TALVEY

Janssen Patient Assistance Program: How to Get TALVEY at Low or No Cost

About TALVEY

TALVEY (talquetamab-tgvs) is a prescription medication manufactured by Janssen, a division of Johnson & Johnson. If you have been prescribed TALVEY but are concerned about the cost, the Janssen Patient Assistance Program may be able to help you obtain your medication at no cost or significantly reduced cost.

Who Qualifies for This Program

You may be eligible for the Janssen Patient Assistance Program if you meet the following criteria[1][2]:

• You live in the United States or a U.S. territory
• You are treated as an outpatient by a healthcare provider licensed in the U.S.
• You have been prescribed TALVEY by your healthcare provider
• You are uninsured or underinsured and unable to afford your medication
• You meet the income eligibility requirements for TALVEY
• You have not been directed by your insurance company to apply for this program

Income Eligibility

The Janssen Patient Assistance Program is designed for patients who cannot afford their medications. While specific income thresholds for TALVEY are not publicly listed, the program generally serves uninsured and underinsured patients[1][2]. Your eligibility will be determined during the application process based on your household income and financial situation.

If you have Medicare Part D, you must also demonstrate that you are not eligible for the Low-Income Subsidy (LIS) and that you spend more than 4% of your gross annual household income on prescription drugs[3].

Insurance Requirements

The program has different eligibility rules depending on your insurance status[2][3]:

Important: If you have insurance, you may need to exhaust your coverage options or demonstrate financial hardship before qualifying for this program[1].

Step-by-Step Application Process

Step 1: Gather Required Documents

Before applying, collect the following documents[1][2]:

• 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.)
• Prescription Information: Your TALVEY prescription from your healthcare provider
• Proof of Residency: Documentation showing you live in the U.S. or a U.S. territory

If you have Medicare Part D, also gather:

• A pharmacy report or Explanation of Benefits (EOB) statement showing your out-of-pocket costs for the current year

Step 2: Complete the Patient Enrollment Form

Download the Patient Assistance Enrollment Form from the Janssen website or request it by phone[1][2]. You or your caregiver should complete pages 2-5, including the Patient Authorization section. Your healthcare provider will need to complete the remaining pages and sign the form to verify your prescription[2].

Step 3: Submit Your Application

You have two options for submitting your completed form and supporting documents[1]:

• By Phone: Call 1-833-742-0791 (Monday–Friday, 8:00 AM–8:00 PM ET) to speak with a representative who can guide you through the process
• By Fax: Fax your completed form and documents to 1-833-512-0497

Make sure all required information is included with your initial submission to avoid processing delays[1].

Step 4: Await Eligibility Determination

After submission, Janssen will review your application, determine your insurance coverage, assess your financial need, and verify your eligibility[2]. You and your healthcare provider will receive updates on the status of your enrollment.

Timeline and Medication Delivery

While specific processing times are not publicly stated, Janssen aims to process applications efficiently. Once approved, your TALVEY will be shipped directly to you or your physician's office, depending on what works best for your situation[1].

Program Terms and Conditions

If you are approved, you should be aware of the following[1][9]:

• You may receive your medication at no cost for up to one year
• You must notify the Janssen Support Program within 30 days if there are changes in your income or health insurance coverage
• You must notify them if your Medicare eligibility changes (due to age, disability status, or Part D enrollment)
• The medication provided cannot be sold or traded
• You may end your participation at any time by calling 1-833-742-0791

What If Your Application Is Denied?

If you are denied enrollment, ask Janssen for the specific reason. Common reasons for denial include[1]:

• Income exceeds program limits
• You have insurance coverage that should be used first
• You do not meet other eligibility criteria

If denied, discuss alternative options with your healthcare provider, such as:

• Appealing the decision with additional financial documentation
• Exploring your insurance company's patient assistance programs
• Asking your doctor about generic alternatives or other treatment options
• Contacting patient advocacy organizations for your condition

Reauthorization

Your enrollment in the program requires periodic reauthorization. You will need to recertify your eligibility and may be asked to provide updated financial and insurance information to continue receiving assistance[1].

Need Help?

For questions about the program or assistance completing your application, contact Janssen Patient Assistance[2]:

• Phone: 1-833-742-0791 (Monday–Friday, 8:00 AM–8:00 PM ET)
• Online: Visit JJPatientAssistance.com or MyJanssenCarePath.com

Important Disclaimer

This guide provides general information about the Janssen Patient Assistance Program for TALVEY. Program eligibility, requirements, and benefits may change. Always verify current program details by contacting Janssen directly or visiting their official website. This information is not a guarantee of enrollment or medication provision. Your healthcare provider should be involved in all discussions about your treatment and medication access.