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This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis, or treatment. Neither RxAssist nor RxVantage is offering advice, recommending, or endorsing any specific prescription drug, pharmacy, or other information on the site. Neither RxVantage nor RxAssist provides any warranty for any of the pricing data or other information. Please seek medical advice before starting, changing, or terminating any medical treatment. Third-party logos, trademarks, brand names, and images contained on rxassist.org or rxvantage.com are for demonstration purposes only. They are owned by their respective rights holders, who are not affiliated with this Site.

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Johnson & Johnson Health Care Systems Inc

Johnson & Johnson Patient Assistance Program

Information last checked August 26, 2026

Contact info

Phone
1-833-742-0791
Website
Program website (opens in a new tab)

Eligibility

  • Patient must be uninsured or have inadequate coverage through commercial, employer group, or government insurance coverage.
  • Patients with Medicare Part D must spend 4% of gross annual household income on out-of-pocket prescription costs for yourself and/or other household members.
Income limit, single
Not published
Income limit, couple
Not published
Medical expenses can be deducted
Not published
Social Security number asked for
No
US citizenship or residency required
Yes

Not sure where your income falls? See this year's federal poverty guidelines (opens in a new tab).

Application process

Documents to attach
Proof of income
Prescriber license number
  • NPI number
  • Both DEA and state license numbers
Who can sign
Physician
Application can be faxed
Yes
Decision letter sent to
Provider and patient

Getting the medication

Patient receives
Medication
Shipped to
Provider or patient
Supply per shipment
Not published
Time to first delivery
Not published
Refills
Not published
Staying enrolled
  • New application every 12 months
  • New proof of income every 12 months

Medications covered

  • Akeega (niraparib and abiraterone acetate)
  • Balversa (erdafitinib)
  • Darzalex (daratumumab)
  • Darzelex Faspro (daratumumab and hyaluronidase-fihj, Injection for subcutaneous use)
  • Edurant (rilpivirne)
  • Elmiron (pentosan polysulfate sodium)
  • Erleada Tablets (apalutamide)
  • Inlexzo (gemcitabine intravesical system)
  • Intelence (etravirine)
  • Invega Hafyera (paliperidone palmitate)
  • Invega Sustenna (paliperidone palmitate)
  • Invega Trinza (paliperidone palmitate)
  • Invokamet (canagliflozin-metformin)
  • Invokamet XR (canagliflozin/metformin HCI)
  • Invokana (canagliflozin)
  • Prezcobix Tablets (darunavir/cobicistat)
  • Prezista (darunavir)
  • Risperdal Consta (risperidone)
  • Rybrevant (amivantamab-vmjw)
  • Rybrevant in combination with Lazcluze (amivantamab-vmjw and lazertinib)
  • Sirturo Tablets (bedaquiline)
  • Spravato (esketamine)
  • Symtuza (darunavir, cobicistat, emtricitabine, and tenofovir alafenamide)
  • Talvey (talquetamab-tgvs)
  • Tecvayli (teclistamab-cqyv)
  • Xarelto (rivaroxaban tablets)
  • Yondelis (trabectedin)

Application forms & instructions

Download the forms below. Many are fillable PDFs you can type into before printing.

  • Oncology Application Form
  • Form for all other medications