Johnson & Johnson Patient Assistance Program: Immunology

Funded

About

The Johnson & Johnson Patient Assistance Program: Immunology offers crucial support for patients needing access to medications such as Remicade, Simponi, Simponi ARIA, Infliximab, Stelara, and Tremfya. The program aims to alleviate access and affordability issues, providing medication cost assistance for eligible patients. The Johnson & Johnson Patient Assistance Program: Immunology ensures patients can receive their necessary medications at no cost for up to a year, reinforcing its commitment to patient care and accessibility.

Insurance requirements: Commercially insured, Medicare / Medicaid, Underinsured

Enrollment Forms

Enrollment Form

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: Yes

•Activation Required: No

Program Details

•Eligible patients with commercial, employersponsored or government coverage that does not fully meet their needs who are facing access and affordability challenges may be able to receive medication at no cost for up to one year

•Program provides medication cost assistance only; does not cover the costs to receive treatment

•Patients with Medicare Part D may be asked to submit a report from their pharmacy or an EOB statement from their insurance that shows their outofpocket costs for the current year

•Patient enrollment can only be done by Healthcare Providers, by fax or online

•For fax enrollment: download a copy of the appropriate Patient Enrollment Form available at: https://jnjwithme.com/hcp for the prescribed product, located under “Forms and Guides”

•For online enrollment: visit https://portal.jnjwithme.com/

•For assistance or additional information, call 8337420791, Monday through Friday, 8:00 am to 8:00 pm ET

Enrollment Forms

Enrollment Form