How to Use the Program

For Intravenous (IV) Product Patients

At the doctor's office, infusion center or hospital:

  • Receive your infusion.
  • Your doctor's office sends the Oncology Co-pay Assistance Program a copy of the detailed Explanation of Benefits (EOB). You may also complete this step.
    • Your health plan automatically sends you the EOB after you receive your treatment
    • The EOB may be faxed to (877) 885-2607
  • The Oncology Co-pay Assistance Program verifies your information. After verification of information and confirmation that program requirements are met, we load the co-pay amount minus the patient out-of-pocket responsibility.
    • You pay the out-of-pocket (OOP) drug costs for your Genentech Oncology product.
    • You pay the doctor's office, the hospital, the infusion center or your community/retail pharmacy, depending on where and how you receive your treatment
  • Claims must be submitted within 365 days from the date of service (DOS) for consideration

For Oral Product Patients

If your medicine comes from a specialty pharmacy (SP):

  • The SP will call you to collect your co-pay. When it does, give the SP your RxBIN, Member ID, Group Number and PCN.
  • Your Genentech Oncology product is mailed to you.

If your medicine comes from a community/retail pharmacy:

  • When you are told your order is ready, bring your RxBIN, Member ID, Group Number and PCN to the community/retail pharmacy to pick up your Genentech Oncology product.
  • Give your RxBIN, Member ID, Group Number and PCN to the pharmacist at the community/retail pharmacy. He or she collects your co-pay and uses your account information at the counter.

If your doctor, infusion center, hospital, SP or community/retail pharmacy cannot process your account information:

  • Download the Check Request Form from the Downloadable Forms section.
  • Complete the Check Request Form and send it to Genentech, along with copies of the detailed EOB and payment receipt. These can be sent via:
    • Fax to (877) 885-2607
    • Mail to
        Oncology Co-pay Assistance Program
        P.O. Box 2106
        Morristown, NJ 07962
  • A check is sent to the person named on the Check Request Form. This takes 7 to 10 business days.
  • Claims must be submitted within 365 days from the date of service (DOS) for consideration