Phone help: (888) 941-3331 (Mon-Fri, 6am-5pm PT).[7] 5. **Wait for contact**: Both you and doctor notified of outcome.[1][2][3] ## Timeline and Delivery - **Processing**: Within **5 business days** of receiving both forms.[2] - **Approval notice**: Phone call to patient and prescriber.[1][3] - **Delivery**: Shipped free to **patient's home**, **physician office**, or **treatment site** via foundation pharmacy. Or replace doctor's inventory.[1][2] - **Duration**: Up to **1 year** free medicine, with reauthorization.[5] ## Alternatives if Denied - **Appeal insurance denial**: Apply while appealing—no proof needed.[7] - **Co-pay program**: For commercial insurance (Genentech-Access.com).[1] - **Other assistance**: Call (866) 422-2377 for Genentech options or local resources.[3] - **State programs**: Patient Access Network (PAN), HealthWell Foundation. - **Speak to Foundation Specialist**: (888) 941-3331 for next steps.[7] ## Reauthorization Yes, required annually or as needed. Enrolled patients continue free medicine while qualifying—submit updated forms.[5] ## Important Disclaimer This guide is for informational purposes based on Genentech Patient Foundation details as of available sources. Eligibility determined by Genentech—call (888) 941-3331 for latest info. Not medical/financial advice. Consult your doctor. Program can change; Genentech not liable for errors. Free medicine doesn't guarantee coverage for all doses or future years. (Word count: 1028)

Program information last verified: March 25, 2026