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Questions and Answers About Herceptin Access Solutions


If this is your first time working with Herceptin® Access Solutions - or even if you've worked with us before - you are bound to have some questions about how our programs work for treatment with Herceptin® (trastuzumab). We've assembled a list of questions we are asked most often and provided the answers you might need.

What is Herceptin Access Solutions?

We are a service provided by Genentech for Herceptin patients and their health care professionals. We help you in resolving specific coverage and reimbursement issues, as well as providing patient assistance for access to Herceptin and important information resources.


How do I contact Herceptin Access Solutions?

The quickest way to contact us is by calling our toll-free telephone number at (888) 249-4918. Our toll-free fax number is (888) 249-4919. Our mailing address is:
Herceptin Access Solutions
1 DNA Way, Mail Stop #858a
South San Francisco, CA 94080-4990


When does Herceptin Access Solutions start helping with my patient's case?

We can start helping to connect your patient to Herceptin as soon as we have received the completed required forms.


Should I contact Herceptin Access Solutions about general questions about Herceptin?

No. You should direct your questions about Herceptin to your Clinical Sales Representative. Herceptin Access Solutions can answer questions only about access and reimbursement.


Does Herceptin Access Solutions bill claims?

No. Herceptin Access Solutions cannot provide any billing services for your practice


When should I refer my patient to Herceptin Access Solutions for help?

At any point in the process of obtaining Herceptin for your patient - whether you've just decided to prescribe it for your patient, if you've submitted a prior authorization (PA) request to the insurer and Herceptin wasn't approved or if your patient has been on Herceptin but is now having insurance issues.


How do I refer my patient to Herceptin Access Solution?

Please see How to Refer Patients to Herceptin Access Solutions for more information. 


Do I need to register my Herceptin patients with you before treatment begins?

No. There is no need to preregister a patient with us. However, you do need to enroll a patient for our help with issues of access and reimbursement. Herceptin Access Solutions is a voluntary program offered at no charge to you or your patients.


Why does Herceptin Access Solutions ask for medical documentation?

We provide access and reimbursement support for a patient based on the patient's clinical situation and the insurer's coverage guidelines. Medical documentation is needed during prior authorization and/or the appeals process.


Can Herceptin Access Solutions assist with co-pay issues?

Yes. We can help with co-pay issues. We can explore alternative coverage options and available resources in the community to help with co-pays. We can refer the patient to an independent non-profit organization offering assistance for people prescribed Herceptin. (We do not influence or control the operations of these organizations. Nor can we guarantee they will provide co-pay assistance.) Second, we offer the Herceptin Co-pay Card Program for eligible patients who have said they need assistance with co-pays.


Is there assistance for uninsured patients who have been prescribed Herceptin?

The Genentech® Access to Care Foundation provides help for qualified patients. These include patients who are uninsured or whose health plans have denied payment for Herceptin. They must meet certain financial and medical requirements.


Herceptin (trastuzumab) Indications and Important Safety Information

Who is Herceptin for?
Herceptin is approved for the adjuvant treatment of HER2-overexpressing, node-positive or node-negative (ER/PR-negative or with one high-risk feature)* breast cancer. Herceptin can be used several different ways:

  • As part of a treatment regimen including doxorubicin, cyclophosphamide, and either paclitaxel or docetaxel
  • With docetaxel and carboplatin
  • As a single agent following multi-modality anthracycline-based therapy

Herceptin in combination with paclitaxel is approved for the first-line treatment of HER2-overexpressing metastatic breast cancer. Herceptin as a single agent is approved for treatment of HER2-overexpressing breast cancer in patients who have received one or more chemotherapy regimens for metastatic disease.

*High-risk is defined as ER/PR positive with one of the following features: tumor size >2 cm, age <35 years, or tumor grade 2 or 3.

What important safety information should I know about Herceptin?
Herceptin treatment can result in heart problems, including those without symptoms (reduced heart function) and those with symptoms (congestive heart failure). The risk and seriousness of these heart problems were highest in people who received both Herceptin and a certain type of chemotherapy (anthracycline). Your doctor will stop or strongly consider stopping Herceptin if you have a significant drop in your heart function.

You should be monitored for decreased heart function before your first dose of Herceptin, and frequently during the time you are receiving Herceptin and after your last dose of Herceptin. If you must permanently or temporarily stop Herceptin due to heart problems, you should be monitored more frequently. In one study with Herceptin and certain types of chemotherapy, an inadequate blood supply to the heart occurred.

Some patients have had serious infusion reactions and lung problems; fatal infusion reactions have been reported. In most cases, these reactions occurred during or within 24 hours of receiving Herceptin. Your Herceptin infusion should be temporarily stopped if you have shortness of breath or very low blood pressure. Your doctor will monitor you until these symptoms go away. If you have a severe allergic reaction, swelling, lung problems, inflammation of the lung, or severe shortness of breath, your doctor may need to completely stop your Herceptin treatment.

Worsening of low white blood cell counts associated with chemotherapy has also occurred.

Herceptin can cause low amniotic fluid levels and harm to the fetus when taken by a pregnant woman.

The most common side effects associated with Herceptin were fever, nausea, vomiting, infusion reactions, diarrhea, infections, increased cough, headache, fatigue, shortness of breath, rash, low white and red blood cells, and muscle pain.

Because everyone is different, it is not possible to predict what side effects any one person will have. If you have questions or concerns about side effects, talk to your doctor.

Please see the Herceptin full Prescribing Information including Boxed WARNINGS and additional important safety information.

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