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Renew your CellCept®Co-pay Card each year

If the patient has a CellCept® Co-pay Card that is already in use, it will need to be renewed. Renew it every 12 months after the date of first enrollment.

Step 1 of 3: Enter the co-pay card information

An error has occurred. Please call 1-855-SAV-CELL (1-855-728-2355) to speak with an agent.

Start by entering the patient’s information and the 9-digit co-pay card ID number on the front of the CellCept® Co-pay Card.

*Required fields






Step 2 of 3: Find out if you’re eligible

1. Are you 18 years of age or older?

You must be 18 years or older to complete this form. Please have a parent or a legally authorized person who is at least 18 years of age complete the enrollment. If you believe you have received this message in error, please call 1-833-CellCept (1-833-235-5237) to speak with an agent.

2. For what has brand-name CellCept been prescribed for?

The patient must be prescribed brand-name CellCept for an FDA-approved indication to use the co-pay program. If you believe you have received this message in error, please call 1-833-CellCept (1-833-235-5237) to speak with an agent.

3. Does the patient have commercial insurance? (Like the type you get through an employer or directly from an insurance company. Healthcare exchange plans that are offered through the Affordable Care Act are considered commercial insurance.)

The patient is not eligible for the program. It is intended for patients with commercial insurance. Click here to find out about additional assistance that the patient may be eligible to receive. If you believe you have received this message in error, please call 1-833-CellCept (1-833-235-5237) to speak with an agent.

4. What is the patient’s state (or territory) of residence?

Select
  • Not a United States resident
  • Alabama
  • Alaska
  • American Samoa
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Guam
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Northern Mariana Islands
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • Puerto Rico
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virgin Islands
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming

The patient is not eligible for the program. If you believe you have received this message in error, please call 1-833-CellCept (1-833-235-5237) to speak with an agent.

5. Is the patient receiving free drug assistance through the Genentech® Access to Care Foundation (GATCF) or any other charitable organization?

The patient is not eligible for the program. If you believe you have received this message in error, please call 1-833-CellCept (1-833-235-5237) to speak with an agent.

6. Is the patient a government beneficiary and/or enrolled in any state- or federally funded healthcare program, including but not limited to all Medicare, Medicaid, Medigap, VA, DoD, or TRICARE? We may contact the patient by phone or mail periodically in order to verify that the patient's eligibility for the program has not changed. Patients with government provided insurance programs such as Medicare or Medicaid are not eligible.

The patient is not eligible for the program. The card cannot be used with Medicare, Medicaid, or any other federal or state program. Click here to find out about additional assistance that the patient may be eligible to receive. If you believe you have received this message in error, please call 1-833-CellCept (1-833-235-5237) to speak with an agent.

Step 3 of 3: Patient information

An error has occurred. Please call 1-833-CellCept (1-833-235-5237) to speak with an agent.

*Required fields







Select
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Maryland
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • Puerto Rico
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming


How did you hear about the program?

Select
  • Healthcare Provider
  • Transplant Coordinator/Team
  • CellCept® Co-pay Card Brochure
  • Online Search
  • CellCept.com
  • Email
  • Pharmacy
  • In-office Poster
  • Online Ads
  • Other

Are you the patient?*

Enroller information







Select
  • Alabama
  • Alaska
  • American Samoa
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Guam
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Northern Mariana Islands
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • Puerto Rico
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virgin Islands
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming



Terms and Conditions

*The patient information disclosed during this enrollment, including name, email address, mailing address, and phone number, will be shared with Genentech, the sponsor of the card. In addition, information shared by the patient’s pharmacy/physician, such as the date the patient filled the prescription, the date the medication was administered by the patient’s physician (if applicable), and the amount that the patient will be reimbursed by Genentech, will be shared with Genentech, the sponsor of this card. The patient agrees to be contacted by phone, mail, or email with the information and/or materials about the patient’s Genentech CellCept® Co-pay Card. For more information, please see the Genentech Privacy Policy at www.gene.com.

You must give your consent (or the patient must give his or her consent) to enroll in the program. If you believe you have received this message in error, please call 1-833-CellCept (1-833-235-5237) to speak with an agent.

*I have read and agreed (or the patient has read and agreed) to the terms and conditions of the CellCept® Co-pay Card Program.

You must read and agree (or the patient must read and agree) to the terms and conditions in order to enroll in the program. If you believe you have received this message in error, please call 1-833-CellCept (1-833-235-5237) to speak with an agent.

