`
`SELECT ANOTHER PRODUCT
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`LEARN MORE ABOUT KADCYLA (HTTP://WWW.KADCYLA.COM/)
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`Genentech BioOncology
`Co-pay Card Program
`
`®
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`CHOOSE AN OPTION BELOW:
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`The patient has a copay card and
`would like to enroll now ()
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`The patient doesn't have a copay card
`but would like to enroll to receive one
`()
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`existing copay card benefit ()
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`BioOncology copay card program and
`would like to activate the benefit for
`another Genentech BioOncology
`®
`medication ()
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`WE ARE HERE TO HELP
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`IMMUNOGEN 2289, pg. 1
`Phigenix v. Immunogen
`IPR2014-00676
`
`
`
`9 A.M. - 8 P.M. ET, MONDAY THROUGH FRIDAY
`
`(855) MYCOPAY or (855) 692 - 6729 (tel:+1-692-6729)
`
`WHAT THE CARD COVERS
`
`The card covers
`
`At least 80% of the out-of-pocket costs for each Genentech cancer treatment (per prescription or infusion)
`
`You pay
`
`20% (but no more than $100) of the out-of-pocket costs for each Genentech cancer treatment (per
`prescription or infusion)
`
`Card Limit
`
`Up to $24,000 per year
`‡
`
`That means that if your out-of-pocket costs are $100, the card covers $80 and you pay the other $20.
`
` If your yearly household income is >$100,000, your yearly card limit is $9,000. You are required to provide a verbal
`‡
`statement to verify your income at the time of enrollment and may be asked to provide financial documentation at a
`later date.
`Terms & Conditions (http://www.gene.com/terms-conditions)
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`Contact Us (http://www.genentech-access.com/hcp/contactus)
`© Copyright 2014 Genentech USA, Inc. All rights reserved. This site is intended for U.S. residents only
`BIO/082714/0017
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`IMMUNOGEN 2289, pg. 2
`Phigenix v. Immunogen
`IPR2014-00676
`
`
`
` (http://www.gene.com/gene/index.jsp)
`
`IMMUNOGEN 2289, pg. 3
`Phigenix v. Immunogen
`IPR2014-00676