Invega Sustenna

Indicated For

schizophrenia, schizoaffective disorder

About This Medication

# Johnson & Johnson Patient Assistance Program: How to Get Invega Sustenna at Low or No Cost ## About This Program The Johnson & Johnson Patient Assistance Program helps eligible patients receive Invega Sustenna (paliperidone palmitate) at no cost for up to one year. Invega Sustenna is a long-acting antipsychotic medication used to treat schizophrenia and schizoaffective disorder. If you're struggling to afford this medication, this program may help bridge the gap between your insurance coverage and your actual out-of-pocket costs. ## Who Qualifies? You may be eligible for this program if you meet ALL of the following criteria: - **Live in the United States or Puerto Rico** - **Have a valid prescription** from a U.S.-licensed physician for Invega Sustenna as an outpatient - **Meet income requirements** based on your household size (see income table below) - **Have insurance that doesn't fully cover your medication costs** OR are uninsured - **Are not eligible for government programs** like Medicare or Medicaid that would cover the medication ## Income Eligibility Your household income must fall within the program's limits. The program accepts patients with income up to approximately 400% of the Federal Poverty Level (FPL). Use this table as a general guide: | Household Size | Approximate Income Limit | |---|---| | 1 person | $40,000 | | 2 people | $60,000 | | 3 people | ~$75,000 | | 4 people | ~$100,000 | | Each additional person | Add ~$20,000 | *Note: These are approximate thresholds. Exact limits may vary based on current Federal Poverty Level guidelines. Contact the program directly for your specific situation.* ## Insurance Requirements This program is designed for patients who are: - **Uninsured** (no health insurance at all) - **Underinsured** (have insurance but it doesn't cover Invega Sustenna or leaves you with high out-of-pocket costs) - **Commercially insured** (with private insurance that has gaps in coverage) **Important:** If you have Medicare, Medicaid, TRICARE, or Veterans Affairs coverage, you typically do not qualify for this program, as these government programs are expected to cover your medication costs. ## How to Apply ### Step 1: Gather Your Documents Before you start, collect the following: - **Proof of income**: Most recent tax return (Form 1040 or 1040-SR), pay stubs, or other income documentation - **Proof of residency**: Utility bill, lease agreement, or government-issued ID showing your current address - **Insurance information**: Copy of front and back of all insurance cards (medical and pharmacy) - **Prescription information**: Your doctor will need to complete and sign a form confirming your prescription - **Healthcare provider information**: Your doctor's name, office address, and phone number ### Step 2: Complete the Enrollment Form You can apply in two ways: **Option A: Phone Application** Call **(855) 452-6773** and speak with a patient advocate who will guide you through the application process. **Option B: Online/Mail Application** Download the Patient Assistance Enrollment Form from the Johnson & Johnson website. Complete all sections on page 2 and have your healthcare provider complete and sign page 3. Include your supporting documents and fax to **1-833-512-0497**. ### Step 3: Submit Your Application Include all required documents with your application. Incomplete applications will be delayed. You can: - Fax your completed form and documents to **1-833-512-0497** - Call **1-833-742-0791** (Monday–Friday, 8:00 AM–8:00 PM ET) for assistance - Apply online through the J&J withMe portal ### Step 4: Receive Your Medication Once approved, your medication will be shipped directly to you or your physician's office at no cost. ## Timeline and What to Expect - **Application processing**: The program will review your eligibility and insurance coverage. Processing time varies, but you should expect to hear back within 1-2 weeks. - **Medication delivery**: Once approved, your medication will be shipped to your home or doctor's office. - **Coverage duration**: You receive medication at no cost for up to one year from your approval date. - **Reauthorization**: Before your one-year benefit ends, you'll need to reapply to continue receiving assistance. ## What If Your Application Is Denied? If you don't qualify for the Johnson & Johnson program, you have other options: - **Contact your healthcare provider** to discuss lower-cost alternatives or generic options - **Ask about manufacturer coupons or discount programs** that may be available - **Explore independent foundations** that provide financial assistance to patients with serious mental health conditions - **Use the Medicine Assistance Tool (MAT)** at MAT.org to search for other financial assistance programs you may qualify for - **Contact patient advocacy organizations** focused on schizophrenia or mental health for additional resources ## Important Reminders - This program covers medication costs only; it does not cover the cost of doctor visits or treatment administration - You must reapply each year to continue receiving assistance - If your income or insurance changes, notify the program immediately - Keep your healthcare provider informed about your participation in this program ## Contact Information **Phone**: 1-833-742-0791 (Monday–Friday, 8:00 AM–8:00 PM ET) **Fax**: 1-833-512-0497 **Website**: JJPatientAssistance.com or JanssenPatientAssistance.com ## Disclaimer This guide provides general information about the Johnson & Johnson Patient Assistance Program for Invega Sustenna. Program eligibility, requirements, and benefits may change. Always verify current requirements directly with the program before applying. This information is not a guarantee of eligibility or approval. Consult with your healthcare provider about whether Invega Sustenna is appropriate for your treatment needs.

Program information last verified: March 30, 2026