Patient Consent

*I give my consent (or I have the patient’s consent) to enroll in the CellCept® Co-pay Card Program.

You must give your consent (or the patient must give his or her consent) to enroll in the program. If you believe you have received this message in error, please call 1-833-CellCept (1-833-235-5237) to speak with an agent.

Success!

You have renewed your enrollment in the CellCept® Co-pay Card Program

Continue using your card at the pharmacy. You can also print out a copy of your card below.

How to use the card

You should present the card to the pharmacist:

  • If your pharmacy can store the co-pay card information, you may not need to present the card each month
  • If you use a specialty or mail order pharmacy, you should provide the co-pay card details over the phone

Learn more about using the CellCept® Co-pay Card.

Success!

The patient has renewed enrollment in the CellCept® Co-pay Card Program

The patient can continue using the card at the pharmacy. The patient can also print out a copy of the card below.

How to use the card

The patient should present the card to the pharmacist:

  • If the patient’s pharmacy can store the co-pay card information, he or she may not need to present the card each month
  • If the patient uses a specialty or mail order pharmacy, he or she should provide the co-pay card details over the phone

Learn more about using the CellCept® Co-pay Card.

INDICATION

WHAT IS CELLCEPT?

  • CellCept® (mycophenolate mofetil) is a prescription medicine to prevent rejection (antirejection medicine) in people who have received a kidney, heart or liver transplant. Rejection is when the body’s immune system perceives the new organ as a “foreign” threat and attacks it.
  • CellCept is used with other medicines containing cyclosporine and corticosteroids.

WHAT IS THE MOST IMPORTANT INFORMATION I SHOULD KNOW ABOUT CELLCEPT?
CELLCEPT CAN CAUSE SERIOUS SIDE EFFECTS, INCLUDING:


Increased risk of loss of a pregnancy (miscarriage) and higher risk of birth defects. 
Females who take CellCept during pregnancy have a higher risk of miscarriage during the first 3 months (first trimester), and a higher risk that their baby will be born with birth defects.

  • If you are a female who can become pregnant, your doctor must talk with you about acceptable birth control methods (contraceptive counseling) to use while taking CellCept. You should have 1 pregnancy test immediately before starting CellCept and another pregnancy test 8 to 10 days later. Pregnancy tests should be repeated during routine follow-up visits with your doctor. Talk to your doctor about the results of all of your pregnancy tests. You must use acceptable birth control during your entire CellCept treatment and for 6 weeks after stopping CellCept, unless at any time you choose to avoid sexual intercourse (abstinence) with a man completely. CellCept decreases blood levels of the hormones in birth control pills that you take by mouth. Birth control pills may not work as well while you take CellCept, and you could become pregnant. If you take birth control pills while using CellCept you must also use another form of birth control. Talk to your doctor about other birth control methods that you can use while taking CellCept.
  • If you are a sexually active male whose female partner can become pregnant while you are taking CellCept, use effective contraception during treatment and for at least 90 days after stopping CellCept.
  • If you plan to become pregnant, talk with your doctor. Your doctor will decide if other medicines to prevent rejection may be right for you.
  • If you become pregnant while taking CellCept, do not stop taking CellCept. Call your doctor right away. You and your doctor may decide that other medicines to prevent rejection may be right for you. You and your doctor should report your pregnancy to the Mycophenolate Pregnancy Registry either:
    • by phone at 1-800-617-8191 or
    • by visiting the Risk Evaluation and Mitigation Strategy (REMS) website at www.mycophenolateREMS.com


The purpose of this registry is to gather information about the health of you and your baby.


Increased risk of getting certain cancers.
 People who take CellCept have a higher risk of getting lymphoma, and other cancers, especially skin cancer. Tell your doctor if you have:

  • unexplained fever, prolonged tiredness, weight loss or lymph node swelling 
  • a brown or black skin lesion with uneven borders, or one part of the lesion does not look like the other 
  • a change in the size and color of a mole
  • a new skin lesion or bump 
  • any other changes to your health


Increased risk of getting serious infections.
 CellCept weakens the body’s immune system and affects your ability to fight infections. Serious infections can happen with CellCept and can lead to hospitalizations and death. These serious infections can include:

