CareCost CareCost Estimate

Lucentis copay assistance programs

With commercial insurance: Genentech Ophthalmology Co-pay Program — as little as $0. With Medicare: the Lucentis card can’t be used. HealthWell Foundation – AMD and Retinal Vascular Diseases is closed as of September 29, 2026.

Copay program checked September 28, 2026 · Source ↗

See what this patient owes after assistance →

9 assistance programs for Lucentis patients · 2 open today

Two Genentech programs cover Lucentis: one for commercial insurance, one for uninsured patients. Nine foundation funds are on file. The Assistance Fund's Macular Degeneration fund and eight more funds are on file; check each fund's current status on the funds list. This page’s fund cards update automatically if one reopens.

Select the patient's insurance to see which programs may apply.

Current status · Award amounts · Eligibility · Direct application links

Lucentis assistance, in the order you will use it

Copay program · Genentech Ophthalmology Co-pay Program (EyeOnCopay)

Open
Who qualifiesCommercial (private or non-governmental) insurance incl. exchange plans; age 18+ (or caregiver); FDA-approved indication; US/territories; not receiving Genentech Patient Foundation or another charity for the same drug expenses (Foundation drug + program admin assistance is allowed). Medicare, Medicare Advantage, Medigap, Medicaid, VA, DoD, TRICARE excluded.
Clinic-billed (medical benefit) claimsYes. Submitted by: the provider or the patient. Send the claim within 365 days of the date of service.
How to submitLine-item EOB required: insurance company, facility name, patient name, DOS, drug name or J-code, amount billed, allowed, patient responsibility, amount paid to provider, NPI. Retroactive lookback 180 days from enrollment. Payment by virtual debit card, check, or EFT. Patients auto re-enroll Jan 1 and benefits reset Jan 1. Switching between Genentech ophthalmology drugs requires applying for the new treatment.
Plans that count only part of the cardIf Genentech determines that a third party has implemented programs that adjust patient cost-sharing obligations based on the availability of support under the Programs and/or excludes the assistance provided under the Programs from counting towards the patient's deductible or out-of-pocket cost limitations, Genentech may impose a per fill cap on the cost-sharing assistance available under the Programs." (vabysmo-hcp.com Financial Assistance Options; same Genentech Ophthalmology Co-pay Program)
Phone855-218-5307

Checked September 28, 2026 · Source 1 ↗ · Source 2 ↗

Free-drug program · Genentech Patient Foundation

Open
Who qualifiesIncome: Uninsured or insured-without-coverage for the drug: under $150,000 (add $25,000 per person beyond 4). Insured with coverage: plan OOP max exceeds 7.5% of household income plus household size/income within guidelines. Insurance: Uninsured; insured without coverage for the drug; or insured with coverage when OOP max exceeds 7.5% of household income. Insured patients are encouraged to try other financial assistance first.
Phone888-941-3331

Checked September 28, 2026 · Source 1 ↗ · Source 2 ↗

If the patient has Medicare

Lucentis’s card can’t be used with Medicare. These funds may help. They open and close with donations, so call before telling a Lucentis patient no.

The Assistance Fund (TAF) – Macular DegenerationNot confirmed, call lists Lucentis
Checked September 28, 2026 · Source ↗
HealthWell Foundation – AMD and Retinal Vascular DiseasesClosed $4,000 lists Lucentis
Checked September 29, 2026 · Source ↗
TotalAssist (Patient Advocate Foundation) – Macular degeneration and related diseasesClosed $4,600 lists Lucentis
Checked September 28, 2026 · Source ↗
TotalAssist (Patient Advocate Foundation) – Diabetic macular edema (DME)Closed $4,500 lists Lucentis
Checked September 28, 2026 · Source ↗
TotalAssist (Patient Advocate Foundation) – Retinal vein occlusion (RVO)Closed $4,600 lists Lucentis
Checked September 28, 2026 · Source ↗
TotalAssist (Patient Advocate Foundation) – Diabetic retinopathy (DR)Closed $4,500 lists Lucentis
Checked September 28, 2026 · Source ↗
Good Days – Vascular and Neovascular Retinal DiseaseClosed lists Lucentis
Checked September 29, 2026 · Source ↗

Support hub · LUCENTIS Access Solutions / Genentech Ophthalmology Access Solutions

What they doBenefits investigation, prior authorization support, appeals resources, case managers, co-pay program and Genentech Patient Foundation referral, independent foundation referrals (Good Days, PANF, The Assistance Fund, HealthWell), My Patient Solutions portal
Phone866-4ACCESS (866-422-2377) 6 AM-5 PM PST; (833) EYE-GENE 833-393-4363

