Johnson & Johnson Patient Assistance Program

Requirements for uninsured applicants

• Applicant must be at or below 300% federal poverty level to qualify
  • View federal poverty guidelines
• If approved, applicant will receive a card to take to the pharmacy to use to cover the amount
  • This card is like a co-pay card
• Applications are good for 1 year from the date approved by the program

Requirement for Medicare Part D applicants

• Medicare Part D enrollees are approved on a case by case basis
• Applications for Medicare Part D enrollees are valid until December 31st of the current enrollment year