Johnson and johnson patient assistance foundation application

The Patient Assistance Program

The Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF) is an independent, nonprofit organization. JJPAF gives eligible patients free prescription medicines donated by Johnson & Johnson companies.

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Getting the right health care is different for everyone – and we understand it’s not always easy. If you currently don't have prescription coverage and can't get access to Johnson & Johnson Operating Companies medications  – we’re here to help. 

We are Johnson & Johnson Patient Assistance Foundation, an independent non-profit organization that helps uninsured people and those in financial need to receive free medication donated by Johnson & Johnson Operating Companies.

These companies include Janssen and DePuy Synthes Mitek. Since 2005, we have helped more than half a million people get free access to the medicines they otherwise wouldn’t receive.

Let’s find out if you might be eligible for the assistance program by going to JJPAF dot-org slash-eligibility.

First, tell us what Johnson & Johnson Operating Companies medications you have been prescribed.

Then select how many people are in your family.
Choose your family’s total income for the year.
Do you live in the U.S. or a U.S. territory?
Are you being treated by a U.S.-licensed doctor?
Are you being treated as an outpatient?
Do you have any insurance or Medicare or Medicaid coverage?

If you think you may be eligible, download and fill out the application, or call us at 800-652-6227 and we’ll mail an application to you.

Once you receive your application and fill it out, you’ll need to do a few things.

• Include a copy of your most recent 1040 or 1040EZ tax form.
• If you have health insurance, please fill out that information here.
• Sign the application.
• Have your doctor complete and sign the application.
• Mail it back to us at this address, which can also be found on the application.

We’ll review your application in about three business days and send you a letter to let you know if you’ve been approved or not. If you have been approved, we’ll tell you where you can pick up your medications, or if they can be sent to your home.

Approved applicants can receive free medications for up to one year, and reapply annually.

If you have any questions, please feel free to call us Monday through Friday, 9am to 6pm Eastern Time, or talk with your doctor.

We want to work to help you get better access... and worry less.

How the program works:

• Over 35 prescription products are available to individuals who meet certain requirements and live in the United States or a U.S. Territory. Check to see if you’re eligible.
• It’s free to apply and you only need to complete one application.
• Once you meet program requirements and are approved you’ll receive your medications for up to one year. You may be able to reapply to the program annually.

For hospitals: The Hospital Access Patient Assistance Program

This program helps eligible hospitals receive free medications to give to eligible outpatients directly.

Find out if your hospital is eligible.

About the Johnson & Johnson Patient Assistance Foundation

We are an independent, non-profit organization that is committed to helping patients get free prescription medications.

None of this would have been possible without the generosity of our donor companies, and for that we thank them:

• Actelion Pharmaceuticals US, Inc.
• DePuy Synthes Mitek Sports Medicine, a division of DePuy Orthopaedics, Inc.
• Janssen Biotech, Inc.
• Janssen Therapeutics, Division of Janssen Products, LP
• Janssen Pharmaceuticals, Inc.

You may be eligible for our free prescription program if you meet the requirements below:

• You have been prescribed a Johnson & Johnson operating company donated medication
• You meet the eligibility income requirements for the medication(s). You may view the income requirements below
• You don’t have insurance or medicine is not covered
  • Some patients with Medicare Prescription Drug Coverage (Part D) who cannot afford their medicines and who meet certain financial criteria may also be eligible for assistance
    • A report from your pharmacy or an Explanation of Benefits (EOB) statement from your insurer that shows your out-of-pocket costs for the current year can be requested and may be submitted with your application. In order to qualify for the program, you must spend 4% or more of your gross annual income on prescription drugs.
• You live in the United States or a U.S. Territory
• You are being treated by a U.S. licensed doctor as an outpatient

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