Stelara

Indicated For

Ulcerative Colitis, Crohn's Disease, Plaque Psoriasis, Psoriatic Arthritis

About This Medication

# Janssen Patient Assistance Program Patient Guide: How to Get Stelara at Low or No Cost ## About This Program The Janssen Patient Assistance Program helps eligible patients access Stelara (ustekinumab) at no cost for up to one year if they meet income and insurance requirements. Stelara is a biologic medication used to treat conditions including plaque psoriasis, psoriatic arthritis, Crohn's disease, and ulcerative colitis. This program is designed to ensure that cost is not a barrier to receiving the treatment your doctor has prescribed. ## Who Qualifies for This Program? To be eligible for the Janssen Patient Assistance Program, you must meet all of the following requirements: - **Live in the United States or a U.S. territory** - **Receive treatment as an outpatient from a licensed U.S. healthcare provider** - **Have a valid prescription for Stelara from your doctor** - **Meet the income eligibility requirements** for your household size - **Have insurance coverage** (commercial, employer-sponsored, or government insurance) that does not fully cover your medication costs, or have no insurance and have applied to all available free or low-cost insurance options - **Spend more than 4% of your gross annual household income on prescription drugs** (this requirement applies specifically to Medicare Part D patients) ## Income Eligibility The Janssen Patient Assistance Program evaluates income based on your household size and gross annual household income. While specific income thresholds are not publicly detailed, the program uses a sliding scale to determine eligibility. Your income is compared against federal poverty level guidelines to assess your financial need. To determine if you qualify, you will need to provide proof of your most recent household income when you apply. The program will review your financial information and notify you of your eligibility status. ## Insurance Requirements You must have one of the following: - **Commercial insurance** (private health insurance purchased individually or through an employer) - **Employer-sponsored group health insurance** - **Government insurance** (Medicare, Medicaid, or other state programs) - **Health Insurance Marketplace coverage** If you have no insurance, you must certify that you have checked eligibility requirements and applied to all available options for free or minimal-cost insurance or other assistance programs before enrolling in this program. **Special Medicare Part D Requirements:** If you are enrolled in Medicare Part D, you must demonstrate that you are not eligible for the Low-Income Subsidy (LIS). You will also need to submit either a pharmacy report or an Explanation of Benefits (EOB) statement from your insurer showing your out-of-pocket prescription drug costs for the current year. ## How to Apply: Step-by-Step ### Step 1: Gather Required Documents Before starting your application, collect the following documents: - **Proof of Income:** A copy of your most recent Federal tax return (Form 1040 or 1040-SR) - **Insurance Information:** Copies of the front and back of all insurance cards (medical, pharmacy, etc.) - **Medicare Part D Patients Only:** A pharmacy report or Explanation of Benefits (EOB) statement showing your out-of-pocket costs for the current year - **Healthcare Provider Information:** Your doctor's name, office phone number, and fax number ### Step 2: Complete the Patient Assistance Enrollment Form You or your caregiver should complete pages 2-5 of the Patient Assistance Enrollment Form, including the Patient Authorization section. Your healthcare provider will need to complete the remaining pages starting on page 6. The form includes important information about: - Your personal and contact information - Your insurance details - Your prescription information - Authorization for Janssen to communicate with your healthcare providers and insurers Read pages 4-7 carefully, which contain the Patient Authorization Form, Terms of Participation, and Terms & Conditions. You must sign the form certifying that you have read, understand, and agree to these terms. ### Step 3: Submit Your Application You have two options for submitting your completed form and supporting documents: - **Fax:** Send to 1-833-512-0497 - **Online:** Upload your documents during the enrollment process at the Janssen Patient Assistance portal Make sure all required information is included with your initial submission. Missing information will cause delays in processing your application. ### Step 4: Await Eligibility Determination After you submit your application, Janssen will review your insurance coverage, financial information, and eligibility. They will provide updates to you and your healthcare provider on the status of your enrollment. ## Application Timeline and Medication Delivery While specific processing times are not publicly detailed, Janssen will notify you once your eligibility has been determined. Once approved, your Stelara will be shipped directly to you or your physician's office, depending on your preference and your doctor's recommendation. The program covers medication costs only and does not include the costs of administering your treatment (such as infusion or injection administration fees). ## Reauthorization and Program Duration Your enrollment in the Janssen Patient Assistance Program is valid for up to one year. You will need to reauthorize your participation to continue receiving assistance beyond this period. Janssen will contact you before your authorization expires to guide you through the reauthorization process. You may end your participation in the program at any time by calling 1-833-742-0791. ## What If Your Application Is Denied? If you do not qualify for the Janssen Patient Assistance Program, consider these alternatives: - **Janssen Savings Program:** If you have commercial insurance, you may be eligible for a copay savings program that reduces your out-of-pocket costs - **State Pharmaceutical Assistance Programs:** Many states offer programs to help residents afford prescription medications - **Nonprofit Organizations:** Organizations focused on your specific condition may offer financial assistance - **Discuss with Your Doctor:** Your healthcare provider may have additional resources or alternative treatment options to discuss ## Getting Help If you have questions about the application process or need assistance completing your enrollment form, contact the Janssen Patient Assistance Program: - **Phone:** 1-833-742-0791 - **Hours:** Monday through Friday, 8:00 AM to 8:00 PM ET - **Fax:** 1-833-512-0497 ## Important Disclaimer This guide provides general information about the Janssen Patient Assistance Program for Stelara. Program eligibility, requirements, and benefits are subject to change. For the most current and complete information, visit the official Janssen Patient Assistance portal or call the program directly. This guide is not a guarantee of program eligibility or enrollment. Your individual circumstances will be evaluated during the application process.

Program information last verified: March 30, 2026