Intelence

Indicated For

HIV

About This Medication

# Johnson & Johnson Patient Assistance Program Guide: Getting Intelence at Low Cost ## What is This Program? The Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF) helps eligible patients access Intelence (etravirine) at little or no cost. Intelence is a prescription HIV medication. If you're struggling to afford this medicine, this program may help you get the treatment you need. ## Who Can Apply? You may qualify for assistance if you meet these basic criteria: **Insurance Status:** You must be uninsured OR have inadequate coverage through: - Commercial health insurance - Employer group insurance - Government insurance like Medicare Part D (with specific limitations) If you have Medicare Part D coverage, you may still qualify, but the program has specific requirements you'll need to discuss during application. **Income Requirements:** Income limits vary by household size and change yearly. The program uses federal poverty guidelines as a reference point. Generally, assistance is available for individuals and families with modest incomes, but you'll need to verify current limits when you apply. Contact the program at **(833) 742-0791** to confirm if your income qualifies. **Citizenship:** You must be a U.S. resident. ## What Documents Do You Need? Have these items ready before you call or apply: 1. **Proof of Income** - Recent tax return, pay stubs, or benefit statements showing your annual income 2. **Insurance Cards** - Current health insurance cards (front and back) or proof you're uninsured 3. **Prescription Expense Reports** - Documentation of what you currently pay for Intelence, if applicable 4. **Doctor's Contact Information** - Your prescribing physician's name and phone number 5. **Photo ID** - To verify your identity Having these documents ready speeds up the application process. ## How to Apply **Step 1: Contact the Program** Call **(833) 742-0791** during business hours. A representative will answer questions about eligibility and guide you through the process. You can also apply online at **https://www.jnjwithme.com/patient/intelence/cost-support**. **Step 2: Complete the Application** You can apply by phone or online. Be prepared to provide personal information, income details, and insurance information. The application typically takes 15-30 minutes. **Step 3: Submit Required Documents** Fax, mail, or upload proof of income and insurance information. The program will provide specific instructions on how to submit. **Step 4: Receive Your Decision and Medication** Once approved, you'll receive information about picking up your medication. Many patients receive their first dose within 1-2 weeks of approval. ## Savings Card Option Even if you don't qualify for full assistance, the program offers a **savings card** that can reduce your out-of-pocket costs for Intelence. Ask about this option when you call. ## Important Information About Renewals Your assistance is **renewed annually**. The program will contact you before your assistance expires. You'll need to resubmit income verification and insurance information each year to continue receiving help. Set a reminder to update your application before expiration. ## What Happens Next? **Timeline:** - Application review: 3-10 business days - Approval decision: You'll be notified by phone or mail - First prescription: Usually arrives within 7-14 days of approval **Ongoing Support:** Once approved, you can request refills by phone or through the program's online portal. Most refills are processed within 24-48 hours. ## If Your Application Is Denied If you're denied, ask why. Common reasons include: - Income exceeds current limits - Insurance coverage deemed adequate - Incomplete application You can appeal or reapply if your circumstances change. The savings card may still be available as an alternative. ## Other Resources If you need additional help: - Ask your doctor or pharmacist about other assistance options - Contact local AIDS organizations for support services - Speak with a social worker at your clinic about resources ## Contact Information **Johnson & Johnson Patient Assistance Foundation** - Phone: **(833) 742-0791** - Website: **https://www.jnjwithme.com/patient/intelence/cost-support** - Hours: Monday-Friday, 9 AM-5 PM ET Don't let cost prevent you from getting the HIV medication you need. This program exists to help—reach out today.

Program information last verified: March 25, 2026