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Neurology

Ponvory

Generic: ponesimod

Manufacturer: Janssen  ·  Program: Johnson & Johnson Patient Assistance Foundation (JJPAF)

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Eligibility Criteria

Insurance Requirement

Must be uninsured, underinsured (no coverage for the drug), or enrolled in a Medicare Part D plan and meeting specific financial criteria

Residency

U.S. resident with valid address in the United States or U.S. territories

Income Threshold

Up to 500% FPL

Individual Income Limit

$75,300/year

Calculated at 500% of FPL; income thresholds may vary slightly for residents of AK and HI

Program Information

Processing Time

2-5 business days

Delivery Method

shipped to patient

Application Method

Multiple

Reauthorization

Required — annual

Typically Required Documents

ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.

  • Proof of income (Tax returns, W2, or pay stubs)
  • Patient and Physician signatures
  • Valid prescription

Indicated For

Relapsing forms of multiple sclerosis (RMS), including clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease

About This Medication

# Getting Ponvory (Ponesimod) at No Cost Through the Johnson & Johnson Patient Assistance Foundation (JJPAF) ## Who Qualifies for the Johnson & Johnson Patient Assistance Foundation (JJPAF)? If you have been prescribed Ponvory (ponesimod) and cannot afford it, you may be able to get it at no cost through the Johnson & Johnson Patient Assistance Foundation (JJPAF). This program is designed to help patients who lack adequate insurance coverage and meet income guidelines. For a single-person household, your annual income must be at or below $75,300 to qualify. To be eligible, you must be uninsured, have insurance that does not cover Ponvory, or be enrolled in Medicare Part D and meet specific financial criteria. If you qualify, Ponvory is shipped directly to your home at no charge. This program is worth exploring before paying full price out of pocket. --- ## About Ponvory (Ponesimod) Ponvory (ponesimod) is a prescription medication made by Janssen, a Johnson & Johnson company. It belongs to a class of drugs called sphingosine 1-phosphate (S1P) receptor modulators and is approved by the FDA to treat relapsing forms of multiple sclerosis (RMS). This includes clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease in adults. Without insurance or financial assistance, Ponvory can cost several thousand dollars per month, making it out of reach for many patients. Because no FDA-approved biosimilar or generic version of Ponvory currently exists, the JJPAF program is one of the primary ways to access this medication at reduced or no cost. --- ## Income Eligibility: Full Breakdown JJPAF uses income thresholds set at 500% of the Federal Poverty Level (FPL) to determine eligibility. The limits below apply to most U.S. residents. Note that thresholds may be slightly higher for residents of Alaska and Hawaii. | Household Size | Maximum Annual Income | |---|---| | 1 person | $75,300 | | 2 persons | $102,200 | | 3 persons | $129,100 | | 4 persons | $156,000 | If your household is larger than four people, additional income allowances typically apply — contact JJPAF directly at (800) 652-6227 to ask about your specific situation. To verify income, you will usually need to provide your most recent federal tax return, a W-2 form, or three months of recent pay stubs. If your income has changed significantly since last year, pay stubs may be a better reflection of your current situation. If you are above the income limit, you may not qualify for free medication through this program, but you may still be eligible for the Ponvory savings card if you have commercial insurance. See the "Alternatives" section below for more options. --- ## Insurance Requirements Explained Your insurance status plays a major role in whether you qualify. Here is how it works: - **If you are uninsured:** You likely qualify for the JJPAF program, as long as you meet the income guidelines. Being uninsured is one of the clearest paths to eligibility. - **If you have Medicare Part D:** You may still qualify, but you must meet specific financial criteria set by JJPAF. Medicare Part D patients are not automatically excluded. Contact the program directly to discuss your situation. - **If you have private insurance that does not cover Ponvory:** You may qualify as "underinsured." If your plan explicitly excludes this drug or does not provide coverage for it, JJPAF may be able to help. Having insurance alone does not disqualify you. - **If you have Medicaid:** Patients who have full Medicaid coverage are generally not eligible for manufacturer patient assistance programs. If your Medicaid plan does not cover Ponvory in your state, contact JJPAF to ask about your specific options. --- ## Step-by-Step: How to Apply Follow these steps to apply for free Ponvory through JJPAF: 1. **Visit the support page.** Go to [https://www.ponvory.com/support](https://www.ponvory.com/support) to review current program details and confirm you are looking at the most up-to-date requirements. 2. **Choose your application method.** You can apply online at [https://www.jjpaf.org/](https://www.jjpaf.org/), call JJPAF at (800) 652-6227, or fax your completed application to (888) 526-5168. 3. **Gather your documents before you start.** You will need: - Proof of income (most recent tax return, W-2, or three months of pay stubs) - A valid prescription for Ponvory from your doctor - Your doctor's signature on the application - Your own signature on the patient portion of the application 4. **Complete the application.** Fill out all sections carefully. Incomplete applications can slow down processing. 5. **Submit your application.** Use the online portal, fax the completed form, or work with your doctor's office to submit on your behalf. Some physician offices handle this process for their patients. 6. **Wait for confirmation.** Processing typically takes 2 to 5 business days after your complete application is received. --- ## What to Expect: Timeline and Delivery Once JJPAF reviews your application, you will typically receive a decision within 2 to 5 business days. If approved, JJPAF will confirm your enrollment and arrange for Ponvory to be shipped directly to your home address — you do not need to pick it up at a pharmacy. There is nothing you need to do at delivery other than be available to receive the shipment. Your approval is not permanent. JJPAF requires annual reauthorization, meaning you will need to reapply each year and provide updated income documentation to continue receiving the medication at no cost. Mark your approval date on your calendar so you do not miss the renewal window. --- ## Alternatives If You Don't Qualify If you do not meet the JJPAF eligibility requirements, here are other options to consider: 1. **Biosimilars:** There are currently no FDA-approved biosimilar or generic versions of Ponvory available. This option is not available at this time. 2. **Manufacturer savings card:** If you have commercial (private) insurance, you may qualify for the Ponvory savings card, which can reduce your out-of-pocket costs. You can find more information and enroll at [https://www.ponvory.com/savings-support](https://www.ponvory.com/savings-support). This card is typically not available to Medicare or Medicaid patients. 3. **State Pharmaceutical Assistance Programs (SPAPs):** Many states run their own programs to help residents afford prescription drugs. Eligibility and benefits vary by state. Your state health department website or your doctor's office can help you find your local SPAP. 4. **NeedyMeds.org:** This free, independent database lists hundreds of patient assistance programs, co-pay cards, and disease-specific funds. Visit [https://www.needymeds.org](https://www.needymeds.org) to search for additional help that may apply to your situation. --- > *This guide is for informational purposes only and does not constitute medical or legal advice. Eligibility determinations are made solely by Janssen. Program terms may change — verify current requirements at [https://www.ponvory.com/support](https://www.ponvory.com/support) before applying.* ---

Program information last verified: February 27, 2026

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