Polivy Prescription Discount Coupon

Life happens. When it does, you may need help with your medicine or co-pay costs. Many drug manufactor provide drug coupon to help with medication.

Polivy Coupon Details

Polivy Genentech Oncology Co-pay Assistance Program: Eligible commercially insured patients may pay $5 in out-of-pocket costs for the prescribed product; savings of up to $25,000 per year; for additional information contact the program at 855-692-6729.

Benefits :

  • Prescription
  • Offer Type: Copay Card Sign-up
  • Activate By: Patient
  • Coverage Requirments:
  • Pharmacy Support Number 855-692-6729

Contact Details :

Free Discount Drug Coupon

All patients are eligible to receive a discount by using this free Polivy coupon. Save up to 80% on your prescription costs when using our drug coupons at your local pharmacy.

Assistance Fund - Financial Assistance
Assistance Fund - Financial Assistance

Free Prescription Discount Card

  • No registration required.
  • Everyone is eligible.
  • Get discount up to 80%.
  • Card can be used for person with Insurance or without insurance for discount.
  • Never expires.
  • Ready for immediate.
  • No activation required.
  • Prescription Coupon

Polivy Cost

How much does Polivy cost near you?

It may varies based on the pharmacy you fill you prescription from.

Polivy Copay Assistance

Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medicines and copay programs to low income or uninsured and under-insured people who meet specific guidelines. Eligibility requirements vary for each program.

Elligibility requirements:

  • 1. Must be uninsured.
  • 2. At or below 400% of FPL.
  • 3. Must reside and receive treatment in US.
  • 4. Polivy Copay assistance, and patient assistance programs are available for eligible patients.

Programs

Genentech Patient Foundation

This program provides medication at no cost.

Provider: Genentech USA, Inc.

Medication :



  • Polivy injection; iv (polatuzumab vedotin-piiq)

Additional Info for Coupon

The Genentech Access to Care Foundation is now the Genentech Patient Foundation.

Eligibility determined on a case-by-case basis.

Call for most recent medications as the list is subject to change.

Coupon Eligibility

Insurance: Uninsured or Underinsured with no prescription coverage for needed medication

Income: Income Guidelines published on Program Website

US Residency: Must be treated by US licensed healthcare provider

Part D: Contact program for details.

Diagnosis: Medically appropriate condition/diagnosis

Genentech Oncology Access Solutions

This program provides brand name medications at no or low cost

Provider: Genentech USA, Inc.

Medication :



  • Polivy injection; iv (polatuzumab vedotin-piiq)

Additional Info for Coupon

Call for most recent medications as the list is subject to change.

Eligibility determined on a case-by-case basis. Contact program for details.

Coupon Eligibility

Insurance: Determined case by case

Income: Based on FPL

US Residency: Must be treated by US licensed healthcare provider

Part D: Determined case by case

Diagnosis: Varies

Patient Access Network Foundation (PAN)

This is a copay assistance program

Provider: Patient Access Network Foundation

Medication :



  • Polivy injection; iv (polatuzumab vedotin-piiq)

Additional Info for Coupon

*Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance.

Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly.

Note: All new enrollment is now done electronically or over the phone. Contact program for details.

Coupon Eligibility

Insurance: *See Additional Information section below

Income: Between 400-500% of FPL

US Residency: Must reside and receive treatment in US

Part D: Determined case by case

Diagnosis: FDA Approved Diagnosis - See Program Website for Details

What is Polivy

Polivy is used to treat diffuse large B-cell lymphoma after at least two other cancer treatments did not work or have stopped working.

Polivy is given in combination with bendamustine (Bendeka, Treanda) and a medicine that contains rituximab (Rituxan).

Polivy may also be used for purposes not listed in this medication guide.

Warnings

Polivy affects your immune system. You may get infections more easily, even serious or fatal infections. Call your doctor if you have a fever, chills, cough, mouth sores, unusual bleeding or bruising, burning when you urinate, or problems with speech, thought, or muscle movement.

Before taking this medicine

Tell your doctor if you have ever had:

  • liver disease; or

  • nerve problems (neuropathy) in your hands and feet.

Polivy can harm an unborn baby or cause birth defects if the mother or the father is using Polivy.

  • If you are a woman, you may need to have a negative pregnancy test before starting this treatment. Do not use Polivy if you are pregnant. Use effective birth control to prevent pregnancy while you are using this medicine and for at least 3 months after your last dose.

  • If you are a man, use effective birth control if your sex partner is able to get pregnant. Keep using birth control for at least 5 months after your last dose.

  • Tell your doctor right away if a pregnancy occurs while either the mother or the father is using Polivy.

This medicine may affect fertility (ability to have children) in men. However, it is important to use birth control to prevent pregnancy because Polivy can harm an unborn baby.

Do not breastfeed while using this medicine, and for at least 2 months after your last dose.

Polivy Side Effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Polivy may cause a serious brain infection that can lead to disability or death. Call your doctor right away if you have problems with speech, thought, vision, or muscle movement. These symptoms may start gradually and get worse quickly.

Some side effects may occur during the injection. Tell your caregiver if you feel feverish, chilled, itchy, light-headed, or have wheezing, chest tightness, or trouble breathing within 24 hours after the injection.

Call your doctor at once if you have:

  • easy bruising or bleeding (nosebleeds, bleeding gums);

  • muscle weakness;

  • cough with mucus, chest pain, feeling short of breath;

  • pale skin, cold hands and feet, feeling light-headed;

  • nerve problems--numbness, tingling, pain, burning sensation in your hands or feet, weakness, trouble walking;

  • signs of infection--fever, chills, night sweats, cough, mouth sores, swollen glands, shallow breathing, pain or burning when you urinate, weight loss;

  • signs of shingles--flu-like symptoms, tingly or painful blistering rash on one side of your body;

  • liver problems--loss of appetite, stomach pain (upper right side), dark urine, jaundice (yellowing of the skin or eyes); or

  • signs of tumor cell breakdown--confusion, weakness, muscle cramps, nausea, vomiting, fast or slow heart rate, decreased urination, tingling in your hands and feet or around your mouth.

Common side effects may include:

  • fever, cough, tiredness, or other signs of infection;

  • nerve problems; or

  • diarrhea, loss of appetite.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Free Discount Drug Coupon

All patients are eligible to receive a discount by using this free Polivy coupon. Save up to 80% on your prescription costs when using our drug coupons at your local pharmacy.

Assistance Fund - Financial Assistance
Assistance Fund - Financial Assistance

Free Prescription Discount Card

  • No registration required.
  • Everyone is eligible.
  • Get discount up to 80%.
  • Card can be used for person with Insurance or without insurance for discount.
  • Never expires.
  • Ready for immediate.
  • No activation required.
  • Prescription Coupon