  • Viral infections. Certain viruses can live in your body and cause active infections when your immune system is weak. Viral infections that can happen with CellCept include:
    • shingles, other herpes infections, and cytomegalovirus (CMV). CMV can cause serious tissue and blood infections
    • BK virus. BK virus can affect how your kidney works and cause your transplanted kidney to fail
    • hepatitis B and C viruses. Hepatitis viruses can affect how your liver works. Talk to your doctor about how hepatitis viruses may affect you
  • A brain infection called Progressive Multifocal Leukoencephalopathy (PML). In some patients, CellCept may cause an infection of the brain that may cause death. You are at risk for this brain infection because you have a weakened immune system. Call your doctor right away if you have any of the following symptoms:
    • weakness on one side of the body
    • you do not care about things that you usually care about (apathy)
    • you are confused or have problems thinking
    • you can not control your muscles
  • Fungal infections. Yeasts and other types of fungal infections can happen with CellCept and can cause serious tissue and blood infections (See “What are the possible side effects of CellCept?”).


Call your doctor right away if you have any of the following signs and symptoms of infection:

  • temperature of 100.5°F or greater
  • cold symptoms, such as a runny nose or sore throat
  • flu symptoms, such as an upset stomach, stomach pain, vomiting or diarrhea
  • earache or headache
  • pain during urination
  • white patches in the mouth or throat
  • unexpected bruising or bleeding
  • cuts, scrapes or incisions that are red, warm and oozing pus


See “What are the possible side effects of CellCept?” for information about other serious side effects.

WHO SHOULD NOT TAKE CELLCEPT

Do not take CellCept if you are allergic to mycophenolate mofetil or any of the ingredients in CellCept.

WHAT SHOULD I TELL MY DOCTOR BEFORE TAKING CELLCEPT?
TELL YOUR DOCTOR ABOUT ALL OF YOUR MEDICAL CONDITIONS, INCLUDING IF YOU:

  • have any digestive problems, such as ulcers.
  • have Phenylketonuria (PKU). CellCept oral suspension contains aspartame (a source of phenylalanine).
  • have Lesch-Nyhan syndrome, Kelley-Seegmiller syndrome, or another rare inherited deficiency hypoxanthine-guanine phosphoribosyl-transferase (HGPRT). You should not take CellCept if you have one of these disorders.
  • plan to receive any vaccines. People taking CellCept should not receive live vaccines. Some vaccines may not work as well during treatment with CellCept.
  • are pregnant or plan to become pregnant. See “What is the most important information I should know about CellCept?”
  • are breastfeeding or plan to breastfeed. It is not known if CellCept passes into breast milk. You and your doctor will decide if you will take CellCept or breastfeed.
     

Tell your healthcare provider about all of the medicines you take, including prescription and over-the-counter medicines, vitamins and herbal supplements. Some medicines may affect the way CellCept works, and CellCept may affect how some medicines work.
Especially tell your doctor if you take:

  • birth control pills (oral contraceptives). See “What is the most important information I should know about CellCept?”
  • sevelamer (Renagel®, RenvelaTM). These products should be taken at least 2 hours after taking CellCept.
  • acyclovir (Zovirax®), valacyclovir (Valtrex®), ganciclovir (CYTOVENE®-IV, Vitrasert®), valganciclovir (Valcyte®).
  • rifampin (Rifater®, Rifamate®, Rimactane®, Rifadin®).
  • antacids that contain magnesium and aluminum (CellCept and the antacid should not be taken at the same time).
  • proton pump inhibitors (PPIs) (Prevacid®, Protonix®).
  • sulfamethoxazole/trimethoprim (BactrimTM, Bactrim DSTM).
  • norfloxacin (Noroxin®) and metronidazole (Flagyl®, Flagyl® ER, Flagyl® IV, Metro IV, Helidac®, PyleraTM).
  • ciprofloxacin (Cipro®, Cipro® XR, Ciloxan®, Proquin® XR) and amoxicillin plus clavulanic acid (Augmentin®, Augmentin XRTM).
  • azathioprine (Azasan®, Imuran®).
  • cholestyramine (Questran Light®, Questran®, Locholest Light, Locholest, Prevalite®).


Know the medicines you take. Keep a list of them to show to your doctor or nurse and pharmacist when you get a new medicine. Do not take any new medicine without talking with your doctor.

HOW SHOULD I TAKE CELLCEPT?

