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`A A A
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`Genentech BioOncology Co-pay Card
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`The Genentech BioOncology Co-pay Card may be able to help with the out-of-pocket costs of your
`®
`Herceptin (trastuzumab) prescription.
`
`Some health plans might not accept a co-pay card. Please contact your insurance provider to find out if
`your plan allows the use of co-pay cards.
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`To find out if you qualify for this program or to get a co-pay card, call (855) MYCOPAY/(855) 692-6729 or
`click Get Started.
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`Qualified Patients*
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`- To answer "yes" to this question, you cannot be covered by a government-funded health care
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`I currently live or get treatment in the United States or Puerto Rico
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`†
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`FAQs
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`A:
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`Q: What types of help do
`you offer when my plan
`asks for high co-pays?
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`If you have concerns about
`covering the cost of your
`co-pay, we may be able to
`help. We can refer you to a
`co-pay foundation to assist
`you. It can help you cover
`the cost of the co-pay.
`Genentech also offers a co-
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`If you answered "yes" to all the questions above, you are eligible.
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`*
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`If you are receiving funding from the Genentech Access to Care Foundation, you are not eligible for the Genentech
`BioOncology Co-pay Card.
`Vermont state laws do not allow programs like this.
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`WE ARE HERE TO HELP
`What the card covers
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`HERCEPTIN ACCESS SOLUTIONS SUPPORT LINE
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`6 a.m.-5 p.m. PT, Monday through Friday Call (888) 249-4918
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`http://www.genentech-access.com/herceptin/patients/find-patient-assistance/co-pay-cards[12/30/2014 2:58:37 PM]
`
`IMMUNOGEN 2336, pg. 1
`Phigenix v. Immunogen
`IPR2014-00676
`
`
`
`Co-pay Cards
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`Learn More About
`HERCEPTIN
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`LEARN about treatment with Herceptin
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`http://www.genentech-access.com/herceptin/patients/find-patient-assistance/co-pay-cards[12/30/2014 2:58:37 PM]
`
`IMMUNOGEN 2336, pg. 2
`Phigenix v. Immunogen
`IPR2014-00676
`
`
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