Pulmozyme Prices, Coupons and Patient Assistance Programs Pulmozyme (dornase alfa) is a member of the miscellaneous respiratory agents drug class and is commonly used for Cystic Fibrosis. Pulmozyme Prices This Pulmozyme price guide is based on using the which is accepted at most U.S. The cost for Pulmozyme inhalation solution (2.5 mg/2.5 mL) is around $3,608 for a supply of 75 milliliters, depending on the pharmacy you visit. Prices are for cash paying customers only and are not valid with insurance plans. Provider: HealthWell Foundation Copay Program Elligibility requirements: • May have insurance • Varies • Medically appropriate condition/diagnosis • The patient must also be residing in the US. • This program provides financial assistance to eligible individuals to cover coinsurance, copayments, healthcare premiums and deductibles for certain treatments.

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Also, for those who are eligible for health insurance, but cannot afford the insurance premium, the foundation may be able to help by paying some or all of the medical portion of insurance premiums. The patient is being treated for a specific disease for which funding is available and has insurance that covers the treatment for this disease. Call for most recent medications as the list is subject to change. Applicable drugs: • Pulmozyme (dornase alfa) More information please phone: 800-675-8416 Provider: Genentech Access Solutions Elligibility requirements: • Determined case by case • Based on FPL • Varies • Must be treated by US licensed healthcare provider • Call for most recent medications as the list is subject to change.

Applicable drugs: • Pulmozyme (dornase alfa) More information please phone: 866-422-2377 Provider: Genentech Patient Foundation Elligibility requirements: • Uninsured or Underinsured with no prescription coverage for needed medication • Income Guidelines published on Program Website • Medically appropriate condition/diagnosis • Must be treated by US licensed healthcare provider • The Genentech Access to Care Foundation is now the Genentech Patient Foundation.Eligibility determined on a case-by-case basis.Call for most recent medications as the list is subject to change. Applicable drugs: • Pulmozyme (dornase alfa) More information please phone: 888-941-3331.

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