Often, many patients require assistance accessing the medications they need, but are overwhelmed by the complexity of how to access these programs. Working together with your patient, you can determine eligibility for available assistance programs. You can use the Eligibility Tool and application process on this page, download a paper application or call the access2wellness Call Center.

Online Process

1. Use the Eligibility Tool on this page (see menu option at right) to determine your patient’s eligibility to receive prescription medications.
2. If your patient appears to qualify for Patient Assistance Programs 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 your 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 Patient Assistance Programs, links to program Web sites may also be provided.

Paper Application Process
Note: The following process only applies to the Patient Assistance Programs administered by the Operating Companies of Johnson & Johnson.

1. From the Resources and Contacts page, print out the appropriate application for your patient’s prescription medication. If your patient is applying for DOXIL®, PROCRIT®, LEUSTATIN®, PREZISTA^TM or REMICADE® (infliximab), please follow the above link to the appropriate Web site or available call center. 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 Web site or contact the program call center.
2. Help your patient fill out the patient portion of the application and fill out your portion.
3. Be certain to include a copy of the patient's 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 to:
   
   Patient Assistance Programs
   PO Box 221857
   Charlotte, NC 28222-1857
   Fax: 888-526-5168
   
   Remember, if your patient is applying for DOXIL®, PROCRIT®, LEUSTATIN®, PREZISTA^TM or REMICADE®, follow the link to the appropriate Web site or available call center to complete an application.
5. The application is then 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 Frequently Asked Questions.

Access2wellness Call Center
The Call Center will require patient information such as age, zip code, estimated annual household income and prescription medications currently prescribed. Program specialists at the Call Center will also need to know whether the patient is currently eligible for any type of health insurance and/or prescription medication coverage. All responses are confidential. The number for the access2wellness Call Center is 866-317-2775.