Cathflo Patient Assistance Programs

Cathflo: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Cathflo. Review the information to see if you qualify. The applications are available in Adobe PDF format and should be mailed directly to the provider of the patient assistance program.

If you have any questions, please call the telephone number for the program (not PharmacyChecker.com) or go to the program website.

Looking for a different medication?

Genentech Access to Care Foundation (TNKase, Cathflo, Activase)

(Program 1 of 5 — Scroll down to see them all)

Provided by: Genentech, Inc.
Genentech Access Solutions 1 DNA Way, Mail Stop #858a South San Francisco, CA 94080-4990
TEL: 800-530-3083
ALT PHONE: 800-530-3083
Languages Spoken:
English, Spanish, Others By Translation Service
Program Website
Medications
  • Cathflo injection (alteplase injection)
Eligibility Requirements
  • Insurance Status Must have no prescription coverage or been denied coverage
  • Those with Part D Elibible? Determined case by case
  • Income Gross annual household income at or below $100,000
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? Must be treated by US licensed healthcare provider
Application
  • Obtaining Doctor/Doctor's office starts process by filling out enrollment/statement of medical necessity forms
  • Receiving Faxed, mailed or downloaded from website
  • Returning The completed application must be faxed back.
  • Doctor's Action Complete and sign statement of medical necessity
  • Applicant's Action Complete Patient Authorization and Notice of Information Form available on website, attach proof of income
  • Decision Communicated Doctor notified
  • Decision Timeframe Not specified
Medication
  • Amount/Supply Varies
  • Sent To Doctor's office, hospital, or pharmacy
  • Delivery Time Not specified
  • Refill Proces Not specified
  • Limit Not specified
  • Re-application New application yearly
Additional Information
Please visit www.Activase.com, www.Cathflo.com & www.TNKase.com for more information. This program also provides copay assistance.
Updated October 12, 2018

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Genentech Access to Care Foundation (TNKase, Cathflo, Activase)

(Program 2 of 5 — Scroll down to see them all)

Provided by: Genentech, Inc.
Genentech Access Solutions 1 DNA Way, Mail Stop #858a South San Francisco, CA 94080-4990
TEL: 800-530-3083
ALT PHONE: 800-530-3083
Languages Spoken:
English, Spanish, Others By Translation Service
Program Website
Medications
  • Cathflo injection (alteplase injection)
Eligibility Requirements
  • Insurance Status Must have no prescription coverage or been denied coverage
  • Those with Part D Elibible? Determined case by case
  • Income Gross annual household income at or below $100,000
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? Must be treated by US licensed healthcare provider
Application
  • Obtaining Doctor/Doctor's office starts process by filling out enrollment/statement of medical necessity forms
  • Receiving Faxed, mailed or downloaded from website
  • Returning The completed application must be faxed back.
  • Doctor's Action Complete and sign statement of medical necessity
  • Applicant's Action Complete Patient Authorization and Notice of Information Form available on website, attach proof of income
  • Decision Communicated Doctor notified
  • Decision Timeframe Not specified
Medication
  • Amount/Supply Varies
  • Sent To Doctor's office, hospital, or pharmacy
  • Delivery Time Not specified
  • Refill Proces Not specified
  • Limit Not specified
  • Re-application New application yearly
Additional Information
Please visit www.Activase.com, www.Cathflo.com & www.TNKase.com for more information. This program also provides copay assistance.
Updated October 12, 2018

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Genentech Access to Care Foundation (TNKase, Cathflo, Activase)

(Program 3 of 5 — Scroll down to see them all)

