Gazyva Prices, Coupons, Copay Cards & Patient Assistance

Gazyva Genentech Oncology Co-pay Assistance Program

Eligible commercially insured patients may pay $0 in out-of-pocket costs for the prescribed product; savings of up to $25,000 per product per calendar year; for additional information contact the program at 855-692-6729.

Applies to:

Gazyva

Number of uses:

Per prescription per calendar year

Form more information phone: 855-692-6729 or Visit website

Gazyva Genentech Oncology Co-pay Assistance Program Rebate

Eligible commercially insured patients enrolled in the program may be entitled to a rebate for their out-of-pocket cost if they paid the provider directly for treatment.

Applies to:

Gazyva

Number of uses:

One rebate per prescription fill

Form more information phone: 855-692-6729 or Visit website

Provider: HealthWell Foundation Copay Program

1. May have insurance
2. Varies
3. FDA Approved Diagnosis - See Program Website for Details
4. The patient must also be residing in the US.
5. This program provides financial assistance to eligible individuals to cover coinsurance, copayments, healthcare premiums and deductibles for certain treatments. Also, for those who are eligible for health insurance, but cannot afford the insurance premium, the foundation may be able to help by paying some or all of the medical portion of insurance premiums. The patient is being treated for a specific disease for which funding is available and has insurance that covers the treatment for this disease. Call for most recent medications as the list is subject to change.

• Gazyva (obinutuzumab) Injection; IV

More information please phone: 800-675-8416 Visit website

Provider: Patient Access Network Foundation (PAN)

1. *See Additional Information section below
2. Between 400-500% of FPL
3. FDA Approved Diagnosis - See Program Website for Details
4. Must reside and receive treatment in US
5. *Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance. Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly. Note: All new enrollment is now done electronically or over the phone. Contact program for details.

• Gazyva (obinutuzumab) Injection; IV

More information please phone: 866-316-7263 Visit website

Provider: Genentech Oncology Access Solutions

1. Determined case by case
2. Based on FPL
3. Varies
4. Must be treated by US licensed healthcare provider
5. Call for most recent medications as the list is subject to change. Eligibility determined on a case-by-case basis. Contact program for details.

• Gazyva (obinutuzumab) Injection; IV

More information please phone: 888-249-4918   or 866-422-2377   Visit website

Provider: Genentech Patient Foundation

1. Uninsured or Underinsured with no prescription coverage for needed medication
2. Based on FPL
3. Medically appropriate condition/diagnosis
4. Must be treated by US licensed healthcare provider
5. The Genentech Access to Care Foundation is now the Genentech Patient Foundation. Eligibility determined on a case-by-case basis. Call for most recent medications as the list is subject to change. This program may provide a Bridge Program for eligible patients who experience a delay, temporary loss, or change in coverage. Contact program for details.

• Gazyva (obinutuzumab) Injection; IV

More information please phone: 888-941-3331   or 866-422-2377   Visit website