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Enrolling in the Genentech Patient Foundation

The Genentech Patient Foundation gives free Genentech medicine to people who don't have insurance or who have financial concerns and meet eligibility criteria. Two forms are needed to enroll in the Genentech Patient Foundation:

Considerations for Composing a Letter of Medical Necessity

This guide provides tips to help you draft a letter of medical necessity. A sample letter is also included for your reference. Use the links below to find additional information to enclose in your letter.

Considerations for Composing a Sample Appeal Letter

This guide provides tips to help you draft an appeal letter. A sample letter is also included for your reference. Use the links below to find additional information to enclose in your letter.

Rheumatology Subsequent Verification Program (RSVP) Enrollment Form

ACTEMRA ® (tocilizumab) patients enrolled in ACTEMRA Access Solutions are automatically enrolled in RSVP. Use this form to opt out of this program.

Fax Cover Letter

Use this cover sheet when faxing documents to ACTEMRA Access Solutions.

Coverage

Help understanding benefits and coverage, such as benefits investigations and prior authorization resources

Product Distribution

A list of authorized distributors and specialty pharmacies as well as information on our Spoilage Replacement Program