Valcyte Prescription Assistance Programs

Valcyte: Apply for prescription assistance below

If you are eligible, the programs below can help you afford Valcyte. 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 or go to the program website.

Looking for a different medication?

Genentech Access to Care Foundation (GATCF) Transplants

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

Provided by: Genentech, Inc.
PO Box 29064, Phoenix, AZ 85038
TEL: 888-754-7651
FAX: 800-305-1830
Languages Spoken:
English, Spanish, Others By Translation Service
Program Website
  • Valcyte (valganciclovir)
Eligibility Requirements
  • Insurance Status Uninsured or Underinsured
  • Those with Part D Elibible? Determined case by case
  • Income Household income at or less than $150,000
  • Diagnosis/Medical Criteria Medically appropriate condition/diagnosis
  • U.S. Residency Required? Must be treated in the US or Puerto Rico
  • Obtaining Call or download
  • Receiving Faxed or downloaded from website
  • Returning The completed application can be faxed or mailed back.
  • Doctor's Action Complete section, sign, attach required documents
  • Applicant's Action Complete section and sign
  • Decision Communicated Patient and/or Doctor are notified
  • Decision Timeframe 2-3 business days
  • Amount/Supply 90 day supply
  • Sent To Doctor's office or patient's home
  • Delivery Time Contact Program for Details
  • Refill Proces Contact program for details.
  • Limit Contact the program for details
  • Re-application New application every 12 months
Additional Information
Updated October 15, 2019

If you, your patient or loved one does not qualify for this program or other prescription savings programs, then please search for prices here.

Back to top

Sign up for PharmacyChecker News

Exclusive drug savings tips & news straight to your inbox.

PharmacyChecker uses cookies to track & improve your online experience.