Ponvory

Indicated For

relapsing multiple sclerosis, clinically isolated syndrome, relapsing-remitting MS, active secondary progressive MS

About This Medication

# PONVORY® (ponesimod) Patient Guide: How to Get PONVORY® at Low or No Cost PONVORY® (ponesimod) is a prescription medication used to treat relapsing forms of multiple sclerosis (MS) in adults. This guide explains the **Janssen CarePath Savings Program** and related Janssen patient assistance options to help you access PONVORY® affordably.[1][4] ## About PONVORY® PONVORY® is an oral sphingosine 1-phosphate receptor modulator that helps reduce MS relapses by trapping certain immune cells in lymph nodes, preventing them from entering the brain and spinal cord. It's taken once daily, starting with a 7-day titration pack to minimize side effects like slowed heart rate. Always follow your doctor's instructions, complete required pre-treatment tests (e.g., ECG), and report symptoms promptly. For full details, review the Prescribing Information with your healthcare provider.[2][4] ## Who Qualifies for Assistance? Janssen offers two main programs for PONVORY®: 1. **Janssen CarePath Savings Program** (for commercially insured patients): - Age 18 or older. - Commercial or private health insurance (including Marketplace plans). - **No income requirement**. - **Not eligible** if using Medicare, Medicaid, or other government-funded programs.[1][4] 2. **Johnson & Johnson Patient Assistance Program** (for broader access): - Insured patients (commercial, employer, government like Medicare/Medicaid) facing affordability challenges. - Live in the US or US territory; outpatient treatment by US-licensed provider. - Meet income eligibility (varies by medication; specifics for PONVORY® not detailed—call to confirm). - For Medicare Part D: Spend >4% of gross annual household income on prescriptions; not eligible for Low-Income Subsidy if ≤150% FPL.[3][7][9] These programs aim to make treatment accessible despite high costs, which can exceed $100,000/year without assistance.[1] ## Income Eligibility Breakdown The Savings Program has **no income limits**. The Patient Assistance Program uses household income guidelines, often tied to Federal Poverty Level (FPL), but exact PONVORY® thresholds aren't specified publicly. Contact Janssen for your situation. | Household Size | Estimated FPL Threshold Example (400% FPL, illustrative)* | Notes | |---------------|-------------------------------------------------------|-------| | Individual | ~$60,000 | Varies; >4% spend for Medicare Part D [3][9] | | Couple | ~$80,000 | Call 1-833-742-0791 for exacts [7] | | Family of 3 | ~$100,000 | Income based on medication costs only [3] | | Family of 4 | ~$120,000 | Excludes non-drug treatment costs [3] | *Illustrative based on 2026 FPL estimates; program uses specific criteria. No table for Savings Program (none required).[9] ## Insurance Requirements - **Savings Program**: Commercial/private insurance only. Excludes Medicare, Medicaid, VA, TRICARE, etc. Savings apply to copay, coinsurance, deductible up to $18,000/year. Pay **$0 per fill**.[1][4] - **Patient Assistance**: Accepts commercial, employer, Medicare, Medicaid if inadequate coverage. Insurer may need to certify no diversion restrictions. Medicare Part D patients: Provide EOB or pharmacy report showing >4% income spend.[3][9] ## Step-by-Step Application ### For Savings Program (Fastest for Commercial Insurance): 1. **Check Eligibility**: Visit MyJanssenCarePath.com/express or ask your doctor/pharmacist.[4] 2. **Enroll**: Use Express Enrollment (mobile-friendly). Get digital Savings Card (BIN: 610020, GROUP: 99994224).[4] 3. **Fill Prescription**: Present card at retail/specialty pharmacy. Instant $0 copay.[1][4] 4. **Track**: Benefits reset yearly; max $18,000/calendar year.[1] ### For Patient Assistance Program: 1. **Verify Eligibility**: Call 1-833-742-0791 (M-F, 8AM-8PM ET) or visit JJPatientAssistance.com.[7][9] 2. **Download Form**: Get enrollment form; doctor signs prescription section.[9] 3. **Submit Docs**: Upload/fax (833-512-0497): Proof of income, insurance, residency, EOB if Medicare.[3][9] 4. **Approval**: Free medication up to 1 year if approved.[3] Your doctor or care team can assist via JanssenCarePathPortal.com.[2] ## Timeline and Delivery - **Savings Program**: Instant eligibility check/enrollment; use card immediately at pharmacy. Processing: Minutes.[4] - **Patient Assistance**: 2-4 weeks typical (varies); medication shipped to doctor's office or pharmacy. Call for status.[7][9] Delivery: Free via mail/specialty pharmacy; pickup options available.[1] ## Alternatives if Denied - Switch programs (e.g., commercial to assistance if eligible).[9] - J&J withMe (jnjwithme.com) for more savings/resources.[6] - Other MS foundations (e.g., MSAA, PAN Foundation). - Doctor appeal, prior authorization, or generic/biosimilar (none currently).[5] - 340B clinics or state programs.[7] ## Disclaimer This guide is for informational purposes only and not a substitute for professional medical/financial advice. Program terms change (e.g., end of year); eligibility not guaranteed. Consult your doctor, Janssen (1-833-742-0791), or visit sites for latest. Janssen/J&J reserve rights to amend/terminate. ©2026 estimates; verify current details.[1][4][9]

Program information last verified: March 30, 2026