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Genentech^® Access to Care Foundation (GATCF)

The Genentech Access to Care Foundation (GATCF) helps patients who do not have insurance coverage for a Genentech medicine. Qualified patients enrolled in GATCF receive their medicine free of charge.

We are committed to helping you get our medicines regardless of your ability to pay. If you have no insurance, or your health insurance plan denies you coverage for Nutropin, you can work with your doctor’s office to apply to GATCF for free medicine.*

Am I eligible?

GATCF has defined specific insurance, financial and medical criteria that must be met for you to be eligible for assistance:

• You must be uninsured or your insurance must have denied your Nutropin treatment^†
• Your annual household adjusted gross income must be $100,000 or less
• You must meet specific medical criteria as determined by our clinical advisory board

How do I get started?

To apply to GATCF, simply:

• Download the Patient Authorization and Notice of Release of Information (PAN) Form
• Fill in the form
• Fax the form to Nutropin GPS at 1-800-545-0612

Once we receive your required paperwork from you and your doctor, a Nutropin GPS case manager will contact you within 24 hours with further instructions, including how to verify your financial eligibility.

*GATCF, at its sole and absolute discretion, reserves the right to modify or discontinue the program at any time and to verify the accuracy of the information submitted.

^†Work with your healthcare provider to determine if you are eligible for public medical coverage (see the section on Public Payers in Insurance Overview for details). After you have explored all other options, you can apply to GATCF for help.

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IMPORTANT SAFETY INFORMATION

Nutropin and your safety:
Please read this important safety information carefully. Then, if you have any questions, talk with your doctor.

Nutropin is NOT for:

• Children and teenagers whose bones have finished growing
• Patients who have certain types of eye disease caused by diabetes
• Patients who have active cancer or any brain tumors
• Patients who are critically ill after open heart surgery or abdominal (stomach) surgery, are severely hurt, or have severe breathing problems
• Children and teenagers who have Prader-Willi syndrome and are very overweight or have trouble breathing
• Patients with a known sensitivity to benzyl alcohol, an ingredient in the liquid used to mix Nutropin Injection. Sterile water should be used when mixing Nutropin for newborns.

If any of these apply, talk to your doctor before you start taking Nutropin.

If you are about to start taking Nutropin, or are already taking it, be sure to tell the doctor who prescribed it:

• About ALL of the medications you are taking, including supplements
• If you have or develop a brain tumor
• If you are given any new medication, especially glucocorticoid steroids like hydrocortisone or prednisone
• If you are pregnant or if you become pregnant
• About ANY other condition or illness you have or develop

What are the possible side effects of Nutropin?
You may experience discomfort, soreness, or redness where Nutropin is injected.

Contact your doctor immediately if you experience:

• Ongoing injection site discomfort
• Curvature of the spine (scoliosis)
• Joint pain
• Puffy hands and/or feet (caused by fluid retention)
• Changes in vision, a bad headache, or nausea with or without vomiting
• Hip or knee pain
• A need to limp when you walk
• Pain in wrist (carpal tunnel)
• Allergic reaction

Be sure to inject Nutropin at a different recommended place on your body each time. Your doctor or nurse should supervise the first injection and provide training and instruction.

Your doctor is your primary source of information about your treatment.

Please see the full Prescribing Information for Nutropin and Nutropin AQ, available from your pharmacy and at www.nutropin.com, for more about Nutropin and safety.

Questions? Call the Nurse Hotline at 1-866-NUTROPIN (1-866-688-7674).

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