Tracleer
Generic: bosentan
Manufacturer: Janssen (Johnson & Johnson) · Program: Janssen CarePath Oral PAH Savings Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
Commercially insured patients only; not for government insurance or uninsured
Residency
US residents (not valid in CA or MA for certain strengths, or for MA residents)
Income Threshold
Up to 500% FPL
Individual Income Limit
$72,900/year
Program Information
Processing Time
2–4 weeks
Delivery Method
shipped to patient or physician office
Application Method
Multiple
Reauthorization
Required, annually
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- Prescription
- Proof of insurance
- Bosentan REMS enrollment
Indicated For
Pulmonary Arterial Hypertension (PAH)
About This Medication
# J&J withMe Oral PAH Savings Program Patient Guide: How to Get Tracleer (bosentan) at Low or No Cost Tracleer (bosentan) is a prescription medication used to treat pulmonary arterial hypertension (PAH), a serious condition that affects blood vessels in the lungs and heart. The **J&J withMe Oral PAH Savings Program**, offered by Janssen (a Johnson & Johnson company), helps eligible patients with commercial insurance pay just **$5 per prescription fill** for Tracleer and other oral PAH therapies like Opsumit, Uptravi, and Opsynvi. This guide explains everything you need to know to access this support in a simple, step-by-step way.[1][2][3][10] ## About Tracleer (bosentan) **Tracleer** is an endothelin receptor antagonist (ERA) that helps relax and widen blood vessels in the lungs, reducing the workload on your heart. It's FDA-approved for PAH to improve exercise capacity and delay disease progression. Because it can cause serious side effects like liver damage or birth defects, all patients must enroll in the **Bosentan REMS (Risk Evaluation and Mitigation Strategy) program**. This requires regular blood tests and monthly confirmations from your doctor and pharmacy. Females of childbearing potential need monthly pregnancy tests.[1][2] Tracleer comes in tablets (32 mg, 62.5 mg, 125 mg) and is taken twice daily. It's not a cure but can significantly improve quality of life when used as prescribed. Always follow your doctor's instructions and report side effects like fatigue, swelling, or jaundice immediately. ## Who Qualifies for the Program? This savings program is **not income-based**—it's designed for patients with **commercial or private health insurance** who meet these criteria: - Age **18 or older** (or **3 or older** for Tracleer 32 mg tablets).[1] - Resident of the **US or Puerto Rico**.[2][6] - **Commercially insured** (employer plans, marketplace insurance, etc.). **Not valid** for Medicare, Medicaid, VA, Tricare, or other government-funded programs.[1][3][10] - Enrolled in the **Bosentan REMS program**.[2] - Prescription for Tracleer or another covered oral PAH therapy. The program reduces your out-of-pocket costs (copay, coinsurance, deductible) to **$5 per fill**, with a **maximum annual benefit** that applies across all oral PAH drugs in the program. Benefits reset each calendar year and may change or end without notice.[1][3] ## Income Eligibility Breakdown Since this is **not needs-based**, there are **no income thresholds**. Eligibility focuses on insurance type and age. Here's a simple table: | Household Size | Income Limit | Notes | |---------------|--------------|-------| | Individual | None | Commercial insurance required[1][2] | | Couple | None | No FPL percentage applied[1] | | Family of 3 | None | Government insurance ineligible[10] | | Family of 4+ | None | Age 18+ (3+ for low-dose Tracleer)[1] | If you're uninsured or on government insurance, explore Janssen's separate **Patient Assistance Program** (J&J withMe) for free medication based on income (up to 400-500% FPL, details at jnjwithme.com).[9][10] ## Insurance Requirements - **Must have commercial/private insurance** to cover Tracleer.[1][2][3] - Program savings apply to copays, coinsurance, or deductibles depending on your plan.[3] - **Excluded**: Medicare Part D, Medicaid, or any federal/state programs. If your pharmacy can't process the savings card, submit for a rebate.[1] - Some plans have maximizer programs (e.g., SaveOnSP); call 866-228-3546 to check eligibility.[1] - Janssen CarePath coordinators can verify benefits and assist with prior authorizations (PA), which have a ~90% first-pass approval rate.[4] ## Step-by-Step Application Process Applying is straightforward and can be done by you, your doctor, or a caregiver. Multiple methods available:[1][2][5] 1. **Gather Documents**: - Valid **prescription** for Tracleer. - **Proof of insurance** (front/back of card). - Proof of **Bosentan REMS enrollment** (doctor/pharmacy confirmation).[2] - For Medicare patients (if applicable via other programs): EOB or pharmacy report.[5] 2. **Enroll**: - **Call**: 866-228-3546 (Mon-Fri, 8am-8pm ET) for help or to start.[1][2][5] - **Download Form**: Janssen Patient Assistance Enrollment Form from jnjwithme.com or portal.jnjwithme.com. Complete pages 1-3, sign authorization (PAHconsent.com), and include docs.[5] - **Fax/Mail**: Fax to 866-279-0669 or mail to Janssen CarePath, 6931 Arlington Road, Suite 400, Bethesda, MD 20814.[5] - Providers can enroll via Janssen CarePath Provider Portal.[7] 3. **Activate Savings Card**: Receive a digital/physical card for $5 fills at participating pharmacies.[1] 4. **Specialty Pharmacy**: Medication ships **directly to your home** after approval. They handle refills with doctor verification.[2][6] ## Timeline and Delivery - **Processing**: Varies; complete forms speed it up. Missing info causes delays.[5] - **Delivery**: Shipped to patient via specialty pharmacy (e.g., after REMS confirmation).[2][6] - **Refills**: Automatic as long as doctor verifies prescription and you meet REMS requirements. **Reauthorization** needed periodically.[2] - Benefits expire end of calendar year; re-enroll if needed.[1] ## Alternatives if Denied or Ineligible - **PA Delayed/Denied**: Janssen PAH Link provides Tracleer **at no cost** until insurance approves (for commercial patients).[4] - **Government Insurance/Uninsured**: Apply to **J&J Patient Assistance Program** for free meds (income-based, up to 1 year).[9][10] - **Biosimilars**: None available for Tracleer.[ ] - Contact Pulmonary Hypertension Association (phassociation.org) or call 866-228-3546 for other PAH resources.[10] ## Important Disclaimer This guide is for informational purposes only and based on program details as of latest available info. Programs can change; always verify with Janssen at 866-228-3546 or jnjwithme.com. Not medical advice—consult your doctor. You agree to program terms by enrolling. Privacy governed by Janssen policy.[1][5] (Word count: 1028)
Program information last verified: March 30, 2026
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