Prezcobix

Indicated For

HIV-1

About This Medication

# Janssen Patient Assistance Program Patient Guide: How to Get Prezcobix (darunavir cobicistat) at Low or No Cost Prezcobix (darunavir cobicistat) is a prescription medication used to treat HIV-1 infection in adults and children weighing at least 40 kg, in combination with other antiretroviral agents. The **Janssen Patient Assistance Program** offers eligible patients free medication if they meet income, residency, and insurance criteria[1][2][3]. ## About Prezcobix **Prezcobix** combines two active ingredients: darunavir, a protease inhibitor that blocks an enzyme HIV needs to multiply, and cobicistat, which boosts darunavir's effectiveness by inhibiting its breakdown in the body. It is taken as one tablet daily with food and is approved for treatment-experienced adults. Common side effects include diarrhea, nausea, rash, and increased cholesterol; serious risks involve liver problems, severe skin reactions, or drug interactions. Always consult your healthcare provider for personalized advice[1][9]. ## Who Qualifies for the Program? To qualify for free Prezcobix through the Janssen Patient Assistance Program, you must: - Live in the United States or a U.S. territory. - Be treated as an outpatient by a U.S.-licensed healthcare provider. - Have a valid prescription for Prezcobix. - Meet income eligibility: household income at or below **300% of the Federal Poverty Level (FPL)** for uninsured or underinsured patients. - Lack adequate insurance coverage (uninsured or functionally uninsured with inadequate commercial, employer, or government coverage)[1][2][3]. Medicare Part D patients have extra rules: demonstrate spending more than 4% of gross annual household income on prescription drugs and, if income ≤150% FPL, prove ineligibility for Low-Income Subsidy (LIS)[2][3][10]. ## Income Eligibility Breakdown Eligibility is based on **≤300% FPL**. Use the table below for 2026 guidelines (FPL updates annually; verify current levels at healthcare.gov). For a household of 1, 300% FPL is about $45,180; add ~$15,060 per additional person. | Household Size | 100% FPL | 300% FPL (Eligibility Max) | |----------------|----------|----------------------------| | 1 Person | $15,060 | **$45,180** | | 2 People | $20,440 | **$61,320** | | 3 People | $25,820 | **$77,460** | | 4 People | $31,200 | **$93,600** | *Notes: Exact FPL varies by year/location. Provide proof like 1040 tax return. Program applies to uninsured/underinsured only[1][2][3].* ## Insurance Requirements The program targets **uninsured or inadequately insured** patients. Submit front/back copies of all insurance cards (medical/pharmacy). If insured: - Commercial/employer plans: Must show inadequate coverage (e.g., high copays denying access). - Government: Uninsured or functionally uninsured. - **Medicare Part D**: Submit pharmacy report or EOB showing yearly out-of-pocket costs >4% household income; LIS-ineligible if ≤150% FPL[1][2][3][10]. You must certify exploring all low-cost insurance options. Active assistance programs may disqualify you[1]. ## Step-by-Step Application Process 1. **Confirm Eligibility**: Review income (≤300% FPL), residency, prescription, and insurance status. Call (833) 742-0791 (Mon-Fri, 8 AM-8 PM ET) for help[1][2]. 2. **Download Form**: Get the Patient Assistance Enrollment Form from jnjwithme.com or JJPatientAssistance.com. Complete pages 2-5 (patient/caregiver sections, including authorization). Doctor signs prescription section (page 6+)[1][4][9]. 3. **Gather Documents**: - Proof of income (recent 1040/1040-SR tax return). - Proof of residency (utility bill, etc.). - Prescription for Prezcobix. - Insurance info (cards front/back; Medicare EOB/pharmacy report if applicable)[1][2][10]. 4. **Review & Sign**: Read pages 4-7 (authorization, terms). Sign page 2 certifying accuracy/eligibility[1]. 5. **Submit**: Multiple methods—fax to 1-833-512-0497, upload via account1.jnjwithme.com/patient-assistance, or mail. Doctor may upload via portal[1][4]. 6. **Follow Up**: Program reviews insurance/eligibility, notifies you/doctor of status. Call for updates[2]. ## Timeline and Delivery Processing time varies (not specified; submit complete info to avoid delays). Once approved, medication ships free to your home or doctor's office for up to 1 year. Reauthorization required annually or upon changes[1][9]. Notify within 30 days of income/insurance shifts[8]. ## Alternatives if Denied - **Appeal**: Contact (833) 742-0791 to discuss reasons (e.g., income over limit, incomplete docs). - **Other Programs**: Check NeedyMeds, RxAssist, or PAN Foundation for HIV meds. Explore state AIDS Drug Assistance Programs (ADAP). - **Savings Cards**: Janssen CarePath savings for commercially insured (MyJanssenCarePath.com). - **Generic Options**: No biosimilars listed; discuss alternatives like darunavir/ritonavir with doctor. - Reapply if circumstances change (e.g., job loss)[2][7]. ## Important Disclaimer This guide summarizes publicly available info as of 2026 and is not official advice. Eligibility/terms change; verify with Janssen at (833) 742-0791 or jnjwithme.com. Not affiliated with Janssen. Consult your doctor/pharmacist. Program may end participation anytime. Free meds can't be sold/traded[1][2][8]. (Word count: 1028)

Program information last verified: March 30, 2026