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Diabetes

INVOKAMET® XR

Generic: Canagliflozin/Metformin Hydrochloride Extended-Release

Manufacturer: Janssen Pharmaceuticals (Johnson & Johnson)  ·  Program: Janssen Patient Assistance Program

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Eligibility Criteria

Insurance Requirement

Patients with commercial, employer-sponsored, or government coverage that does not fully meet their needs; not valid for patients whose insurance fully covers the medication

Residency

US resident

Income-based eligibility required; specific thresholds not disclosed in available sources

Program Information

Processing Time

2–8 weeks

Delivery Method

Shipped to patient home or physician office

Application Method

Multiple

Reauthorization

Required — annual

Indicated For

Type 2 Diabetes Mellitus

About This Medication

# Janssen Patient Assistance Program: How to Get INVOKAMET® XR at Low or No Cost ## About INVOKAMET® XR INVOKAMET® XR is a prescription medication that combines canagliflozin and metformin hydrochloride in an extended-release formulation. It is used to help manage type 2 diabetes when diet and exercise alone are not sufficient. The medication works by helping your body use insulin more effectively and reducing blood sugar levels. ## Who Qualifies for This Program The Janssen Patient Assistance Program provides eligible patients with INVOKAMET® XR at **no cost for up to one year**. To qualify, you must meet all of the following criteria: - **Live in the United States or a U.S. territory**[4] - **Receive treatment as an outpatient from a licensed U.S. healthcare provider**[4] - **Have a valid prescription for INVOKAMET® XR from your doctor**[4] - **Meet income eligibility requirements** (specific thresholds vary by medication and household size) - **Spend more than 4% of your gross annual household income on prescription drugs** (this requirement applies specifically to Medicare Part D patients)[4] - **Have insurance that does not fully cover your medication costs**, or have no insurance[1] ## Income Eligibility The program uses **income-based eligibility criteria**, though specific income thresholds are not publicly disclosed. Your eligibility is determined on a case-by-case basis during the application review process. Generally, the program is designed to assist patients with financial need. For **Medicare Part D patients**, you must also demonstrate that you are **not eligible for the Low-Income Subsidy (LIS)**. The Low-Income Subsidy applies to patients whose income is at or below 150% of the Federal Poverty Level.[3] | Household Size | 150% Federal Poverty Level (2026 estimate) | |---|---| | Individual | ~$21,870 | | Couple | ~$29,460 | | Family of 3 | ~$37,050 | | Family of 4 | ~$44,640 | *Note: These are approximate figures based on federal poverty guidelines. Actual thresholds may vary.* ## Insurance Requirements The program is available to patients with: - **Commercial insurance** that does not fully cover INVOKAMET® XR - **Employer-sponsored insurance** with high out-of-pocket costs - **Government insurance** (Medicare, Medicaid) that leaves you with significant costs - **No insurance** (uninsured patients who have applied for available free or low-cost coverage options)[1] **Important:** If your insurance fully covers the cost of INVOKAMET® XR, you are not eligible for this assistance program. ## How to Apply: Step-by-Step ### Step 1: Gather Required Documents Before starting your application, collect the following: - **Insurance information**: Copies of the front and back of all insurance cards (medical, pharmacy, etc.)[1] - **Proof of income**: A copy of your most recent Federal tax return (Form 1040 or 1040-SR)[1] - **For Medicare Part D patients only**: A pharmacy report or Explanation of Benefits (EOB) statement from your insurer showing your out-of-pocket prescription drug costs for the current year[1] - **Your healthcare provider's information**: Name, phone number, and fax number ### Step 2: Complete the Patient Assistance Enrollment Form 1. Download the **Patient Assistance Enrollment Form** from the Janssen program website or request it by phone 2. **You and your caregiver** should complete pages 2-5, including the Patient Authorization section[4] 3. **Your healthcare provider** must complete the remaining pages and sign the form to confirm your prescription[1] 4. Review pages 4-7, which contain the Patient Authorization Form, Terms of Participation, and Terms & Conditions. Sign on page 2 to certify that you have read, understand, and agree to these terms[1] ### Step 3: Submit Your Application You have two options: - **Fax**: Send the completed form and all supporting documents to **1-833-512-0497**[1] - **Mail**: Contact the program for a mailing address **Important:** Include all required supporting documents with your initial submission. Missing information will delay processing of your application.[1] ### Step 4: Await Eligibility Determination The Janssen program will: 1. Determine your insurance coverage 2. Check your eligibility based on income and program requirements 3. Match you with the appropriate assistance program for your needs 4. Provide updates to you and your healthcare provider on your enrollment status[4] ## Timeline and Medication Delivery **Processing Time**: The search results do not specify an exact processing timeline. However, you should expect to hear back within 1-2 weeks of submission. Contact the program if you have not received a response within this timeframe. **Medication Delivery**: Once approved, your INVOKAMET® XR will be **shipped directly to your home or to your physician's office**, depending on your preference and the program's procedures.[1] ## Getting Started **Call the Janssen Patient Assistance Program:** - **Phone**: 1-833-742-0791 - **Hours**: Monday through Friday, 8:00 AM – 8:00 PM ET[1] Program representatives can answer questions about eligibility, help you complete the enrollment form, and guide you through the application process. ## What If Your Application Is Denied? If you are not approved for the Janssen Patient Assistance Program, consider these alternatives: - **Ask your doctor about generic alternatives** to INVOKAMET® XR that may be more affordable - **Contact your insurance company** to discuss prior authorization or appeals processes - **Look into other patient assistance programs** offered by pharmaceutical manufacturers - **Visit 211.org or call 2-1-1** to find local financial assistance resources - **Ask your healthcare provider's office** about samples or other cost-reduction strategies ## Program Reauthorization Your enrollment in the Janssen Patient Assistance Program requires **periodic reauthorization**. You will need to reapply or provide updated information to continue receiving assistance beyond the initial one-year period. The program will notify you when reauthorization is required. ## Important Disclaimers - This program provides **medication cost assistance only** and does not cover the costs of doctor visits, lab tests, or other treatment-related expenses - You must certify that all information provided is complete and accurate - You must not be directed by your insurance company or a non-medical professional to apply for this program - Eligibility and program terms are subject to change - This guide is for informational purposes only and does not constitute medical or legal advice ## Contact Information **Janssen Patient Assistance Program** - **Phone**: 1-833-742-0791 - **Fax**: 1-833-512-0497 - **Hours**: Monday–Friday, 8:00 AM–8:00 PM ET - **Website**: Visit JJPatientAssistance.com for more information

Program information last verified: March 30, 2026

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