Using the Program

For Intravenous (IV) Product Patients Under the Medical Benefit

For a physician's office or hospital

  • Practice completes a one-time registration by calling (855) MY-COPAY 855-692-6729. (Please note: This registration is for the practice only). At the time of enrollment, we also can:
    • Give you a password for the Tool Center so you can manage all co-pay patients associated with your practice online
    • Link multiple providers in your practice to your account
  • Patient, caregiver or practice applies on behalf of the patient.
  • Practice administers infusion.
  • Practice faxes a copy of the patient's detailed EOB to (877) 885-2607. Co-pay amount minus the patient out-of-pocket responsibility is loaded onto the card after verification.

For providers without a credit card terminal

Before treatment

  • Provider confirms patient's enrollment in the program online or by phone at (855) MY-COPAY 855-692-6729.
  • Patient downloads the Check Request Form from the Forms section.
  • After treatment

  • Patient completes the Check Request Form and sends it to Genentech, along with copies of the detailed EOB and receipt illustrating payment, via:
    • Fax: (877)885-2607
    • Mail to:
        BioOncology® Co-pay Assistance Program
        100 Passaic Ave, Suite 245
        Fairfield, NJ 07004
  • A check is issued to the recipient indicated on the Check Request Form:
    • Check reimbursements take 7 to 10 business days, provided all documentation received is complete

For Oral Product Patients Under the Pharmacy Benefit

For a specialty pharmacy (SP)

  • SP completes a one-time registration by calling (855) MY-COPAY 855-692-6729. (Please note: This registration is for the SP only). During this call, we also can provide a password for the Tool Center so they can manage all co-pay patients associated with their SP online.
  • Patient, practice or pharmacy applies on behalf of the patient.
  • Practice sends prescription to SP and informs the patient the oral product is being shipped by SP.
  • Patient gives the SP the RxBIN and Member ID when SP calls to collect co-pay.
  • SP collects the patient's OOP costs using the RxBIN and Member ID.

For a community/retail pharmacy

  • Practice completes a one-time registration by calling (855) MY-COPAY 855-692-6729. (Please note: This registration is for the practice only). During this call, we also can give you a password for the Tool Center so you can manage all co-pay accounts associated with your practice online
  • Patient or practice applies on behalf of the patient.
  • Practice sends prescription to selected community/retail pharmacy and informs the patient the Genentech BioOncology product has been ordered at a community/retail pharmacy.
  • Patient brings the Member ID and RxBIN to the community/retail pharmacy to pick up the Genentech BioOncology product.
  • Community/retail pharmacy collects the patient's OOP cost by using their RxBIN and Member ID number.

For SPs or community/retail pharmacies without a credit card terminal

  • SP confirms patient's enrollment in the program online or by phone at (855) MS-COPAY 855-692-6729.
  • Patient completes the Check Request Form found in the Downloadable Forms section and sends it to Genentech, along with copies of the detailed EOB and receipt illustrating payment, via:
    • Fax: (877)885-2607
    • Mail to:
        BioOncology® Co-pay Assistance Program
        100 Passaic Ave, Suite 245
        Fairfield, NJ 07004
  • A check is issued to the recipient indicated on the Check Request Form:
    • Check reimbursements take 7 to 10 business days, provided all documentation received is complete