Reimbursement & Support

Dedicated to Reimbursement Services and Patient Support

Nutropin GPS^™ (Growing Patient Support) offers you and your patients assistance throughout treatment from a dedicated case manager. Following the decision to prescribe growth hormone therapy, GPS services include device and injection training, insurance process management, a nurse hotline, and ongoing patient access and support programs. Call 1‐866‐NUTROPIN (1‐866‐688‐7674) to get started.

Your patients may be eligible for help with treatment costs

Key Features of the Nutropin Co-pay Card Program

• The Nutropin AQ^® NuSpin^® Co-pay Card Program provides support to eligible patients of up to $5,000 per 12-month enrollment cycle*
• Patients are not required to meet any income criteria to qualify for this benefit
• Eligible patients may pay as little as $10 monthly co-pay per prescription/refill
• The maximum co-pay assistance allowable to any patient under the program is $5,000 annually
• Patients are responsible for all out-of-pocket costs after $5,000
• Co-pay assistance is capped at $500 per month, however, patients may submit any unreimbursed out-of-pocket co-pay expenses, up to the $5,000 maximum, directly to Nutropin GPS at the end of the 12-month enrollment period

*Co-pay assistance is capped at $500 per month, however, outstanding co-pay expenses above the $500 monthly cap may be submitted (up to the $5,000 cap) directly to Nutropin GPS at the end of the 12-month enrollment period. Co-pay assistance may be renewable for eligible patients after 12 months.

Patients can enroll in the Co-pay Card Program online.

For more information, review the co-pay brochure.

This Nutropin GPS^TM Co-pay Program is valid ONLY for patients with commercial (private or non-governmental) insurance who have a valid prescription for a Food and Drug Administration (FDA)-approved indication of a Genentech medication. Patients using Medicare, Medicaid, Medigap, Veteran’s Affairs (VA), Department of Defense (DoD), TRICARE or any other federal or state government program to pay for their medications are not eligible. The Program is not valid for medications that are eligible to be reimbursed in their entirety by private insurance plans or other programs.

Under the Program, the patient will pay a co-pay. After reaching the maximum Program benefit, the patient will be responsible for all out-of-pocket costs. This Program is not health insurance or a benefit plan. The Program does not obligate the use of any specific product or provider. Patients receiving assistance from charitable assistance programs (such as Genentech Patient Foundation) are not eligible. The Co-pay benefit cannot be combined with any other rebate, free trial, or similar offer for the medication. No party may seek reimbursement for all or any part of the benefit received through this Program.

The Program may be accepted by participating pharmacies, physician offices, or hospitals. Once enrolled, this Program will not honor claims with date of service or medication dispensing that precede Program enrollment by more than 120 days. Use of this Program must be consistent with all relevant health insurance requirements. Participating patients, pharmacies, physician offices, and hospitals are responsible for reporting the receipt of all Program benefits as required by any insurer or by law. Program benefits may not be sold, purchased, traded, or offered for sale, purchase, or trade.

The patient or their guardian must be 18 years or older for the patient to be eligible. This Program is only valid in the United States and U.S. Territories. This Program is void where prohibited by law and shall follow state restrictions in relation to AB-rated generic equivalents (e.g. MA, CA) where applicable. Program eligibility is contingent upon the patient’s ability to meet and maintain all requirements set forth by the Program. Genentech reserves the right to rescind, revoke, or amend the Program without notice at any time.

A program providing medicine for a limited time for eligible pediatric patients while their insurance coverage is being evaluated.

• Patients must meet medical criteria for initial and subsequent requests
• Product will be delivered to the patient’s home by a Genentech-designated pharmacy

Patient Access and Assistance Programs

Genentech is committed to helping your patients receive the treatment and medications they need. To this end, we provide a broad range of patient access and assistance programs, including:

Priority Review

Use Priority Review to check if Nutropin AQ is available on formulary. Check off "Priority Review" and complete the fields on the Prescriber Service Form to request this service.

If privately or publicly insured patients have difficulty paying for their Nutropin AQ co-pay, co-insurance, or other expenses, Nutropin GPS can refer them to a co-pay assistance foundation* that supports their disease state. For more information, contact Genentech at 1-866-688-7674.

*Genentech and Nutropin GPS™ do not influence or control the operations or eligibility criteria of any independent co-pay assistance foundation and cannot guarantee co-pay assistance after a referral from Nutropin GPS™. The foundations to which we refer patients are not exhaustive or indicative of Genentech’s or Nutropin GPS™ endorsement or financial support. There may be other foundations to support the patient's disease state.

The Genentech Patient Foundation gives free Genentech medicine to patients who don’t have insurance coverage or who have financial concerns.

Patients will get free Genentech medicine if they:

• Do not have insurance coverage for their Genentech medicine and their household makes less than $150,000 per year 
• Have insurance, can’t afford their out-of-pocket costs, have used all available financial assistance, and meet certain income requirements for the size of their household

Download the Genentech Patient Foundation Enrollment Form to get started with your application. Once completed follow the instructions on where to send the enrollment form.

Once we receive your information, Genentech Patient Foundation will contact you with further instructions. This may include verifying financial eligibility.