Provided by: Genentech, Inc.
Genentech Access Solutions 1 DNA Way, Mail Stop #858a South San Francisco, CA 94080-4990
TEL: 800-530-3083
ALT PHONE: 800-530-3083
Languages Spoken:
English, Spanish, Others By Translation Service
Program Website
Medications
  • Cathflo injection (alteplase injection)
Eligibility Requirements
  • Insurance Status Must have no prescription coverage or been denied coverage
  • Those with Part D Elibible? Determined case by case
  • Income Gross annual household income at or below $100,000
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? Must be treated by US licensed healthcare provider
Application
  • Obtaining Doctor/Doctor's office starts process by filling out enrollment/statement of medical necessity forms
  • Receiving Faxed, mailed or downloaded from website
  • Returning The completed application must be faxed back.
  • Doctor's Action Complete and sign statement of medical necessity
  • Applicant's Action Complete Patient Authorization and Notice of Information Form available on website, attach proof of income
  • Decision Communicated Doctor notified
  • Decision Timeframe Not specified
Medication
  • Amount/Supply Varies
  • Sent To Doctor's office, hospital, or pharmacy
  • Delivery Time Not specified
  • Refill Proces Not specified
  • Limit Not specified
  • Re-application New application yearly
Additional Information
Please visit www.Activase.com, www.Cathflo.com & www.TNKase.com for more information. This program also provides copay assistance.
Updated October 12, 2018

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Genentech Access to Care Foundation (TNKase, Cathflo, Activase)

(Program 4 of 5 — Scroll down to see them all)

Provided by: Genentech, Inc.
Genentech Access Solutions 1 DNA Way, Mail Stop #858a South San Francisco, CA 94080-4990
TEL: 800-530-3083
ALT PHONE: 800-530-3083
Languages Spoken:
English, Spanish, Others By Translation Service
Program Website
Medications
  • Cathflo injection (alteplase injection)
Eligibility Requirements
  • Insurance Status Must have no prescription coverage or been denied coverage
  • Those with Part D Elibible? Determined case by case
  • Income Gross annual household income at or below $100,000
  • Diagnosis/Medical Criteria FDA-approved diagnosis
  • U.S. Residency Required? Must be treated by US licensed healthcare provider
Application
  • Obtaining Doctor/Doctor's office starts process by filling out enrollment/statement of medical necessity forms
  • Receiving Faxed, mailed or downloaded from website
  • Returning The completed application must be faxed back.
  • Doctor's Action Complete and sign statement of medical necessity
  • Applicant's Action Complete Patient Authorization and Notice of Information Form available on website, attach proof of income
  • Decision Communicated Doctor notified
  • Decision Timeframe Not specified
Medication
  • Amount/Supply Varies
  • Sent To Doctor's office, hospital, or pharmacy
  • Delivery Time Not specified
  • Refill Proces Not specified
  • Limit Not specified
  • Re-application New application yearly
Additional Information
Please visit www.Activase.com, www.Cathflo.com & www.TNKase.com for more information. This program also provides copay assistance.
Updated October 12, 2018

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HealthWell Foundation Copay Program

(Program 5 of 5 — Scroll down to see them all)

Provided by: HealthWell Foundation
PO Box 220410 Chantilly, VA 20153-0410
TEL: 800-675-8416
FAX: 800-282-7692
Languages Spoken:
English, Others By Translation Service
Program Website
Medications
  • None (alteplase)
Eligibility Requirements
  • Insurance Status May have insurance
  • Those with Part D Elibible? Yes
  • Income Varies
  • Diagnosis/Medical Criteria Medically appropriate condition/diagnosis
  • U.S. Residency Required? The patient must also be residing in the US.
Application
  • Obtaining Call or complete online
  • Receiving Sent out or may be completed online
  • Returning The completed application must be mailed back.
  • Doctor's Action Complete section and sign
  • Applicant's Action Complete section, sign, attach a copy of proof of income
  • Decision Communicated Patient notified in writing
  • Decision Timeframe 3-5 business days
Medication
  • Amount/Supply Not applicable
  • Sent To Varies
  • Delivery Time Not specified
  • Refill Proces Good for one year
  • Limit Not specified
  • Re-application New application every 12 months
Additional Information
This program provides financial assistance to eligible individuals to cover coinsurance, copayments, healthcare premiums and deductibles for certain treatments. Also, for those who are eligible for health insurance, but cannot afford the insurance premium, the foundation may be able to help by paying some or all of the medical portion of insurance premiums. The patient is being treated for a specific disease for which funding is available and has insurance that covers the treatment for this disease. Call for most recent medications as the list is subject to change.
Updated September 24, 2018

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