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Roche Reimbursement And Patient Assistance Program For Hcv, Hiv, And Transplants


Summary

Roche Pharmaceuticals was founded in Basel, Switzerland in 1896 by Fritz Hoffman-La Roche under the name F.Hoffmann-La Roche & Co.. Fritz Hoffman-La Roche established the company under the observation that advances in the manufacture of standardized medicines would strengthen the fight against disease. Over the past 100+ years, the company has expanded throughout most of Europe while becoming one of the worlds most important healthcare companies. Roche Pharmaceuticals specifically focuses their development on products that provide early detection and prevention, diagnosis, and treatment/monitoring of diseases in patients. Their continued committment to research and development in the fight against disease has placed them as the leading authority in this field

Eligibility

Roche Reimbursement and Patient Assistance Program for HCV, HIV, and Transplants, a patient assistance program provided by Roche Pharmaceuticals, offers the medications listed to the right at no cost for up to 1 year to those who are eligible for the program. Eligibility is based off of the following requirements:

- You must be a citizen of the United States or its Territories.

- You must meet an undisclosed insurance guideline.

- Your income must be less than or equal to 300% of the Federal Poverty Guideline for the size of your household (see chart below).

SOURCE: 2008 Poverty Chart
Family Size 100% 133% 150% 200% 250% 300%
1 $10,830 $14,404 $16,245 $21,660 $27,075 $32,490
2 $14,570 $19,378 $21,855 $29,140 $36,425 $43,710
3 $18,310 $24,352 $27,465 $36,620 $45,775 $54,930
4 $22,050 $29,327 $33,075 $44,100 $55,125 $66,150
5 $25,790 $34,301 $38,685 $51,580 $64,475 $77,370
6 $29,530 $39,275 $44,295 $59,060 $73,825 $88,590
7 $33,270 $44,249 $49,905 $66,540 $83,175 $99,810
8 $37,010 $49,223 $55,515 $74,020 $92,525 $111,030
For each additional family member $3,740 $4,974 $5,610 $7,480 $9,350 $11,220


What´s Next?

Fill out the program enrollment form located to your right. If you don’t see an enrollment form available please call Roche Pharmaceuticals program directly. After filling out the enrollment form please bring the form to your doctor for proper signatures and procedures. Do not forget a self stamped envelope for them to mail in your application to the program.


Other Tips

  • If you have any questions please call the Roche Pharmaceuticals program directly
  • Fill out as much of the information on the enrollment form as possible. The more information you have pre-filled the easier the progrm is to enroll in
  • Write down the refill dates for your program and set a reminder here on PatientAssistance.com so that you don’t run out of medication.
  • Do not write messy on your forms as this will delay any response
  • Call and write thank you notes to Roche Pharmaceuticals program. Without their help millions of people will be without medication.




  • PAP Links:
  • Website:
  • Address:
  • Phone:
  • Fax:
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List of Medications
Cellcept Capsules 250mg (mycophenolate Mofetil), Cellcept Oral Solution 200mg/ml (mycophenolate Mofetil), Cellcept Tablets 500mg (mycophenolate Mofetil), Copegus Tablets 200mg (ribavirin), Fuzeon T-20 Injection 90/1ml (enfuvirtide), Invirase Capsules 200mg (saquinavir), Invirase Tablets 200mg (saquinavir), Pegasys Injection 180mcq (peginterferon Alfa-2a), Valcyte Tablets 450mg (valganciclovir), Zenapax Injection 5mg/ml (daclizumab)

Forms and other information are Copyright © Roche Reimbursement and Patient Assistance Program for HCV, HIV, and Transplants

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