Checked September 28, 2026 · Source 1 ↗ · Source 2 ↗

3 programs match this patient · 1 open · 1 more if coverage falls short

Lucentis · Wet AMD · Commercial insurance

Genentech Ophthalmology Co-pay Program (EyeOnCopay)Open

Eligible patients may pay $0

Potential benefit$0 · $15,000/year annual maximum applies
InsuranceCommercial ✓ · Government insurance ✗
DiagnosisWet AMD ✓
IncomeNo income requirement
Phone855-218-5307
Current statusOpen
Last verifiedSeptember 28, 2026

Calculate this patient’s cost with this program ↓

Calculate this patient’s cost with Genentech Ophthalmology Co-pay Program (EyeOnCopay)

Assistance

Free · No credit card · No sales call

Run the estimate with assistance, without assistance, or both side by side.

What CareCost shows

Example · Lucentis · 0.5 mg · 5 units · commercial plan · deductible met · 20% coinsurance · allowed amounts at the Medicare reference rate

Without assistanceWith Genentech Ophthalmology Co-pay Program (EyeOnCopay)
Drug responsibility$26.38$0.00
Administration (67028)$22.85$0.00
Patient owes$49.23$0.00

Estimated patient savings: $49.23

CareCost calculates the drug and administration lines using the patient’s payer rate and benefits; this example uses the Medicare rate as a reference.

3 more Lucentis programs for this patient

The Assistance Fund — Macular DegenerationWaitlist

Maximum award See program

The Assistance Fund fund for government-insured patients with Diagnosis of macular degeneration with prescription for FDA-approved treatment.

Potential benefitUp to See program
InsuranceCommercial ✓ · Medicare ✓ · Medicaid ✓
DiagnosisWet AMD ✓
IncomeCall the foundation to check who qualifies.
Phone855-308-0361
Current statusWaitlist

Calculate this patient’s cost if this fund reopens ↓

HealthWell Foundation — Macular Degeneration (Wet and Dry)Closed

Maximum award $4,000

HealthWell Foundation fund for government-insured patients with Macular Degeneration (Wet and Dry) (confirmed diagnosis).

Potential benefitUp to $4,000/year
InsuranceCommercial ✓ · Medicare ✓ · Medicaid ✓ · TRICARE ✓
DiagnosisWet AMD ✓
IncomeCall the foundation to check who qualifies.
Phone800-675-8416
Current statusClosed to new applications
Last verifiedSeptember 29, 2026

Calculate this patient’s cost if this fund reopens ↓

Also available if this patient’s coverage falls short

Genentech Patient FoundationIf underinsured

Free Genentech Patient Foundation for eligible patients

Potential benefitFree drug — no limit
InsuranceUninsured ✓ · Medicare ✗ · Commercial ✗ · Medicaid ✗
DiagnosisWet AMD ✓
IncomeUninsured or insured-without-coverage for the drug: under $150,000 (add $25,000 per person beyond 4). Insured with coverage: plan OOP max exceeds 7.5% of household income plus household size/income within guidelines.
Covers administrationNo — the injection fee is not covered
Phone888-941-3331
Current statusOpen
Last verifiedSeptember 28, 2026

Calculate this patient’s cost with this program ↓

Other Lucentis assistance programs

Change the diagnosis to see only the programs that apply to your patient.

RVO macular edema3 programsCheck current programs →
Diabetic macular edema5 programsCheck current programs →
Diabetic retinopathy4 programsCheck current programs →
Myopic CNV3 programsCheck current programs →
Neurodegenerative Retinal Disease, Inherited Retinal Disease (IRD)2 funds · 0 open
Lucentis is not interchangeable with the other anti-VEGF products that treat the same conditions. Byooviz (Q5124, Biogen / Samsung Bioepis), Cimerli (Q5128, Sandoz, US commercialization paused in 2025), Eylea (J0178, Regeneron), Eylea HD (J0177, Regeneron), Pavblu (Q5147, Amgen), Vabysmo (J2777, Genentech), Beovu (J0179, Novartis) and off-label Avastin (J9035, Genentech) are separate products under separate HCPCS codes. The Genentech Ophthalmology Co-pay Program and Genentech Patient Foundation apply only to a patient actually prescribed and billed Lucentis (J2778). Most ranibizumab payers direct a new patient to another product first (19 of 27 in CareCost’s coverage corpus require a documented trial, most often of repackaged bevacizumab), and if the payer’s preferred-product policy lands the patient on one of the other products instead, that manufacturer runs its own separate assistance program, listed below. Confirm the product actually administered before applying to a Genentech program.

