Tracleer

Indicated For

Pulmonary Arterial Hypertension

About This Medication

# Tracleer Patient Guide: How to Get Tracleer at Low or No Cost Tracleer (bosentan) is a prescription medication used to treat **pulmonary arterial hypertension (PAH)**, a serious condition where high blood pressure in the lung arteries strains the heart. This guide explains Janssen's patient assistance programs to help you access Tracleer at low or no cost, including eligibility, application steps, and more.[1][3][5] ## About Tracleer Tracleer works by **dilating blood vessels in the lungs**, improving blood flow and reducing heart strain. It comes as **62.5 mg or 125 mg film-coated tablets** taken orally twice daily, often starting at a lower dose for 4 weeks before increasing.[1][2][6] Due to risks of **liver damage and fetal harm**, Tracleer is only available through the **Bosentan REMS Program**, requiring pre-treatment liver tests, monthly monitoring, and pregnancy tests for females of childbearing potential.[1][7][8] Always follow your doctor's instructions and REMS requirements. Janssen provides **treatment support**, including educational materials and help with adherence.[6][8] ## Who Qualifies for Assistance? Janssen offers multiple programs via **Janssen CarePath** and the independent **Johnson & Johnson Patient Assistance Foundation (JJPAF)**. Eligibility varies: - **Janssen CarePath Oral PAH Savings Program**: For commercially insured patients. Pay **as little as $5 per fill** (limits apply yearly; not valid in CA/MA or for certain MA residents). **No income info required**. Covers copays, coinsurance, deductibles.[3][7] - **JJPAF**: For **uninsured or underinsured** patients with financial hardship who exhausted other options. Provides **free medicine for up to 1 year**. Medicare Part D patients must not qualify for Low-Income Subsidy (LIS) or spend >4% of household income on drugs (LIS rule if ≤150% FPL).[5] - Other options like **PAN Foundation** (income <400% FPL, Medicare OK), **HealthWell Foundation**, or **Patient Advocate Foundation** (income ≤300-400% FPL, insured required).[4] ## Income Eligibility Breakdown Income limits apply mainly to free drug programs like JJPAF or foundations. Janssen Savings often skips income checks. Here's a general table based on 2026 Federal Poverty Levels (FPL; adjust for household size/COLI via program sites): | Household Size | 150% FPL (JJPAF LIS check) | 300% FPL (e.g., PAF) | 400% FPL (e.g., PAN) | |---------------|----------------------------|----------------------|----------------------| | Individual | ~$22,590 | ~$45,180 | ~$60,240 | | Couple | ~$30,660 | ~$61,320 | ~$81,760 | | Family of 3 | ~$38,730 | ~$77,460 | ~$103,280 | | Family of 4 | ~$46,800 | ~$93,600 | ~$124,800 | *Notes: FPL varies yearly; check JJPAF or foundations for exacts. Savings programs have annual caps. Uninsured prioritized for free meds.[3][4][5]* ## Insurance Requirements - **Commercial insurance**: Eligible for Janssen CarePath Savings ($5/fill).[3][7] - **Medicare Part D**: Try LIS first; if denied or >4% income on drugs, apply to JJPAF. Foundations like PAN/HealthWell help with copays.[4][5] - **Uninsured**: JJPAF or state Medicaid (apply via benefits.gov).[4][5] - Programs **coordinate with insurers** but are patient-directed, not for plans.[3][6] ## Step-by-Step Application 1. **Discuss with your doctor**: Confirm PAH diagnosis, REMS enrollment, dosing (e.g., 62.5 mg BID x4 weeks).[6] 2. **Choose program**: - Savings Card: Visit jnjwithme.com or call **866-228-3546** (Mon-Fri 8AM-8PM ET).[3][5] - Free meds (JJPAF): Go to **JJPatientAssistance.com** or call 866-228-3546.[5] 3. **Gather docs**: Proof of income (taxes/paystubs), insurance denial (if insured), ID, prescription.[4][5][6] 4. **Apply online/form**: Doctor/pharmacy may complete parts (e.g., CVS Specialty form).[6] Simplefill/QuickRx offer free copay help (call 917-830-2525).[1][2] 5. **Submit**: Digital or mail; Janssen verifies coverage.[3][6] ## Timeline and Delivery - **Approval**: 1-2 business days for copay help; up to 2-4 weeks for free meds.[2][5] - **Delivery**: Pharmacy direct (e.g., CVS Specialty) or mail. Refills via Janssen support.[6][8] - **Reauthorization**: Often yearly; resubmit income/insurance proof.[5] ## Alternatives if Denied - Appeal with more docs. - Try PAN/HealthWell/PAF (check eligibility online).[4] - State Medicaid or NeedyMeds.org.[4] - Doctor can call Janssen for exceptions (866-228-3546).[3] - Copay cards via PrescriberPoint.[9] ## Disclaimer This guide is for informational purposes only and not medical/financial advice. Eligibility/rules change; verify at jnjwithme.com, JJPatientAssistance.com, or 866-228-3546. Consult your doctor/insurer. Programs may end or have restrictions (e.g., no CA/MA for savings). Tracleer requires REMS—liver/preg tests mandatory.[1][3][5][7]

Program information last verified: March 25, 2026