Helping Your Patients Apply for Assistance
    

Many people with limited or no health insurance often have trouble getting the medicines and medical products they need. Patients can also feel overwhelmed by the number of programs and applications required to access the health care they need to live healthier lives.

Working together, you and your patients can determine their eligibility and the programs that are right for them with the tools available at access2wellness.com. Use the Eligibility Tool on the right side of this page.

Online Process

  1. Use the Eligibility Tool to determine your patient's eligibility to receive prescription medicines.
  2. If your patient appears to qualify for the Johnson & Johnson Patient Assistance Foundation, a link to the online application will be provided in the Eligibility Tool results.
  3. Help your patient fill out the patient portion of the application. Fill out the prescriber's portion and click SUBMIT.
  4. A representative will contact both you and your patient to complete the application process.
  5. The application is then reviewed by a program specialist and a determination will be made within several days.
  6. If your patient appears to qualify for programs other than the Johnson & Johnson Patient Assistance Foundation, links to program websites and Call Centers may also be provided.

Paper Application Process
Note: The following process only applies to the Johnson & Johnson Patient Assistance Foundation.

  1. From the Resources and Contacts page, print the Johnson & Johnson Patient Assistance Foundation application. For information on the paper application process for Together Rx Access, Partnership for Prescription Assistance or Medicare Part D, follow the link to the appropriate website.
  2. Help your patient fill out the patient portion of the application and fill out your portion.
  3. Be certain your patient has included a copy of his or her Federal Income Tax Return when applicable, and an "Authorization to Share Health Information for Patient Assistance" (included with application), signed by the patient.
  4. Mail the completed application, or fax it to:
    Johnson & Johnson Patient Assistance Foundation
    PO Box 221857
    Charlotte, NC 28222-1857
    Fax: 888-526-5168

  5. 5. After the application is received, it is reviewed and a determination is made within several days. Please note that incomplete applications often cause delays. For information on issues that may cause delay, visit the Frequently Asked Questions.
   
 
   
 
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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 for residents in the United States only.

This page was last updated on: 5/9/2011

   
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Eligibility Tool
 
This simple 2-step tool will help determine eligibility for any of the assistance programs described on access2wellness.com. For those individuals who are uninsured and are interested in one or more of the prescription products listed below with an asterisk, please visit the Johnson & Johnson Patient Assistance Foundation (JJPAF) for further assistance.
Select Prescription Medications
Access2wellness also provides access to hundreds of other medications from a variety of manufacturers. If you don't see your medicine or medical product listed, select "Other" and click "Continue" to proceed to step 2. There is no limit to the number of medicines and medical products that may be selected, and the choices are confidential.
To see a complete list of patient assistance programs, please click here
 
If the medicine you are looking for is not listed above, please click here

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