Janssen Patient Assistance
Patient assistance is available if you have commercial, employer-sponsored, or government coverage that does not fully meet your needs. You may be eligible to receive your prescribed Janssen medication free of charge for up to one year. You must meet the eligibility and income requirements for the patient assistance program. See terms and conditions and learn more by reviewing the program’s Quick Reference Guide.
Patients can start the application process at JanssenPatientAssistance.com
You will need to have a few things available to complete the process, including:
- Your insurance information
- Your Provider’s information
- For Medicare Part D patients only: A report from your pharmacy OR an Explanation of Benefits (EOB) statement from your insurer that shows your out-of-pocket costs for the current year
To finalize your application, your healthcare provider needs to complete the prescription form. This form can be downloaded by clicking here. It is recommended you upload the COMPLETED prescription form with your online application to avoid any potential delays in receiving your medication.
*Online enrollment is not available for select Janssen medications. If you do not see your eligible medication in the online application, please complete the paper enrollment process highlighted below.
If you do not wish to complete your application online, you can download our Patient Enrollment Form by clicking here.
Fax your completed form and any supporting documents to us at 1-833-512-0497.
Additional resources are available to support you.
Download and review our Quick Reference Guide
Includes details on program eligibility, eligible Janssen medications, and a step-by-step guide to help you navigate the process.
Contact us by phone at 1-833-742-0791, Monday through Friday, 8:00 AM to 8:00 PM ET.
If you are a patient prescribed a Janssen Pulmonary Hypertension medication, please click here for resources specific to you.