RITUXAN Co-Pay Card Program

We are committed to ensuring that all eligible patients have access to the therapies they need. That is why we created the RITUXAN Co-Pay Card Program, a program that gives eligible patients help with their monthly commercial insurance co-payments for RITUXAN.

  • If eligible, this program can reduce your monthly co-pays for up to one year, up to $4,000.
  • For patients with commercial insurance and co-pays over $100 per month.
  • Quick and simple program qualification and activation.

Eligibility – Can I use this program?

Please respond to the following statements to see if you are eligible for the RITUXAN Co-Pay Card Program

I am covered by commercial insurance. To answer "yes," you must not be covered by a government- funded healthcare program (such as Medicare Part D, Medicaid Medigap, VA, DoD, and Tricare [or any other federal- or state-funded benefit programs]) or already receiving benefits from the Genentech Access to Care Foundation.

YES NO

My insurance co-pay for RITUXAN is over $100

X

My annual household income is $100,000 or less

X

I am age 18 years or older

X

I currently live in either Puerto Rico or the United States, but not in Massachusetts. Massachusetts state law does not allow programs like this.

X

Answer the questions above to find out if you are eligible for the RITUXAN Co-Pay Card Program. Call us at 1-888-249-4918 weekdays, 6AM to 5PM PT for more information.

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What if I am not eligible for the program?

At RITUXAN Access Solutions, we are committed to helping you get RITUXAN regardless of your ability to pay. If you have difficulty paying for your RITUXAN co-pay, co-insurance or other costs, RITUXAN Access Solutions can refer you to an independent, non-profit organization for financial assistance. Call 1-888-249-4918 weekdays, 6 AM to 5 PM PT and speak live with one of our specialists or visit www.RITUXANAccessSolutions.com.

Answers to your questions

Am I eligible for the program?

You qualify for the RITUXAN Co-Pay Card Program if you are covered by commercial insurance (non-governmental), your insurance co-pay is over $100, your annual household income is $100,000 or less, and you are age 18 years or older.

There are legal limits regarding who may participate in programs like this. You are not eligible if you are uninsured, covered by a government-funded healthcare program (eg, Medicare Part D, Medicaid Medigap, VA, DoD, or Tricare), currently residing in Massachusetts, or currently participating in the Genentech Access to Care Foundation.

How does the program work?

We have made it as easy as possible for you to get the support you need from the RITUXAN Co-Pay Card Program. You can activate the card by answering some questions by phone or on the Internet. Then, present this card to your pharmacist along with your prescription. If eligible, your co-pay amount will be reduced accordingly.

How much co-payment support will I receive if I am eligible for the program?

You pay: The RITUXAN Co-Pay, plus any additional amount not covered by the program.

Program pays: Contributes 80% of total copay after the first $100.

Example: $500 co-pay: patient pays first $100; program pays 80% of remaining $400 (total patient cost = $180)

Program limit: Up to $4,000 in RITUXAN Co-Pay support, which must be used within 1 year after you activate you card.

This information does not take the place of talking with your doctor. Discuss with your doctor any questions you have about your medical condition or your treatment.

INDICATIONS and IMPORTANT SAFETY INFORMATION

RITUXAN® (Rituximab) is indicated for the treatment of patients with:

People with serious infections should not receive RITUXAN.

Important Safety Information

Please see full Prescribing Information, including Medication Guide.

Terms & Conditions

Patient:
Use of the card does not obligate you to use or continue using any specific product or provider. If you have any questions regarding your eligibility or benefits, or if you wish to discontinue your participation, contact RITUXAN Access Solutions at 1 (888) 249-4918 weekdays, 6 AM to 5 PM PT. You may receive additional program information about the RITUXAN Co-Pay Card Program once you are enrolled.

Physician:
For questions regarding enrollment, claim transmission, patient eligibility, or other issues, contact RITUXAN Access Solutions at 1 (888) 249-4918 weekdays, 6 AM to 5 PM PT.

General:
No person or entity may seek reimbursement from any third-party payer for any amount provided using the card program. Genentech USA, Inc. and Biogen IDEC Inc. reserves the right to deny payment under the card to anyone deemed ineligible in accordance with the stated program criteria.