Johnson and johnson xarelto patient assistance application

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We want to guide you to programs that may help. Here, you'll find the financial assistance programs available for XARELTO®. We have also listed most of the eligibility requirements for each, so you can narrow your focus to those that best suit your circumstances. Call the programs or visit their websites to learn more.

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  • I have commercial or private insurance coverage
  • I have government insurance coverage
  • I have no insurance coverage

View all programs

The following program is affiliated with Janssen.

Johnson and johnson xarelto patient assistance application

Janssen CarePath Savings Program for XARELTO®

Eligible patients using commercial or private insurance can save on out-of-pocket costs for XARELTO®. Depending on the health insurance plan, savings may apply toward co-pay, co-insurance, or deductible. Eligible commercial patients pay $10 for each 30-day to 90-day prescription for XARELTO®, subject to program benefit limits. There is no limit to this benefit for the first 90 days, and then a $200 limit for each 30-day supply thereafter. There is a $3,400 maximum program benefit per calendar year. Not valid for patients using Medicare, Medicaid, or other government-funded programs to pay for their medications. Patients prescribed XARELTO® 10 mg because of a recent non-surgical hospital discharge or because they have recently undergone hip or knee replacement surgery are not eligible. Terms expire at the end of each calendar year and may change. There is no income requirement.

We provide cost support directly to patients through the Janssen CarePath Savings Program. This benefit is intended to help eligible patients afford their out-of-pocket obligations as set by their health plans. The cost support is meant solely for patients—not health plans and/or their partners. If you are having any difficulty accessing cost support through the Janssen CarePath Savings Program, please contact us at 888-XARELTO (888-927-3586).

See full eligibility requirements

Mobile Enrollment Available for the Janssen CarePath Savings Program

Use Express Enrollment at MyJanssenCarePath.com/express to check eligibility, enroll, and receive an electronic Savings Program card that can be saved to your digital wallet on your iPhone or Android device.

You will not have a Janssen CarePath account and will not be able to view and manage your Savings Program benefits until you create an account at MyJanssenCarePath.com or Xarelto.com.

Express Enrollment

Or you may register at Xarelto.com or by calling 888-XARELTO (888-927-3586).

Johnson and johnson xarelto patient assistance application

Do you pay more than $85 monthly out of pocket for your prescription of XARELTO®? Janssen Select may be able to help.

At Janssen, we know that it can be hard to stay on treatment when your out-of-pocket costs increase during a coverage gap (eg, commercial high deductibles or the Medicare Part D coverage gap, formerly known as the "Donut hole"). That's why we've created Janssen Select.

Through Janssen Select you can:

  • Pay $85, plus sales tax if applicable, for a 30-day (1-month) supply of XARELTO®.
  • Or, pay $240 for a 90-day (3-month) supply of XARELTO® ($80 per month), plus sales tax if applicable, if you and your doctor choose a 90-day supply.
  • Participate without paying a membership fee or sharing your income information.
  • Register beginning April 1 and get refills through December 31, and you can discontinue anytime.

At Janssen, we believe that cost shouldn't prevent you from staying on the treatment you need, uninterrupted. Terms expire at the end of each calendar year and may change. See program requirements at JanssenSelect.com.

To register, you must have insurance covering a portion of the cost of XARELTO®, and you are being asked to pay more than $85 monthly for XARELTO® through your insurance.

The following programs are not affiliated with Janssen.

Be sure to contact the programs directly to get details on eligibility and application requirements, and to see if they have funding available to help you.

State-Sponsored Programs

Some states sponsor prescription financial assistance programs, each with its own eligibility requirements. Find out if your state has a program that can help you.

Independent co-pay assistance foundations

Independent co-pay assistance foundations have their own rules for eligibility, which are subject to change. We cannot guarantee a foundation will help you. We only can refer you to a foundation that supports your disease state. This information is provided as a resource for you. We do not endorse any particular foundation. The foundations on this list are not the only ones that might be able to help you.

The following program is affiliated with Janssen.

Johnson and johnson xarelto patient assistance application

Do you pay more than $85 monthly out of pocket for your prescription of XARELTO®? Janssen Select may be able to help.

At Janssen, we know that it can be hard to stay on treatment when your out-of-pocket costs increase during a coverage gap (eg, commercial high deductibles or the Medicare Part D coverage gap, formerly known as the "Donut hole"). That's why we've created Janssen Select.

Through Janssen Select you can:

  • Pay $85, plus sales tax if applicable, for a 30-day (1-month) supply of XARELTO®.
  • Or, pay $240 for a 90-day (3-month) supply of XARELTO® ($80 per month), plus sales tax if applicable, if you and your doctor choose a 90-day supply.
  • Participate without paying a membership fee or sharing your income information.
  • Register beginning April 1 and get refills through December 31, and you can discontinue anytime.

