VENCLEXTA

Indicated For

CLL, AML

About This Medication

# Genentech Patient Foundation Patient Guide: How to Get VENCLEXTA (venetoclax) at Low or No Cost VENCLEXTA (venetoclax) is a prescription medication used to treat certain blood cancers, such as chronic lymphocytic leukemia (CLL) and acute myeloid leukemia (AML). The **Genentech Patient Foundation** helps eligible patients in the US get VENCLEXTA at no cost if they meet income and insurance criteria. ## About VENCLEXTA and Why Assistance Matters **VENCLEXTA** targets cancer cells by blocking a protein called BCL-2, helping to restore the body's ability to kill abnormal blood cells. It's often used in combination with other treatments for adults with specific types of leukemia or lymphoma. Treatment typically involves daily oral tablets, with dosing ramped up gradually to minimize side effects like nausea, diarrhea, or low white blood cell counts. Always follow your doctor's instructions, as VENCLEXTA requires careful monitoring, including tumor lysis syndrome risk management. Cancer treatment costs can exceed $100,000 per year, making programs like the Genentech Patient Foundation essential for financial relief. This guide explains eligibility, application steps, and support options in simple terms. ## Who Qualifies? You may qualify if you live in the US, have a valid prescription from a US-licensed doctor, and meet financial or insurance need criteria. The program covers uninsured patients, those with high out-of-pocket costs, or financial hardship. Key groups include: - Uninsured or underinsured patients. - Insured patients whose out-of-pocket maximum exceeds 7.5% of yearly household income. - Household income below specific thresholds (see table below). Exceptions may apply; call (888) 941-3331 to check. ## Income Eligibility Breakdown Eligibility is based on household size and annual income, up to **400% of the Federal Poverty Level (FPL)** with no maximum household size. Add $25,000 per person beyond a couple. Here's a clear table: | Household Size | Maximum Annual Income | |----------------|-----------------------| | 1 (Individual) | $75,000 | | 2 (Couple) | $100,000 | | 3 | $125,000 | | 4 | $150,000 | | Each additional| +$25,000 | *Examples: A family of 5 qualifies under $175,000; 6 under $200,000. Income includes wages, Social Security, etc. Use the Confirm Financial Eligibility form online or call for personalized help.* ## Insurance Requirements - **Uninsured**: Fully eligible if income-qualified. - **Commercial/Private Insurance**: Eligible if costs (deductibles, copays) cause financial difficulty, e.g., out-of-pocket max >7.5% of income. Separate co-pay programs exist for commercial plans (not government insurance). - **Medicare/Medicaid/Government Insurance**: Generally ineligible for this free drug program, but explore other Genentech support like co-pay cards. - **Accumulator/Maximizer Plans or AFP Vendors**: New patients may not qualify; current enrollees are grandfathered until annual review. Proof of insurance status is required. No citizenship/immigration info needed. ## Step-by-Step Application Process Applying is straightforward and free. Both **Patient Consent Form** and **Prescriber Foundation Form** are required—no action until both received. 1. **Check Eligibility**: Call (888) 941-3331 (Mon-Fri, 6am-5pm PT) or use online tools at gene.com/patients/patient-foundation. 2. **Gather Documents**: Proof of income (tax returns, pay stubs), residency (utility bill), prescription, insurance info. 3. **Complete Forms**: - **You (Patient)**: Fill Patient Consent Form (English/Spanish) online, print/sign, or e-submit. - **Your Doctor**: Completes Prescriber Foundation Form (page 2). 4. **Submit Together**: - **Online**: Via My Patient Solutions (doctor's account) or eSubmit. - **Phone Start**: Call (888) 941-3331. - **Fax**: (833) 999-4363. - **Text Photo**: (650) 877-1111. 5. **Wait for Review**: Processed in ~5 business days. You'll be contacted with outcome. Submit while appealing insurance denials—no extra proof needed. ## Timeline and Delivery - **Processing**: 5 business days after complete forms received. - **Approval Notification**: Phone call to you and doctor. - **Delivery**: Free VENCLEXTA shipped to your home or doctor's office for up to 1 year. - **Refills**: Automatic if eligible; no re-enrollment needed, but annual reverification required. Track via Foundation Specialist. ## Alternatives if Denied - **Reapply**: Fix issues (e.g., missing docs) and resubmit. - **Other Genentech Programs**: Co-pay assistance for insured (visit gene.com/patients). - **External Help**: PAN Foundation, HealthWell Foundation, or state programs. - **Generic/Biosimilars**: None currently for VENCLEXTA. - **Appeal Insurance**: Continue while applying here. Call for local resources. ## Important Disclaimer This guide is for informational purposes based on Genentech Patient Foundation details as of 2026. Eligibility, income thresholds, and processes can change—verify with (888) 941-3331 or gene.com. Not medical/financial advice; consult your doctor and advisor. Genentech reserves rights to modify/terminate program. VENCLEXTA has risks; discuss with prescriber.

Program information last verified: March 30, 2026