  • Take CellCept exactly as prescribed.
  • Do not stop taking CellCept or change the dose unless your doctor tells you to.
  • If you miss a dose of CellCept, or you are not sure when you took your last dose, take your prescribed dose of CellCept as soon as you remember. If your next dose is less than 2 hours away, skip the missed dose and take your next dose at your normal scheduled time. Do not take 2 doses at the same time. Call your doctor if you are not sure what to do.
  • Take CellCept capsules, tablets and oral suspension on an empty stomach, unless your doctor tells you otherwise. Do not crush CellCept tablets. 
  • Do not open or crush CellCept capsules.
  • If you are not able to swallow CellCept tablets or capsules, your doctor may prescribe CellCept Oral Suspension. This is a liquid form of CellCept. Your pharmacist will mix the medicine before you pick it up from a pharmacy.
  • Do not mix CellCept Oral Suspension with any other medicine. CellCept Oral Suspension should not be mixed with any type of liquids before taking the dose. 
  • Do not breathe in (inhale) or let CellCept powder or oral suspension come in contact with your skin or mucous membranes.
    • If you accidentally get the powder or oral suspension on the skin, wash the area well with soap and water.
    • If you accidentally get the powder or oral suspension in your eyes or other mucous membranes, flush with plain water.
  • If you take too much CellCept, call your doctor or the poison control center right away.

WHAT SHOULD I AVOID WHILE TAKING CELLCEPT?

  • Avoid becoming pregnant. See “What is the most important information I should know about CellCept?”
  • Limit the amount of time you spend in sunlight. Avoid using tanning beds or sunlamps. People who take CellCept have a higher risk of getting skin cancer. (See “What is the most important information I should know about CellCept?”) Wear protective clothing when you are in the sun and use a broad-spectrum sunscreen with a high protection factor. This is especially important if your skin is very fair or if you have a family history of skin cancer.
  • You should not donate blood while taking CellCept and for at least 6 weeks after stopping CellCept.
  • You should not donate sperm while taking CellCept and for 90 days after stopping CellCept.
  • CellCept may influence your ability to drive and use machines (See “What are the possible side effects of CellCept?”). If you experience drowsiness, confusion, dizziness, tremor, or low blood pressure during treatment with CellCept, you should be cautious about driving or using heavy machines.

WHAT ARE THE POSSIBLE SIDE EFFECTS OF CELLCEPT?
CELLCEPT CAN CAUSE SERIOUS SIDE EFFECTS, INCLUDING:

  • See “What is the most important information I should know about CellCept?”
  • Low blood cell counts. People taking high doses of CellCept each day may have a decrease in blood counts, including:
    • white blood cells, especially neutrophils. Neutrophils fight against bacterial infections. You have a higher chance of getting an infection when your white blood cell count is low. This is most common from 1 month to 6 months after your transplant
    • red blood cells. Red blood cells carry oxygen to your body tissues. You have a higher chance of getting severe anemia when your red blood cell count is low
    • platelets. Platelets help with blood clotting


Your doctor will do blood tests before you start taking CellCept and during treatment with CellCept to check your blood cell counts. Tell your doctor right away if you have any signs of infection (see “What is the most important information I should know about CellCept?”), including any unexpected bruising or bleeding. Also, tell your doctor if you have unusual tiredness, lack of energy, dizziness or fainting.
Stomach problems. Stomach problems including intestinal bleeding, a tear in your intestinal wall (perforation) or stomach ulcers can happen in people who take CellCept. Bleeding can be severe and you may have to be hospitalized for treatment. Call your doctor right away if you have sudden or severe stomach-area pain or stomach-area pain that does not go away, or if you have diarrhea.
 

The most common side effects of CellCept include:

  • diarrhea
  • blood problems including low white and red blood cell counts
  • infections
  • blood pressure problems
  • fast heart beat
  • swelling of the lower legs, ankles and feet
  • changes in laboratory blood levels, including high levels of blood sugar (hyperglycemia)
  • stomach problems including diarrhea, constipation, nausea and vomiting
  • rash
  • nervous system problems such as headache, dizziness and tremor

Side effects that can happen more often in children than in adults taking CellCept include:

  • stomach area pain
  • fever
  • infection
  • pain
  • blood infection (sepsis)
  • diarrhea
  • vomiting
  • sore throat
  • colds (respiratory tract infections)
  • high blood pressure
  • low white blood cell count
  • low red blood cell count
     

These are not all of the possible side effects of CellCept. Tell your doctor about any side effect that bothers you or that does not go away. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects to Genentech at 1-888-835-2555.

Please see full Prescribing Information, including Boxed WARNINGS and Medication Guide, for additional Important Safety Information.