Ocrevus

Program offering

The OCREVUS Co-pay Program may help eligible commercially insured patients who have been prescribed OCREVUS with their drug costs, infusion costs or both.

Help with drug costs

$ 5

Patient pays as little as $5 for OCREVUS drug costs*

Benefit limit is $20,000 per year

Help with infusion costs

$ 5

Patient pays as little as $5 for infusion costs*

Benefit limit is $1500 for the first year and $1000 for each subsequent year

*Depending on how the health insurance plan applies manufacturer co-pay assistance for out-of-pocket costs or if they match the maximum benefit of the program, patients may owe more than $5.

Eligibility for help with drug costs

Patients are eligible if They:

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

Patients are eligible if They:

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, Massachusetts, Rhode Island)

^†Your patients may be able to use the OCREVUS Co-pay Program for their infusion costs if they are receiving OCREVUS from the Genentech Patient Foundation.

If a patient is 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

Indications

OCREVUS is indicated for the treatment of:

Relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults
Primary progressive MS, in adults.

Contraindications

OCREVUS is contraindicated in patients with active hepatitis B virus infection and in patients with a history of life-threatening infusion reaction to OCREVUS.

Warnings and Precautions

Infusion reactions:
Management recommendations for infusion reactions depend on the type and severity of the reaction. Permanently discontinue OCREVUS if a life-threatening or disabling infusion reaction occurs.

Infections:
Delay OCREVUS administration in patients with an active infection until the infection is resolved. Vaccination with live-attenuated or live vaccines is not recommended during treatment with OCREVUS and after discontinuation, until B-cell repletion.

Malignancies:
An increased risk of malignancy, including breast cancer, may exist with OCREVUS.

Most Common Adverse Reactions
RMS: The most common adverse reactions (≥10% and >REBIF): upper respiratory tract infections and infusion reactions.
PPMS: The most common adverse reactions (≥10% and >placebo): upper respiratory tract infections, infusion reactions, skin infections, and lower respiratory tract infections.

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.

Program Offering and Eligibility

Program offering

Eligibility for help with drug costs

Eligibility for help with infusion costs

Indications

Contraindications

Warnings and Precautions