At Janssen, we believe that cost shouldn't prevent you from staying on the treatment you need, uninterrupted. Terms expire at the end of each calendar year and may change. See program requirements at JanssenSelect.com.

To register, you must have insurance covering a portion of the cost of XARELTO®, and you are being asked to pay more than $85 monthly for XARELTO® through your insurance.

The following programs are not affiliated with Janssen.

Be sure to contact the programs directly to get details on eligibility and application requirements, and to see if they have funding available to help you.

State-Sponsored Programs

Some states sponsor prescription financial assistance programs, each with its own eligibility requirements. Find out if your state has a program that can help you.

Medicare Savings Program

Many states have programs for people with limited income and resources that pay some or all of Medicare's premiums and may pay Medicare deductibles and co-insurance. Find out if your state has a program that can help you.

Medicare Part D Extra Help — Low-Income Subsidy

Medicare patients who have limited income and resources may qualify for "extra help" to pay for prescription drugs. The Low-Income Subsidy (LIS) program from Medicare provides financial assistance for patients who may otherwise be unable to afford the costs associated with their Medicare Part D plan.

Those who are eligible for LIS may:

  • Receive assistance paying their monthly premium
  • Have a reduced or no deductible
  • Have reduced or no prescription co-insurance and co-payments
  • Have no gap in coverage

Medicaid

Medicaid and the Children's Health Insurance Program (CHIP) provide free or low-cost health coverage to millions of Americans, including some low-income people, families and children, pregnant women, the elderly, and people with disabilities.

Some states have expanded their Medicaid programs to cover all people below certain income levels.

Independent co-pay assistance foundations

Independent co-pay assistance foundations have their own rules for eligibility, which are subject to change. We cannot guarantee a foundation will help you. We only can refer you to a foundation that supports your disease state. This information is provided as a resource for you. We do not endorse any particular foundation. The foundations on this list are not the only ones that might be able to help you.

Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF)

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. You may be eligible if you don't have insurance, if your medicine is not covered by insurance, or if you have Medicare coverage and can't pay for your medicine.

Want to see if you qualify? Get an application at JJPAF.org.

Questions? Call 800-652-6227 (Monday through Friday, 8:00 AM to 8:00 PM ET).

The following programs are not affiliated with Janssen.

Be sure to contact the programs directly to get details on eligibility and application requirements, and to see if they have funding available to help you.

State-Sponsored Programs

Some states sponsor prescription financial assistance programs, each with its own eligibility requirements. Find out if your state has a program that can help you.

Medicaid

Medicaid and the Children's Health Insurance Program (CHIP) provide free or low-cost health coverage to millions of Americans, including some low-income people, families and children, pregnant women, the elderly, and people with disabilities.

Some states have expanded their Medicaid programs to cover all people below certain income levels.

No health insurance?

Check the Health Insurance Marketplace at www.HealthCare.gov to see if you can enroll in a plan.

Independent co-pay assistance foundations

Independent co-pay assistance foundations have their own rules for eligibility, which are subject to change. We cannot guarantee a foundation will help you. We only can refer you to a foundation that supports your disease state. This information is provided as a resource for you. We do not endorse any particular foundation. The foundations on this list are not the only ones that might be able to help you.

Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF)

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. You may be eligible if you don't have insurance, if your medicine is not covered by insurance, or if you have Medicare coverage and can't pay for your medicine.

Want to see if you qualify? Get an application at JJPAF.org.

Questions? Call 800-652-6227 (Monday through Friday, 8:00 AM to 8:00 PM ET).

The following program is affiliated with Janssen.

Janssen CarePath Savings Program for XARELTO®

Eligible patients using commercial or private insurance can save on out-of-pocket costs for XARELTO®. Depending on the health insurance plan, savings may apply toward co-pay, co-insurance, or deductible. Eligible commercial patients pay $10 for each 30-day to 90-day prescription for XARELTO®, subject to program benefit limits. There is no limit to this benefit for the first 90 days, and then a $200 limit for each 30-day supply thereafter. There is a $3,400 maximum program benefit per calendar year. Not valid for patients using Medicare, Medicaid, or other government-funded programs to pay for their medications. Patients prescribed XARELTO® 10 mg because of a recent non-surgical hospital discharge or because they have recently undergone hip or knee replacement surgery are not eligible. Terms expire at the end of each calendar year and may change. There is no income requirement.

We provide cost support directly to patients through the Janssen CarePath Savings Program. This benefit is intended to help eligible patients afford their out-of-pocket obligations as set by their health plans. The cost support is meant solely for patients—not health plans and/or their partners. If you are having any difficulty accessing cost support through the Janssen CarePath Savings Program, please contact us at 888-XARELTO (888-927-3586).

