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Patient Assistance Program
 

The Janssen Ortho Patient Assistance Foundation is committed to helping you get the prescription medications you need. If you qualify, the Janssen Ortho Patient Assistance Foundation Patient Assistance Program makes it easier for you to receive free medications donated by the Operating Companies of Johnson & Johnson.

What is the Janssen Ortho Patient Assistance Foundation?
The Janssen Ortho Patient Assistance Foundation is a private charitable foundation, which provides free medications donated by the Operating Companies of Johnson & Johnson to patients that meet specific financial criteria and lack prescription drug coverage.

What does the Janssen Ortho Patient Assistance Foundation Patient Assistance Program offer?
If you qualify for the Janssen Ortho Patient Assistance Foundation Patient Assistance Program, you will receive your free prescription medications for a period of up to one year, after which you need to reapply in order to continue receiving your medications.

How do I qualify for the Janssen Ortho Patient Assistance Foundation Patient Assistance Program?
To qualify for this program, you:

  • 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 the Janssen Ortho Patient Assistance Foundation Patient Assistance Program?
Application materials and enrollment in the Janssen Ortho Patient Assistance Foundation Patient Assistance Program are free. The Janssen Ortho Patient Assistance Foundation Patient Assistance Program does not charge any fees associated with obtaining, completing or submitting an enrollment application.

What medications does the Janssen Ortho Patient Assistance Foundation Patient Assistance Program cover?
The Janssen Ortho Patient Assistance Foundation Patient Assistance Program includes medications donated by the Operating Companies of Johnson & Johnson as listed below.

Search the menu below to see if the medication your health care professional may have prescribed is covered under the Janssen Ortho Patient Assistance Foundation Patient Assistance Program.

If the medication appears on the list, you can complete the Eligibility Tool. When completed, the Eligibility Tool will indicate whether you 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
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
IQUIX® (levofloxacin ophthalmic solution) 1.5%
LEUSTATIN® (cladribine) Injection
LEVAQUIN® (levofloxacin) Tablets/Oral Solution
MONISTAT-DERM®(miconazole nitrate cream) 2%
NATRECOR® (nesiritide) for Injection
ORTHOVISC® (High Molecular Weight Hyalyronan)
PANCREASE® MT (pancrelipase) Capsules
PARAFON FORTE® DSC (chlorzoxazone) Caplets
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
REMICADE® (infliximab)
RETIN-A® (tretinoin) Cream, Gel, or Micro
RISPERDAL® (risperidone) M-TAB® 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-Release Tablets
UVADEX® (Methoxsalen) STERILE SOLUTION


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

   
 
   
        Speak to an access2wellness specialist. Call 866-317-2775.
 
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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 in the United States only.

This page was last updated on: Apr 27 2009 at 13:27:48 EDT

   
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)