Genentech Patient Foundation (Polivy Free Drug)

Manufacturer copay assistance · Polivy (J9309) · Genentech

$0 — free drug for… · Maximum benefit Free Polivy for qualifying patients without coverage or with financial concerns · Free Polivy drug shipped to provider — does not cover infusion administration

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Status verified May 28, 2026 · Source: program site ↗

Program terms

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

Assistance type
Free Drug
Patient pays
$0 — free drug for qualifying uninsured/underinsured patients
Maximum benefit
Free Polivy for qualifying patients without coverage or with financial concerns
What it covers
Free Polivy drug shipped to provider — does not cover infusion administration
Insurance
uninsured
Income limit
Income limits apply

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 Patient Foundation (Polivy Free Drug) from Genentech. $0 — free drug for qualifying uninsured/underinsured patients. Commercial insurance is typically required.

How much does Polivy cost with the copay card?

$0 — free drug for qualifying uninsured/underinsured patients Maximum benefit: Free Polivy for qualifying patients without coverage or with financial concerns. Free Polivy drug shipped to provider — does not cover infusion administration

Who is eligible for Genentech Patient Foundation (Polivy Free Drug)?

Accepted insurance: uninsured. Income limit: Income limits apply.

Patient or caregiver? Your infusion center's financial counselor can enroll you — or call the program at 888-249-4918.