To determine if you meet the criteria to qualify for assistance from the Genentech Patient Foundation, answer the questions below.
The annual net household income includes the combined incomes of everyone in the patient's household. For households with more than one patient applying for assistance, a separate enrollment is required.
For example, a household size of 1 with income of less than $75,000 may meet the criteria for assistance. Add $25,000 for each additional person in the household. There is no maximum number of people you may add.
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