Program Offering and Eligibility

Program offering

If you have been prescribed OCREVUS and you are eligible, you may be able to get help with your drug costs, infusion costs or both.

 

Help with drug costs

$ 5
You pay as little as $5 for each drug co-pay.
The program helps with up to $20,000 each year for drug co-pay costs.

 

Help with infusion costs

$ 5
You pay as little as $5 for each infusion co-pay.
The program helps with up to $500 each day for infusion co-pay costs.

Eligibility for help with drug costs

You are eligible if you:
  • Have been prescribed OCREVUS for an FDA-approved indication
  • Are 18 years of age or older
  • Have commercial (private or nongovernmental) insurance. This includes plans available through state and federal health insurance exchanges
  • Do not receive support for OCREVUS from the Genentech® Access to Care Foundation (GATCF) or any independent co-pay assistance foundations
  • Are not a government beneficiary and/or participant in a federal or state-funded health insurance program (eg, Medicare, Medicare Advantage, Medigap, Medicaid, VA, DoD, TRICARE)

 

Eligibility for help with infusion costs

You are eligible if you:
  • Have been prescribed OCREVUS for an FDA-approved indication
  • Are 18 years of age or older
  • Have commercial (private or nongovernmental) insurance. This includes plans available through state and federal health insurance exchanges
  • Do not receive support for OCREVUS from independent co-pay assistance foundations
  • Are not a government beneficiary and/or participant in a federal or state-funded health insurance program (eg, Medicare, Medicare Advantage, Medigap, Medicaid, VA, DoD, TRICARE)
  • Do not live or get treatments in a restricted state (Michigan, Minnesota, Massachusetts, Rhode Island)

 

If you are not eligible for the OCREVUS Co-pay Program, there may be other options for co-pay assistance. Call OCREVUS CONNECTS at (844) OCREVUS (844-627-3887) to speak to a Patient Navigator or visit OCREVUS.com to learn more.

Indication and Important Safety Information

What is OCREVUS?

OCREVUS is a prescription medicine used to treat adults with relapsing or primary progressive forms of multiple sclerosis. It is not known if OCREVUS is safe or effective in children.

Who should not receive OCREVUS?

Do not receive OCREVUS if you have an active hepatitis B virus (HBV) infection.
Do not receive OCREVUS if you have had a life threatening allergic reaction to OCREVUS. Tell your healthcare provider if you have had an allergic reaction to OCREVUS or any of its ingredients in the past.

What is the most important information I should know about OCREVUS?

OCREVUS can cause serious side effects, including:

  • Infusion reactions: OCREVUS can cause infusion reactions that can be serious and require you to be hospitalized. You will be monitored during your infusion and for at least 1 hour after each infusion of OCREVUS for signs and symptoms of an infusion reaction.
  • Infection:
    • OCREVUS increases your risk of getting upper respiratory tract infections, lower respiratory tract infections, skin infections, and herpes infections. If you have an active infection, your healthcare provider should delay your treatment with OCREVUS until your infection is gone.

What are the possible side effects of OCREVUS?

OCREVUS may cause serious side effects, including:

  • Risk of cancers (malignancies) including breast cancer. Follow your healthcare provider’s instructions about standard screening guidelines for breast cancer.

Most common side effects include infusion reactions and infections.

These are not all the possible side effects of OCREVUS.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

For more information, go to www.OCREVUS.com or call 1-844-627-3887

For additional safety information, please see the full Prescribing Information and Medication Guide.

The OCREVUS Prepaid MasterCard® is issued by Comerica Bank pursuant to license by MasterCard International. No cash or ATM access. The card can be used only to purchase prescriptions at participating merchant locations where Debit MasterCard is accepted.