Nutropin GPS™ Co-pay Card Program
With your Nutropin GPS Co-pay Card, you may be eligible for up to $5,000 annual savings on treatment costs regardless of your income level.
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 per prescription/refill
- The maximum co-pay assistance allowable to any patient under the program is $5,000 per year
*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.
Enroll in the Co-pay Card Program online.
For more information, review the co-pay brochure.
To learn how to get started, read Getting Started with Nutropin GPS.
This Nutropin GPS™ 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 (collectively, “Government Programs”) 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 remaining out-of-pocket expenses. 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 a patient is enrolled, this program will not honor claims with date of service or medication dispensing that precede program enrollment by more than 180 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.
The patient or their guardian must be 18 years or
older to receive program assistance. 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.