Access Programs for Peginterferon alfa-2a
Updated on: February 17, 2016
Applying for the GATCF requires a few steps. First, the healthcare provider must complete
the statement of medical necessity form and the patient authorization and notice of release of
information form. These forms can be submitted through the My Patient Solutions portal, or they can be faxed to 1-888-929-3334. After the forms are received, a
representative will contact the patient to verify their financial
circumstances. If you have questions,
please call 1-888-249-4918, Monday through Friday from 6:00 AM to 5:00 PM PST.
Some patients with insurance may also qualify
for the Genentech Copay Card. To
check eligibility or enroll in the program, please call 1-888-202-9939.