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Patient Assistance Programs
  

Johnson & Johnson Health Care Systems Inc. is committed to helping people get the prescription medications they need. Patient Assistance Programs make it easier for those who qualify to receive free medications available from the Operating Companies of Johnson & Johnson.

What do Patient Assistance Programs offer?
If someone you provide care for qualifies for any of these Patient Assistance Programs, that person will receive free prescription medications for a period of up to one year, after which they need to reapply in order to continue receiving their medications.

How does the person I provide care for qualify for Patient Assistance Programs?
To qualify for these programs, someone:

  • Must not have private or public health insurance, such as Medicaid or Medicare.
  • Must meet specific financial criteria.
  • Must live in the United States or a United States Territory.
  • Must be an outpatient (not in the hospital) and under the care of a valid licensed United States health care prescriber (such as a physician, nurse practitioner or clinical nurse specialist).

Are there any enrollment fees associated with Patient Assistance Programs?
Application materials and enrollment in Patient Assistance Programs covering medications from the Operating Companies of Johnson & Johnson by way of the Janssen Ortho Patient Assistance Foundation (JOPAF) is free. These programs do not charge any fees associated with obtaining, completing or submitting an enrollment application.

What medications do Patient Assistance Programs cover?
Patient Assistance Programs include nearly all the medications available from the Operating Companies of Johnson & Johnson.

Search the menu below to see if the prescribed medication is covered under Patient Assistance Programs.

If the medication appears on the list, you or the person you provide care for can complete the Eligibility Tool. When completed, the Eligibility Tool will indicate whether the person you provide care for may qualify for this program and/or other assistance programs.

ACIPHEX® (rabeprazole sodium)
ALAMAST® (pemirolast potassium ophthalmic solution) 0.1%
AXERT® (almotriptan malate) Tablets
BETIMOL® (timolol ophthalmic solution) 0.25%, 0.5%
BIAFINE® Topical Emulsion
BICITRA® (sodium citrate & citric acid oral solution, USP)
CENTANY™ (mupirocin ointment) 2%
CONCERTA® (methylphenidate HCI) Extended-Release Tablets CII
DITROPAN® XL (oxybutynin chloride) Extended-Release Tablets
DOXIL® (doxorbicin HCI liposome injection)
DURAGESIC® (fentanyl transdermal system) CII
ELMIRON® (pentosan polysulfate sodium) Capsules
ERTACZO™ (sertaconazole nitrate) Cream 2%
FLEXERIL® (cyclobenzaprine HCl) Tablets
GRIFULVIN V® (griseofulvin tablets) microsize
GRIFULVIN V® (griseofulvin oral suspension) microsize
HALDOL® (haloperidol) Injection
HALDOL® (haloperidol) Decanoate Injection
INTELENCE™  (etravirine)  Tablets
INVEGA™  (paliperidone)  Extended-Release Tablets
LEUSTATIN® (cladribine) Injection
LEVAQUIN® (levofloxacin) Tablets/Oral Solution
NATRECOR® (nesiritide) for Injection
NEUTRA-PHOS® (oral sodium and potassium phosphate mixture)
NEUTRA-PHOS-K® (oral potassium phosphate mixture)
ORTHOVISC® (High Molecular Weight Hyalyronan)
PANCREASE® MT (pancrelipase) Capsules
PARAFON FORTE® DSC (chlorzoxazone) Caplets
POLYCITRA® LC (tricitrates oral solution)
POLYCITRA® Syrup (tricitrates oral solution)
POLYCITRA®-K (potassium citrate and citric acid for oral solution, USP)
POLYCITRA®-K Crystals (potassium citrate and citric acid for oral solution)
PREZISTA™  (darunavir)  Tablets
PROCRIT® (epoetin alfa)
QUIXIN® (levofloxacin ophthalmic solution) 0.5%
RAZADYNE® (galantamine HBr) Tablets/Oral Solution
RAZADYNE® ER (galantamine HBr) Extended-Release Capsules
REGRANEX ® (becaplermin) Gel 0.01%
REMICADE® (infliximab)
RETIN-A® (tretinoin) Cream, Gel or Micro
RISPERDAL® M-TAB® (risperidone) Orally Disintegrating Tablets
RISPERDAL® (risperidone) Tablets/Oral Solution
RISPERDAL® CONSTA® (risperidone) Long-Acting Injection
SPORANOX® (itraconazole) Capsules
SPORANOX® (itraconazole) Oral Solution
TERAZOL® 3 (terconazole) Vaginal Cream or Suppositories
TERAZOL® 7 (terconazole) Vaginal Cream
TOPAMAX® (topiramate) Sprinkle Capsules
TOPAMAX® (topiramate) Tablets
ULTRACET® (tramadol hydrochloride/acetaminophen) Tablets
ULTRAM® (tramadol hydrochloride) Tablets
ULTRAM® ER (tramadol HCl) Extended
URISPAS® (flavoxate HCl) Tablets


If the product you need is not listed, please go to the Partnership for Prescription Assistance* Web site or call 888-477-2669 to access additional information about other available medications.

   
  *Independent programs not owned or operated by the Operating Companies of Johnson & Johnson.
   
        Speak to an access2wellness specialist. Call 866-317-2775.
 
Access2wellness
  © Johnson & Johnson Health Care Systems Inc. 2007 - 2008. All rights reserved.
Your use of the information on this site is subject to the terms of our Legal Notice. Please see our Privacy Policy.

This site is published by Johnson & Johnson Health Care Systems Inc., which is solely responsible for its contents. The programs referenced on this site are not owned or operated by the Operating Companies of Johnson & Johnson. This information is applicable in the United States only.

This page was last updated on: Dec 18 2008 at 22:09:25 EST

   
Eligibility Tool
 
This simple two-step tool will help determine eligibility for any of the assistance programs described on access2wellness.com.
Select Prescription Medications
The medicines listed below are available through the Janssen Ortho Patient Assistance Foundation Patient Assistance Program and other programs supported by the Operating Companies of Johnson & Johnson. Access2wellness also provides access to hundreds of other medications from a variety of manufacturers. If you don't see your medication listed below, select "other" and click "CONTINUE" to proceed to step two. There is no limit to the number of medications that may be selected, and the choices are confidential.

The following products have been selected:

 
 
 
To help determine potential eligibility for any of the assistance programs described on the access2wellness Web site, please answer the following questions.

(If you are a caregiver inquiring about assistance on behalf of the person you care for, please provide that person's information below.)

All questions require a response.

 
Please click the form Back button and select medication
Patient Information
 
Where is your residence?
 
How old are you?
 
Are you eligible for Medicare Part B and/or Part D?
 
Do you have any prescription drug coverage (such as Medicaid, Medicare Part D, and/or private insurance)?
 
How many family members are legally dependent on your household's income?
Include yourself, your spouse, your children and any other persons for whom you are legally financially responsible.
 
What is your family's annual gross income?
Annual gross income is all pre-tax income received within a calendar year, excluding nontaxable income.

Please enter the amount in U.S. dollars. (e.g., 30000.00)