The Valcyte® Co-Pay Card can reduce
your out-of-pocket costs to $15 per
monthly co-pay

If you have commercial insurance, the Valcyte®
$15 Co-pay Card can help you save on your monthly
co-pay, regardless of your income level.

If you are eligible for the Valcyte® $15 Co-pay Card, over a 12-month period:

You pay

A $15 co-pay per prescription or refill

The Co-pay Card

- No income requirements
- Covers up to $10,000 per year in your co-pay cost

Join now

If you don't have a Valcyte®
$15 Co-pay Card, select here to join the program and receive your card.

Activate card

If you have received a Valcyte® $15 Co-pay Card, click here to activate your card.

Additional Resources:

Genentech Access to Care Foundation (GATCF)§

GATCF provides free medicine to eligible patients who are uninsured, rendered uninsured by payer denial or underinsured. To qualify, patients must meet financial criteria.

Genentech Access Solutions requires only the Statement of Medical Necessity (SMN) and Patient Authorization and Notice of Request for Transmission of Health Information to Genentech Access Solutions and Genentech® Access to Care Foundation (PAN) to initiate services. Only the information requested on these forms is required.

To enroll, please fax the below forms to 1-800-305-1830:

To find out about the patient assistance options available, call 1-888-754-7651, (Mon-Fri).

  • Download the Patient Authorization and Notice of Request for Transmission of Health Information to Genentech Access Solutions and Genentech® Access to Care Foundation (PAN) form in English or Spanish.
  • Ask your healthcare provider to complete the Statement of Medical Necessity (SMN) with appropriate services indicated. Download English.