Program Contact Info / Application Submission
Program	Genentech Endowment for Cystic Fibrosis
Company	GenentechCF
Address	1 DNA Way, Mail Stop 210 South San Francisco, CA 94080
Phone	800-545-0498
Fax	800-545-0612
Program Details
Details	The medication is sent to either the doctor's office or the patient's home. The patient must contact the company to arrange for refills. Every year a new application is needed.
Program Requirements
Information	The doctor must fill out and sign the enrollment form. The patient must fill out a section, sign the application and attach proof of income.
Details	Proof of Income required
Delivery of Medication
Delivery Options	Can be delivered directly to the patient Can be delivered directly to the doctor
Application Process
App Process	The doctor/doctor's office should call for an enrollment form. The enrollment form is faxed out. The completed enrollment form must be faxed back. The patient is notified of eligibility for the program.
New Applications	Doctors can apply directly to the program Can apply for a new application via fax
Eligibility
Eligibility	The patient must be uninsured or rendered underinsured by payor denial and meet income guidelines that are not disclosed. The patient must also meet medical criteria which are not disclosed. Medicare Part D is considered prescription coverage, so if a patient enrolls in Medicare Part D, s/he can not get assistance from this program. If the patient is eligible for Part D but does not enroll then s/he still may be eligible for this program.