View Important Safety Information

Fill out this short questionnaire to sign up to receive the latest information about ENSPRYNG, NMOSD, and other resources.

If you have a prescription for ENSPRYNG, you'll also be able to request at-home injection training for you or your caregiver.

All fields are required unless marked optional.




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I wish to receive information that may be of interest to me from Genentech and its affiliates about products, services, including co-pay assistance or other patient support, opportunities to participate in surveys or provide feedback, or other topics (including information about diseases or conditions). I may be contacted by phone, mail or email using the information I've provided. By asking to receive this information, I understand my personally identifiable information will be used and disclosed by Genentech, its successors, its agents, and as otherwise required by law. I understand providing this agreement is voluntary and plays no role in getting my medicine. I also understand that I may opt out of receiving this information at any time by calling 877-436-3683.

By submitting the information on this form, you agree that it will be governed by Genentech's Privacy Policy. California residents: A description of the personal information collected by Genentech and your rights under the California Consumer Privacy Act concerning your personal information can be found at this link.

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Get ready to receive information about ENSPRYNG and NMOSD. If you opted to schedule injection training, be on the lookout for a call from an ENSPRYNG representative.