Johnson & Johnson Patient Assistance Foundation, Inc. Patient Assistance Program

Johnson & Johnson Pa

Contact Information
Johnson & Johnson Patient Assistance Foundation, Inc. Patient Assistance Program
P.O. Box 221857
Charlotte, NC 28222-1857
1-(800) 652-6227 (phone)
1-(888) 526-5168 (fax)
Physician requests should be directed to:
Johnson & Johnson Patient Assistance Foundation, Inc. Patient Assistance Program
P.O. Box 221857
Charlotte, NC 28222-1857
1-(800) 652-6227 (phone)
How to Apply:
Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to RxResource.
Eligibility:
Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF)* is committed to helping you get the prescription medications you need. If you qualify, the Johnson & Johnson Patient Assistance Foundation, Inc. Patient Assistance Program* makes it easier for you to receive free medications manufactured by the Operating Companies of Johnson & Johnson.
Other Information:
*Independent program not owned or operated by the Operating Companies of Johnson & Johnson
Product(s) covered by program:
  • Aciphex®
  • Alamast®
  • Axert®
  • Betimol®
  • Biafine®
  • Concerta® Extended-Release Tablets CII
  • Ditropan® XL Extended Release Tablets
  • DOXIL® (doxorubicin HCl liposome injection)
  • Duragesic® (fentanyl transdermal system) CII
  • EDURANT™ (rilpivirne) Tablets
  • Elmiron®
  • Ertaczo™ Cream 2%
  • Flexeril® Tablets
  • Grifulvin-V® microsize Tablets
  • Haldol® Decanoate Injection
  • Haldol® Injection
  • INTELENCE™ (etravirine) Tablets
  • INVEGA® (paliperidone) Extended-Release Tablets
  • INVEGA® SUSTENNA™ (paliperidone palmitate) Extended-Release Injectable Suspension
  • IQUIX®
  • LEUSTATIN® (cladribine) Injection
  • Levaquin®
  • Natrecor®
  • NUCYNTA™ (tapentadol) immidiate-release oral tablets C-II
  • ORTHOVISC
  • Pancrease® MT Capsules
  • Parafon Forte® DSC (chlorazoxazone) Caplets
  • PREZISTA® (darunavir) Tablets
  • PROCRIT® (Epoetin alfa) FOR INJECTION
  • Quixin®
  • Razadyne™ (galantamine HBr) Tablets & Oral Solution
  • Razadyne™ ER (galantamine HBr) Extended-Release Capsules
  • REMICADE® (infliximab) for IV Injection
  • Risperdal Consta® Long-Acting Injection
  • Risperdal® M-TAB®
  • Risperdal® Tablets and Oral Solution
  • SIMPONI™ (golimumab)
  • Sporanox® (itraconazole) Capsules & Oral Solution
  • STELARA™ (ustekinumab)
  • Terazol® 3 Vaginal Suppositories
  • Terazol® 7 Vaginal Cream
  • Topamax® (topiramate capsules) Sprinkle Capsules
  • Topamax® (topiramate) Tablets
  • Ultracet® (tramadol hydrochloride/acetaminophen tablets)
  • Ultram® (tramadol HCL tablets)
  • Ultram® ER (tramadol HCL) Extended-Release Tablets
  • Uvadex® (Methoxsalen) STERILE SOLUTION
  • XARELTO® (rivoroxaban tablets)
  • ZYTIGA™ (abiraterone acetate) Tablets