Patient Assistance & Support

Patient Assistance Program

Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF) is an independent, private, nonprofit organization that assists patients who do not have financial resources or prescription drug coverage to obtain free prescription products that are donated by Johnson & Johnson operating companies. These companies have a long-standing commitment to helping patients access medicines. Janssen Therapeutics donates medicines to JJPAF.

JJPAF is participating in a unique industry public-private partnership aimed at streamlining access to HIV medicines through the use of a Common Patient Assistance Program Application developed in partnership with the Department of Health and Human Services (HHS) and 6 industry partners. This form will allow you to apply to multiple HIV manufacturer patient assistance programs through a single application. You can access the common application form here: common application form. All of the information you need to apply for assistance for HIV medicines offered by the 7 participating patient assistance programs is included in this one application.

For additional information regarding JJPAF, please visit the JJPAF website at www.jjpaf.org or call and speak to a patient assistance program specialist at 1-800-652-6227.

Patient Savings Program

For eligible patients with prescription coverage that may require significant out-of-pocket (co-pay or co-insurance) expenses for their HIV medications, the Patient Savings Program (PSP) is a simple and easy way to reduce out-of-pocket costs for up to 1 year. Patients should refer to the Q&A below for Eligibility Rules and Regulations to determine whether they qualify. For more information, call 1-866-961-7169.

To enroll in the Janssen Therapeutics Patient Savings Program, print out the Instant Savings Card or complete the application form and call 1-866-961-7169 to activate your enrollment:

Printable Instant Savings Card

Patient Savings Program application form

Download Now

 

OR

Patient Savings Program Application Form

Patient Savings Program application form

Download Now

 

Reimbursement form for patients who use mail order or a nonparticipating pharmacy

Reimbursement form for patients who use mail order or a nonparticipating pharmacy
Download Now

The forms above require Adobe® Reader® for viewing and printing.

Insurance benefit verification form

Insurance benefit verification form
Download Now

The form above requires Adobe® Reader® for viewing and printing.

This information is provided for informational purposes only and represents no statement, promise, or guarantee by Janssen Therapeutics concerning levels of reimbursement, payment, or charge. We strongly suggest that you consult your payer organization about local reimbursement policies.