One assistance search. One patient estimate.

Task✓
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Review key eligibility requirements✓
Open the official application✓
Calculate cost before assistance✓
Apply the program benefit✓
Calculate what the patient still owes✓

How Lucentis assistance works

Commercial insurance: Eligible commercially insured patients may qualify for the Genentech Ophthalmology Co-pay Program. Eligible patients pay $0 toward the Lucentis drug charge, up to $15,000 a year, and the program adds up to $1,000 a year toward the 67028 injection administration copay; it does not cover supplies or physician fees beyond that. It excludes Medicaid, Medicare and other government insurance. View current program ↑

How the lines work: A Lucentis visit produces two charges: a drug line under J2778, 5 units per eye at the 0.5 mg wet AMD, RVO and mCNV dose or 3 units per eye at the 0.3 mg DME and DR dose, and a procedure line for the injection itself, 67028, reported per eye (RT or LT, or once with modifier 50 when both eyes are treated at the same visit). Each line carries its own patient share. The Genentech Ophthalmology Co-pay Program pays the drug line’s share in full, up to $15,000 a year, and separately contributes toward the 67028 charge.

Medicare: Manufacturer copay assistance is not available to patients using Medicare to pay for Lucentis; the Genentech Ophthalmology Co-pay Program explicitly excludes Medicare, Medicaid and other government plans. What exists instead is a Medigap policy that picks up the Part B coinsurance (see the cost page for the math), Medicaid dual eligibility where it applies, a foundation fund when one reopens, and the Genentech Patient Foundation for patients who are uninsured. View current options ↑

The foundation funds: Nine funds are on file for Lucentis. The Assistance Fund's Macular Degeneration fund is on file; check each fund's current status on the funds list. The other eight are HealthWell Foundation's Macular Degeneration fund (up to $4,000 a year), Good Days' two retinal-disease funds, and five TotalAssist eye funds; check each fund's current status on the funds list. This page’s fund cards update automatically when one reopens.

Uninsured: The Genentech Patient Foundation provides Lucentis at no cost to qualifying uninsured patients with household income under $150,000. It ships the drug free to the practice; it does not cover the injection procedure or office-visit fees, so the practice still bills the patient for the 67028 charge, or writes it off. Check today’s status ↑

Why fund status matters: Manufacturer programs can change between: OPEN Accepting applications now · WAITLIST Not enrolling immediately · CLOSED Not accepting new applications. Every CareCost program card shows the status and the date it was verified.

Why the product name matters: Lucentis, Byooviz, Cimerli, Eylea, Eylea HD, Pavblu, Vabysmo and Beovu treat overlapping conditions but are separate products under separate HCPCS codes, each with its own manufacturer and, where one exists, its own assistance program. Confirm the product actually prescribed and billed before applying to a Genentech program.

Frequently asked questions

Is there a Lucentis copay card?

Yes. The Genentech Ophthalmology Co-pay Program is Genentech’s current commercial-insurance program. Eligible patients pay $0 toward the Lucentis drug charge, up to $15,000 a year, and the program adds up to $1,000 a year toward the 67028 injection administration copay. Apply / Enroll on Genentech Ophthalmology Co-pay Program ↗ Calculate cost with the program →

Does the Genentech Ophthalmology Co-pay Program cover the injection fee?

Partially. The Genentech Ophthalmology Co-pay Program covers the drug charge (J2778) in full, up to $15,000 a year, and separately covers up to $1,000 a year toward the 67028 injection administration copay (RT or LT, or once with modifier 50 for both eyes). It does not cover a separate office-visit copay. View current program ↑

Can Medicare patients get Lucentis for free?

No. The Genentech Ophthalmology Co-pay Program, which pays a commercial patient’s Lucentis cost down to $0 up to $15,000 a year, excludes Medicare, Medicaid and other government insurance entirely. The Genentech Patient Foundation is not a Medicare option either, since it is limited to uninsured patients with household income under $150,000. Nine funds are on file, including The Assistance Fund's Macular Degeneration fund and HealthWell's Macular Degeneration fund (up to $4,000 a year); check each fund's current status on the funds list. A Medicare patient’s real options are a Medigap policy that picks up the Part B coinsurance, or Medicaid dual eligibility where it applies. See Medicare cost math →

Is there a foundation fund for Lucentis?