See full eligibility requirements

Mobile Enrollment Available for the Janssen CarePath Savings Program

Use Express Enrollment at MyJanssenCarePath.com/express to check eligibility, enroll, and receive an electronic Savings Program card that can be saved to your digital wallet on your iPhone or Android device.

You will not have a Janssen CarePath account and will not be able to view and manage your Savings Program benefits until you create an account at MyJanssenCarePath.com or Xarelto.com.

Express Enrollment

Or you may register at Xarelto.com or by calling 888-XARELTO (888-927-3586).

Johnson and johnson xarelto patient assistance application

Do you pay more than $85 monthly out of pocket for your prescription of XARELTO®? Janssen Select may be able to help.

At Janssen, we know that it can be hard to stay on treatment when your out-of-pocket costs increase during a coverage gap (eg, commercial high deductibles or the Medicare Part D coverage gap, formerly known as the "Donut hole"). That's why we've created Janssen Select.

Through Janssen Select you can:

  • Pay $85, plus sales tax if applicable, for a 30-day (1-month) supply of XARELTO®.
  • Or, pay $240 for a 90-day (3-month) supply of XARELTO® ($80 per month), plus sales tax if applicable, if you and your doctor choose a 90-day supply.
  • Participate without paying a membership fee or sharing your income information.
  • Register beginning April 1 and get refills through December 31, and you can discontinue anytime.

At Janssen, we believe that cost shouldn't prevent you from staying on the treatment you need, uninterrupted. Terms expire at the end of each calendar year and may change. See program requirements at JanssenSelect.com.

To register, you must have insurance covering a portion of the cost of XARELTO®, and you are being asked to pay more than $85 monthly for XARELTO® through your insurance.

The following programs are not affiliated with Janssen.

Be sure to contact the programs directly to get details on eligibility and application requirements, and to see if they have funding available to help you.

State-Sponsored Programs

Some states sponsor prescription financial assistance programs, each with its own eligibility requirements. Find out if your state has a program that can help you.

Medicare Savings Program

Many states have programs for people with limited income and resources that pay some or all of Medicare's premiums and may pay Medicare deductibles and co-insurance. Find out if your state has a program that can help you.

Medicare Part D Extra Help — Low-Income Subsidy

Medicare patients who have limited income and resources may qualify for "extra help" to pay for prescription drugs. The Low-Income Subsidy (LIS) program from Medicare provides financial assistance for patients who may otherwise be unable to afford the costs associated with their Medicare Part D plan.

Those who are eligible for LIS may:

  • Receive assistance paying their monthly premium
  • Have a reduced or no deductible
  • Have reduced or no prescription co-insurance and co-payments
  • Have no gap in coverage

Medicaid

Medicaid and the Children's Health Insurance Program (CHIP) provide free or low-cost health coverage to millions of Americans, including some low-income people, families and children, pregnant women, the elderly, and people with disabilities.

Some states have expanded their Medicaid programs to cover all people below certain income levels.

No health insurance?

Check the Health Insurance Marketplace at www.HealthCare.gov to see if you can enroll in a plan.

Independent co-pay assistance foundations

Independent co-pay assistance foundations have their own rules for eligibility, which are subject to change. We cannot guarantee a foundation will help you. We only can refer you to a foundation that supports your disease state. This information is provided as a resource for you. We do not endorse any particular foundation. The foundations on this list are not the only ones that might be able to help you.

Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF)

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. You may be eligible if you don't have insurance, if your medicine is not covered by insurance, or if you have Medicare coverage and can't pay for your medicine.

Want to see if you qualify? Get an application at JJPAF.org.

Questions? Call 800-652-6227 (Monday through Friday, 8:00 AM to 8:00 PM ET).

How does the Johnson and Johnson Patient Assistance Program work?

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. otherwise wouldn't receive.

How do you qualify for free eliquis?

You may be eligible for the Free 30-Day Trial Offer for ELIQUIS® (apixaban) if:.
You have not previously filled a prescription for ELIQUIS;.
You have a valid 30-day prescription for ELIQUIS;.
You are being treated with ELIQUIS for an FDA-approved indication that an HCP has planned for more than 35 days of treatment;.

Does Pfizer have a patient assistance program?

patients in need get access to their Pfizer medicines. Today, Pfizer RxPathways® connects eligible U.S. patients to a range of Pfizer assistance programs that provide insurance support, co-pay help, and medicines for free or at a savings.

Does Bayer have a patient assistance program?

The Bayer US Patient Assistance Foundation is a charitable organization that helps eligible patients get their Bayer prescription medicine at no cost. Bayer understands that sometimes people face financial challenges, and we are here to help.