NUCYNTA ER

Indicated For

chronic moderate-severe pain

About This Medication

# Johnson & Johnson Patient Assistance Program: How to Get NUCYNTA ER at Low or No Cost ## About NUCYNTA ER NUCYNTA ER (tapentadol) is a prescription opioid pain medication used to manage severe pain that requires daily, around-the-clock treatment when other pain treatments are not effective or cannot be tolerated. It is also used to manage neuropathic pain (nerve damage pain) from diabetes. As a long-acting extended-release medication, NUCYNTA ER carries risks including overdose and respiratory depression, which is why it is reserved for patients whose pain cannot be adequately managed with other options. ## Who Qualifies for Assistance You may be eligible to receive NUCYNTA ER at no cost for up to one year if you meet the program's eligibility and income requirements. The Johnson & Johnson Patient Assistance Program serves patients with different insurance situations: - **Uninsured patients** with no health insurance coverage - **Underinsured patients** with commercial or employer-sponsored insurance that does not fully meet their medication needs - **Government insurance patients** including Medicare, Medicaid, TRICARE, U.S. Department of Veterans Affairs health care, or U.S. Department of Defense health care - **Marketplace insurance patients** with plans purchased through the Health Insurance Marketplace The program is designed to help patients facing access and affordability challenges, even if they have some insurance coverage. ## Income Eligibility While specific income thresholds for NUCYNTA ER are not detailed in available program materials, the Johnson & Johnson Patient Assistance Program uses income-based eligibility criteria. For Medicare Part D patients specifically, you must: - Demonstrate you are not eligible for the Low-Income Subsidy (LIS) - Spend more than 4% of your gross annual household income on prescription drugs The Low-Income Subsidy applies to patients whose income is at or below 150% of the Federal Poverty Level. For current income thresholds and to determine your specific eligibility, contact the program directly at **1-833-742-0791** (Monday–Friday, 8:00 AM–8:00 PM ET) or visit **JJPatientAssistance.com**. ## Insurance Requirements To qualify for this assistance program, you must meet one of these insurance situations: - Be completely uninsured - Have commercial or employer-sponsored insurance that does not fully cover your medication needs - Have government insurance (Medicare, Medicaid, TRICARE, VA, or DoD coverage) - Have a Health Insurance Marketplace plan Importantly, your insurer must not have an "Assistance Diversion Program" in place. The program will verify this by requesting a Patient Eligibility Certification form from your insurance company to confirm your drug coverage is not subject to such restrictions. ## How to Apply: Step-by-Step **Step 1: Gather Required Information** Before starting your application, have the following ready: - Your insurance information (policy number, group number if applicable) - Your healthcare provider's contact information - Your prescription information for NUCYNTA ER - Proof of income (if requested) **Step 2: Complete the Patient Assistance Enrollment Form** You or your caregiver should complete pages 2–5 of the enrollment form, including the Patient Authorization section. The form is available at **www.newprograminfo.com** or through the application portal. **Step 3: Have Your Doctor Complete the Form** Your healthcare provider must complete the remaining pages of the enrollment form (starting on page 6) and sign the prescription information section. This confirms your medical need for NUCYNTA ER. Your provider can: - Download and complete the form, then upload it during enrollment - Fax the completed form to **833-512-0497** **Step 4: Submit Your Application** Submit your completed enrollment form through one of these methods: - **Online**: Visit **JJPatientAssistance.com** to upload your form and complete enrollment - **Phone**: Call **1-833-742-0791** (Monday–Friday, 8:00 AM–8:00 PM ET) for assistance **Step 5: Verification and Approval** The program will verify your insurance coverage and check your eligibility. They will confirm that your insurance does not have an Assistance Diversion Program in place and that you meet income requirements. ## Timeline and Delivery While specific processing times are not detailed in program materials, the program aims to process applications efficiently once all required documentation is received. Once approved, you will receive your NUCYNTA ER medication at no cost. The program covers medication costs only and does not include administration or delivery fees. You may receive assistance for up to one year, after which you may need to reapply if you continue to meet eligibility requirements. ## What If Your Application Is Denied? If you are denied assistance, the program can refer you to independent foundations that provide financial support to patients in need. Additionally, NUCYNTA ER offers a copay card program for commercially insured patients: eligible patients may pay as little as $35 per prescription (with a maximum benefit of $100 per prescription). Ask your healthcare provider or pharmacist about this savings option if you have commercial insurance. ## Important Terms and Conditions - **Duration**: Assistance is available for up to one year - **Medication costs only**: The program covers the cost of NUCYNTA ER medication but not administration or delivery costs - **No double-dipping**: You cannot seek payment for the value received from this program from any health plan or other patient assistance foundation - **Cancellation**: You may end your participation at any time by calling 1-833-742-0791 (Monday–Friday, 8:00 AM–8:00 PM ET) ## Contact Information **Phone**: 1-833-742-0791 **Hours**: Monday–Friday, 8:00 AM–8:00 PM ET **Website**: JJPatientAssistance.com or www.newprograminfo.com **Fax**: 833-512-0497 (for enrollment forms) ## Disclaimer This guide provides general information about the Johnson & Johnson Patient Assistance Program for NUCYNTA ER. Program eligibility, income thresholds, and terms may change. For the most current and complete information, contact the program directly using the contact information above. Always consult with your healthcare provider about your treatment options and medication needs. This information is not medical advice.

Program information last verified: March 30, 2026