Nine are on file. The Assistance Fund's Macular Degeneration fund is on file; check each fund's current status on the funds list. The other eight are HealthWell Foundation's Macular Degeneration fund (up to $4,000 a year), Good Days' two retinal-disease funds, and five TotalAssist eye funds; check each fund's current status on the funds list. This page’s fund cards update automatically when one reopens.

How do you apply for the Genentech Patient Foundation?

Apply at gene.com/patients/patient-foundation ↗ or call 888-941-3331; the Genentech Patient Foundation then provides Lucentis at no cost to qualifying uninsured patients with household income under $150,000. It ships the drug free to the practice but does not cover the injection procedure or office-visit fees. The practice still bills the patient, or writes off, the 67028 charge.

What if the patient’s plan denied Lucentis?

A claim the payer turned down leaves no approved amount for a copay program to reduce; the Genentech Ophthalmology Co-pay Program applies only to an approved claim, and it is not an appeals program. 19 of the 27 payers in CareCost’s ranibizumab coverage corpus require a documented trial of another product first, most often repackaged bevacizumab. Check the payer’s prerequisites before assuming the claim will be approved. Check coverage requirements →

Assistance for the other products in this family

Lucentis shares its class with Byooviz (Q5124, Biogen / Samsung Bioepis), Eylea (J0178, Regeneron), Eylea HD (J0177, Regeneron), Pavblu (Q5147, Amgen), Vabysmo (J2777, Genentech), Beovu (J0179, Novartis), billed under their own codes with their own manufacturer programs. The programs above apply to Lucentis only. If the payer requires the other product instead, use that manufacturer’s program below.

Each card is the program record on file, verified on the date it shows. None of them pays the administration line. Pavblu has no program record on file.

Byooviz (Q5124) · Biogen / Samsung BioepisClosed

Biogen Copay Program for Byooviz

Applies whenPatient is on Byooviz, not Lucentis
BenefitCopay assistance: See program
InsuranceCommercial
Current statusClosed
Last verifiedJune 14, 2026
Eylea (J0178) · RegeneronOpen

Regeneron Patient Assistance

Applies whenPatient is on Eylea, not Lucentis
BenefitFree drug — no limit
InsuranceUninsured
Current statusOpen
Last verifiedMarch 22, 2026
Eylea (J0178) · RegeneronOpen

EYLEA4U Copay Card

Applies whenPatient is on Eylea, not Lucentis
BenefitCopay assistance: $20,000/year
InsuranceCommercial
Current statusOpen
Last verifiedMarch 22, 2026
Eylea HD (J0177) · RegeneronOpen

EYLEA4U Copay Card (Eylea HD)

Applies whenPatient is on Eylea HD, not Lucentis
BenefitCopay assistance: $20,000/year
InsuranceCommercial
Current statusOpen
Last verifiedApril 8, 2026
Eylea HD (J0177) · RegeneronOpen

EYLEA4U Patient Assistance Program (Eylea HD)

Applies whenPatient is on Eylea HD, not Lucentis
BenefitFree drug — limit not on file
InsuranceUninsured
Current statusOpen
Last verifiedApril 8, 2026
Vabysmo (J2777) · GenentechOpen

Genentech Ophthalmology Co-pay Program

Applies whenPatient is on Vabysmo, not Lucentis
BenefitCopay assistance: $15,000/year
InsuranceCommercial
Current statusOpen
Last verifiedMay 28, 2026
Vabysmo (J2777) · GenentechOpen

Genentech Patient Foundation (Free Drug)

Applies whenPatient is on Vabysmo, not Lucentis
BenefitFree drug — no limit
InsuranceUninsured
Current statusOpen
Last verifiedMay 28, 2026
Beovu (J0179) · NovartisClosed

Beovu Universal Co-Pay Program

Applies whenPatient is on Beovu, not Lucentis
BenefitCopay assistance: $15,000/year
InsuranceCommercial
Current statusClosed
Last verifiedJune 14, 2026
Beovu (J0179) · NovartisOpen

Novartis Patient Assistance Foundation (Beovu)

Applies whenPatient is on Beovu, not Lucentis
BenefitFree drug — enrollment period applies
InsuranceUninsured · Medicare
Current statusOpen
Last verifiedMay 2, 2026

Sources

Data current: programs verified Sep 29, 2026

Genentech Ophthalmology Co-pay Program · Genentech Patient Foundation · HealthWell Foundation Macular Degeneration (Wet and Dry) · Good Days Neurodegenerative Retinal Disease · Good Days Vascular and Neovascular Retinal Disease. Every program links directly to its official source or application page.

Last program check: .

Reviewed September 20, 2026 by Erin Rose, CareCost Estimate founder. Methodology →