Genentech Oncology Co-pay Assistance Program (Polivy)

Manufacturer copay assistance · Polivy (J9309) · Genentech

Eligible patients pay as… · Maximum benefit Up to $25,000/year (typical Genentech oncology cap; per-fill cap may apply if accumulator adjuster detected) · Covers Polivy drug cost only — does NOT cover infusion administration

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Status verified April 8, 2026 · Source: program site ↗

Program terms

Published terms from the manufacturer. Per-patient eligibility is confirmed at enrollment.

Assistance type
Copay Assist
Patient pays
Eligible patients pay as little as $0 per treatment
Maximum benefit
Up to $25,000/year (typical Genentech oncology cap; per-fill cap may apply if accumulator adjuster detected)
What it covers
Covers Polivy drug cost only — does NOT cover infusion administration
Insurance
commercial no medicare no medicaid no tricare no va no government
Renewal
annual
Same Genentech Access Solutions infrastructure as Avastin/Rituxan/Gazyva/Herceptin.

Medicare or Medicaid patient?

This manufacturer program excludes government insurance. Foundation disease funds are the route instead — status shown as of each fund's last verification.

What will the patient owe before assistance?

Run a benefits estimate for Polivy — the program's cap applies against the patient share CareCost calculates.

Common questions

Does Polivy have a copay card?

Yes — Genentech Oncology Co-pay Assistance Program (Polivy) from Genentech. Eligible patients pay as little as $0 per treatment. Commercial insurance is required; Medicare and Medicaid patients are not eligible.

How much does Polivy cost with the copay card?

Eligible patients pay as little as $0 per treatment Maximum benefit: Up to $25,000/year (typical Genentech oncology cap; per-fill cap may apply if accumulator adjuster detected). Covers Polivy drug cost only — does NOT cover infusion administration

Who is eligible for Genentech Oncology Co-pay Assistance Program (Polivy)?

Accepted insurance: commercial. Not eligible: medicare, medicaid, tricare, va, government.

Patient or caregiver? Your infusion center's financial counselor can enroll you — or call the program at 855-692-6729.