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Genentech Access to Care Foundation (GATCF) fax number

(800) 305-1830

Genentech Access to Care Foundation – SMN submissions / Valcyte program

Used for: Submission of Statement of Medical Necessity (SMN) forms for Genentech's patient assistance program (Valcyte)

Fax destination details

Department
Genentech Access to Care Foundation – SMN submissions / Valcyte program
Purpose
Submission of Statement of Medical Necessity (SMN) forms for Genentech's patient assistance program (Valcyte)
Form
Statement of Medical Necessity (SMN) — Statement of Medical Necessity (SMN) for Valcyte
Address
Genentech Access to Care Foundation, P.O. Box 29064, Phoenix, AZ 85038
Voice phone
1-888-754-7651

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Fill out the SMN form per program guidelines and fax to the listed number; ensure all required fields are completed to avoid delays.

Official form instructions are published as a downloadable file on the organization's website.

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