Edurant

Indicated For

HIV-1

About This Medication

# Janssen Patient Assistance Program Patient Guide: How to Get Edurant (rilpivirine) at Low or No Cost Edurant (rilpivirine) is a prescription medication used to treat HIV-1 infection in adults and children weighing at least 77 lbs (35 kg), as part of a complete antiretroviral regimen. The **Janssen Patient Assistance Program** provides **free Edurant for up to one year** to eligible patients who meet income requirements and have insurance that doesn't fully cover their medication costs.[1][2][3] ## Who Qualifies for the Program? To qualify, you must: - Live in the United States or a U.S. territory. - Be treated as an outpatient by a U.S.-licensed healthcare provider. - Be prescribed Edurant (rilpivirine), an eligible Janssen medication. - Meet income eligibility requirements (specific thresholds not publicly detailed; based on household size and income verification via tax returns).[1][3][5] - Have commercial, employer-sponsored, or government insurance that does not fully meet your medication needs. Uninsured patients may qualify if they've applied for all available low-cost insurance options.[1][2] **Medicare Part D patients**: You qualify if you spend more than 4% of your gross annual household income on prescription drugs.[3] The program does not cover patients whose insurance fully meets their needs or those who can shift costs to other assistance programs.[3] ## About Edurant (rilpivirine) Edurant is a **non-nucleoside reverse transcriptase inhibitor (NNRTI)** that helps control HIV by blocking the virus from multiplying. It's typically taken once daily with a meal, in combination with other HIV medications. Common side effects include depression, headache, rash, and insomnia. Always follow your doctor's instructions and report side effects to your healthcare provider or the FDA at 1-800-FDA-1088. This program helps ensure access to this important treatment when costs are a barrier.[4] ## Income Eligibility Breakdown Specific Federal Poverty Level (FPL) percentages or exact dollar thresholds for individuals, couples, or families are not publicly specified in program details. Eligibility is determined case-by-case based on proof of income, such as your most recent **1040 or 1040-SR Federal tax return**.[1][5] | Household Size | Income Threshold | Notes | |---------------|------------------|-------| | Individual | Determined upon application | Submit tax return for verification[1][5] | | Couple | Determined upon application | Household income reviewed[3] | | Family of 3 | Determined upon application | Includes all household members[1] | | Family of 4+ | Determined upon application | Proof required; Puerto Rico needs additional financial docs[5] | **Key Note**: Income guidelines ensure help reaches those who need it most. Call **(833) 742-0791** (Mon-Fri, 8 AM-8 PM ET) to discuss your situation before applying.[1][5] ## Insurance Requirements You must have **commercial, employer-sponsored, or government coverage** (like Medicare or Medicaid) that **does not fully cover Edurant costs**. Provide front/back copies of insurance cards. If uninsured, confirm you've checked eligibility for free/low-cost options.[1][2][3] **Medicare Part D**: Submit a pharmacy report or Explanation of Benefits (EOB) showing out-of-pocket costs for the year.[1][3] The program verifies your coverage and matches you to the right support.[2] ## Step-by-Step Application Process 1. **Download the Enrollment Form**: Get it from jnjwithme.com or the portal.[1][5] 2. **Complete Pages 1-2**: Fill patient info, insurance details, income, and sign. Review and sign Patient Authorization (pages 4-7).[1][5] 3. **Healthcare Provider Completes Page 3**: Doctor signs for each prescription, including Edurant details.[2][5] 4. **Gather Documents**: - Insurance cards (front/back). - Most recent 1040/1040-SR tax return. - Medicare: EOB or pharmacy cost report. - Puerto Rico: Additional financial docs.[1][5] 5. **Submit**: Fax to **1-833-512-0497** or upload online. Online consent/authorization at JJPatientAssistance.com.[1][5] 6. **Wait for Review**: Program checks eligibility and contacts you/doctor with status.[2] Call **(833) 742-0791** for help completing the form.[1] ## Timeline and Delivery Processing time varies; incomplete apps delay approval. Expect updates via phone/email to you and your provider. If approved, **free medication ships for up to 1 year**, typically to your doctor's office or pharmacy. Reauthorization is required annually or upon changes.[1][2][3] Program terms expire end-of-year and may change.[3] ## Alternatives if Denied - **Contact Janssen CarePath**: Explore savings cards or copay assistance at jnjwithme.com.[4] - **Other PAPs**: Check NeedyMeds.org or RxAssist.org for HIV-specific programs. - **State Programs**: ADAP (AIDS Drug Assistance Program) in your state. - **Manufacturer Copay Programs**: For commercially insured. - **Appeal**: Provide missing info if denied for incompleteness.[1] ## Disclaimer This guide is for informational purposes only and based on publicly available program details as of latest updates. Eligibility, terms, and availability can change without notice. Always verify with Janssen at (833) 742-0791 or your healthcare provider. Not medical advice. Janssen does not guarantee approval. Free meds can't be sold/traded, and you must report income/insurance changes within 30 days.[1][3][6]

Program information last verified: March 30, 2026