With commercial insurance: Genentech Ophthalmology Co-pay Program — as little as $0. With Medicare: the Vabysmo card can’t be used. HealthWell Foundation – AMD and Retinal Vascular Diseases is closed as of September 29, 2026.
See what this patient owes after assistance →
9 assistance programs for Vabysmo patients · 2 open today
Two Genentech programs cover Vabysmo: the Ophthalmology Co-pay Program for commercial insurance, and the Patient Foundation for uninsured patients. Five foundation funds are on file. The Assistance Fund's Macular Degeneration fund and four TotalAssist eye funds are on file; check each fund's current status on the funds list.
Select the patient's insurance to see which programs may apply.
Current status · Award amounts · Eligibility · Direct application links September 28, 2026
Checked September 28, 2026 · Source 1 ↗ · Source 2 ↗
Checked September 28, 2026 · Source 1 ↗ · Source 2 ↗
Vabysmo’s card can’t be used with Medicare. These funds may help. They open and close with donations, so call before telling a Vabysmo patient no.
Checked September 28, 2026 · Source 1 ↗ · Source 2 ↗
Vabysmo · Wet AMD · Commercial insurance
Eligible patients may pay $0
Example · Vabysmo · 6 mg · 60 units · commercial plan · deductible met · 20% coinsurance · allowed amounts at the Medicare reference rate
| Without assistance | With Genentech Ophthalmology Co-pay Program (EyeOnCopay) | |
|---|---|---|
| Drug responsibility | $375.86 | $0.00 |
| Administration (67028) | $22.85 | $0.00 |
| Patient owes | $398.71 | $0.00 |
Estimated patient savings: $398.71
CareCost calculates the drug and administration lines using the patient’s payer rate and benefits; this example uses the Medicare rate as a reference.
Maximum award See program
The Assistance Fund fund for government-insured patients with Diagnosis of macular degeneration with prescription for FDA-approved treatment.
Also available if this patient’s coverage falls short
Free Genentech Patient Foundation (Free Drug) for eligible patients
Change the diagnosis to see only the programs that apply to your patient.
| Task | ✓ |
|---|---|
| Find programs for this insurance type | ✓ |
| See whether each program is open | ✓ |
| See maximum award | ✓ |
| Review key eligibility requirements | ✓ |
| Open the official application | ✓ |
| Calculate cost before assistance | ✓ |
| Apply the program benefit | ✓ |
| Calculate what the patient still owes | ✓ |
Commercial insurance: Eligible commercially insured patients may qualify for the Genentech Ophthalmology Co-pay Program. Eligible patients pay $0 out of pocket, up to $15,000 per year; per the program record, the benefit covers drug and administration costs, not a separate office-visit fee. It excludes Medicare, Medicaid and other government insurance. View current program ↑
How the lines work: A Vabysmo visit produces two charges: a drug line (J2777, billed per 0.1 mg, so the 6 mg per-eye dose is 60 units) and a procedure line for the injection itself (67028 per eye, reported RT or LT, or once with modifier 50 when both eyes are injected at the same visit). Each line carries its own patient share. The Genentech Ophthalmology Co-pay Program’s record naming “drug and administration costs” makes it the one program in this class that names the procedure line, rather than the drug charge alone.
Medicare: Manufacturer copay assistance is not available to patients using Medicare to pay for Vabysmo; 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) and Medicaid dual eligibility where it applies. The Genentech Patient Foundation is limited to uninsured patients and does not extend to Medicare beneficiaries. View current options ↑
Foundation funds: The Assistance Fund's Macular Degeneration fund accepts Medicare, and four TotalAssist eye funds take government insurance; check each fund's current status on the funds list. Until a fund opens, the Medigap and Medicaid dual-eligibility paths above are the routes that work today.
Uninsured: the Genentech Patient Foundation provides Vabysmo at no cost to uninsured patients with household income under $150,000. It covers the drug cost only; administration is billed separately, 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: Vabysmo, Eylea, Eylea HD, Pavblu, Lucentis, Cimerli, Byooviz and Beovu treat overlapping conditions but are separate products under separate HCPCS codes, each with its own manufacturer and its own assistance program. Confirm the product actually prescribed and billed before applying to a Genentech program.
Yes. The Genentech Ophthalmology Co-pay Program is Genentech’s current commercial-insurance program. Eligible patients pay $0 out of pocket for Vabysmo, up to $15,000 a year. Apply on Genentech-Pro.com ↗ Calculate cost with the program →
The record on file says it covers drug and administration costs, not a separate office-visit fee. That record’s wording makes it the one program in this class that names the procedure line (67028) rather than the drug charge alone. View current program ↑
No. The Genentech Ophthalmology Co-pay Program excludes Medicare, Medicaid and other government insurance, and the Genentech Patient Foundation is limited to uninsured patients. A Medicare patient’s options are a Medigap policy that picks up the Part B coinsurance or Medicaid dual eligibility where it applies. See Medicare cost math →
No. Five foundation funds on file match Vabysmo. The Assistance Fund's Macular Degeneration fund and four TotalAssist eye funds (macular degeneration, diabetic macular edema, diabetic retinopathy and retinal vein occlusion; government insurance only) are on file; check each fund's current status on the funds list. The two programs above — the Genentech Ophthalmology Co-pay Program and the Genentech Patient Foundation — are the manufacturer assistance on file.
Apply at Gene.com ↗ or call 888-941-3331; the Genentech Patient Foundation then provides Vabysmo at no cost to qualifying uninsured patients with household income under $150,000. It covers the drug cost only; administration is billed separately, so the practice still bills the patient for the 67028 charge, or writes it off.
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. 16 of the 27 payers in CareCost’s Vabysmo coverage corpus require a documented trial of another product first, most often bevacizumab. Check the payer’s prerequisites before assuming the claim will be approved. Check coverage requirements →
Vabysmo shares its class with Eylea (J0178, Regeneron), Eylea HD (J0177, Regeneron), Pavblu (Q5147, Amgen), Lucentis (J2778, Genentech), Cimerli (Q5128, Sandoz), Byooviz (Q5124, Biogen / Samsung Bioepis), Beovu (J0179, Novartis), billed under their own codes with their own manufacturer programs. The programs above apply to Vabysmo 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.
Regeneron Patient Assistance
EYLEA4U Copay Card
EYLEA4U Copay Card (Eylea HD)
EYLEA4U Patient Assistance Program (Eylea HD)
Genentech Patient Foundation
Genentech Ophthalmology Co-pay Program
Cimerli Solutions Co-Pay Program
Biogen Copay Program for Byooviz
Beovu Universal Co-Pay Program
Novartis Patient Assistance Foundation (Beovu)
Data current: programs verified Sep 28, 2026
Genentech Ophthalmology Co-pay Program · Genentech Patient Foundation (Free Drug) · Regeneron Patient Assistance (Eylea) · EYLEA4U Copay Card (Eylea) · EYLEA4U Copay Card (Eylea HD) · EYLEA4U Patient Assistance Program (Eylea HD) · Genentech Patient Foundation (Lucentis) · Genentech Ophthalmology Co-pay Program (Lucentis) · Cimerli Solutions Co-Pay Program · Biogen Copay Program for Byooviz · Beovu Universal Co-Pay Program · Novartis Patient Assistance Foundation (Beovu). 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 →
CareCost