Patient Assistance for Pulmonary Hypertension

Patient assistance from Janssen is available if you have commercial, employer-sponsored, or government coverage (e.g., Medicare, Medicaid, TRICARE, US Department of Veterans Affairs Health Care, US Department of Defense Health Care, etc.) that does not fully meet your needs and are not supported by other Janssen Access & Affordability options. You may be eligible to receive your prescribed Janssen medication free of charge for up to one year.

Resources to help you get started:


Quick Reference Guide

Review this guide to learn more about Janssen’s patient assistance offering, including details on eligibility, eligible Janssen medications, and a step-by-step guide to help you navigate the process.

Patient Enrollment Form

Work with your Health Care Provider to complete and submit this form. Once received, we will determine your insurance coverage, needs and eligibility to match you with a Janssen program that may be able to help.

Patient Authorization Form

If you do not complete the Patient Authorization as part of the Patient Enrollment Form, you can sign and submit this form separately.


If you have any questions or need additional assistance, please contact us at 1-866-228-3546.