Program Offering and Eligibility

If you meet the eligibility criteria, you can get help with your OCREVUS drug costs, infusion costs or both.

This program helps with the cost of OCREVUS only. It does not help with the cost of other medicines you take at the same time as OCREVUS or with facility fees.

 

Help with costs for OCREVUS

$ 5
You pay as little as $5 for each OCREVUS treatment.*
You receive up to $20,000 every 12 months to help with your OCREVUS drug costs.

 

Help with costs for your infusion

$ 5
You pay as little as $5 for each infusion.*
You receive up to $1500 in the first year and up to $1000 each year after to help with your infusion costs.

*Please note: Depending on your insurance plan, you may owe more.

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 Patient Foundation 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)

Commercial insurance includes plans you receive from your job or plans you buy from the Health Insurance Marketplace. Government programs like Medicare and Medicaid are not commercial insurance.

You may be able to use the OCREVUS Co-pay Program for your infusion costs if you are receiving OCREVUS from the Genentech Patient Foundation.

 

If you are not eligible for the OCREVUS Co-pay Program, there may be other options for co-pay assistance. Call (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.