Tremfya

Indicated For

plaque psoriasis, psoriatic arthritis, ulcerative colitis, Crohn’s disease

About This Medication

# Janssen Patient Assistance Program Patient Guide: How to Get Tremfya (guselkumab) at Low or No Cost Tremfya (guselkumab) is a prescription biologic medication used to treat adults with moderate-to-severe plaque psoriasis, active psoriatic arthritis, or moderately to severely active ulcerative colitis when other treatments haven't worked well enough. The **Janssen Patient Assistance Program** offers eligible patients **free medication** for up to one year, helping those who can't afford it due to income limits or insurance gaps.[1][3][7] ## Who Qualifies for the Program? This program is for **U.S. residents** (including territories) treated as outpatients by a licensed U.S. healthcare provider. You must be prescribed **Tremfya**, meet **income eligibility**, and have insurance that doesn't fully cover your needs—or no insurance after exploring low-cost options.[1][4] Key requirements: - Live in the U.S. or U.S. territory. - Have a valid prescription for Tremfya from a U.S.-licensed doctor. - Meet household income guidelines (details below; check PatientAssistanceInfo.com for exact thresholds).[4] - For Medicare Part D users: Spend more than **4% of gross annual household income** on prescriptions.[4] - Agree to program terms, including income and insurance verification.[1] **You're not eligible if** you have coverage that fully meets your needs, like certain government programs without gaps, or if you don't meet income rules.[1][4] ## About Tremfya (guselkumab) **Tremfya** is an injectable biologic that targets IL-23, a protein involved in inflammation. It's given by subcutaneous injection (under the skin), typically every 8 weeks after initial doses. Common uses: - **Plaque psoriasis**: Clears skin plaques. - **Psoriatic arthritis**: Reduces joint pain and swelling. - **Ulcerative colitis**: Manages moderate-to-severe flares. Always follow your doctor's instructions. Side effects may include infections, allergic reactions, or injection-site reactions—discuss risks with your provider.[1] ## Income Eligibility Breakdown Eligibility is based on **household income** compared to Federal Poverty Level (**FPL**). Exact thresholds aren't listed here but are available at **PatientAssistanceInfo.com**. Generally, programs like this cover incomes up to **400-500% FPL**, depending on family size.[4] Here's a sample table based on typical guidelines (verify current FPL at PatientAssistanceInfo.com): | Household Size | Max Annual Income (e.g., ~400% FPL) | |----------------|-------------------------------------| | 1 (Individual) | ~$60,000 | | 2 (Couple) | ~$81,000 | | 3 | ~$102,000 | | 4 | ~$123,000 | *Notes*: Add ~$21,000 per extra person. Medicare patients have the 4% spend rule. Provide proof like 1040 tax return.[1][4] ## Insurance Requirements You can have **commercial, employer-sponsored, or government insurance** (like Medicare Part D) if it doesn't fully cover Tremfya costs. **No insurance?** Confirm you've applied for free/low-cost options.[1][4] - Submit **front/back of insurance cards**. - **Medicare Part D**: Include pharmacy report or **EOB** showing yearly out-of-pocket costs.[1] - Program checks coverage first; free med if gaps exist.[2][4] ## Step-by-Step Application Process 1. **Download the form**: Get the **Patient Assistance Enrollment Form** from jnjwithme.com or JanssenPatientAssistance.com.[1][2] 2. **Fill patient sections** (pages 2+): Name, address, DOB, phone, email, insurance details, income proof.[1] 3. **Review and sign**: Read Patient Authorization, Terms (pages 4-7), sign page 2. eSign at JanssenPatientAssistance.com/PA if done before.[1] 4. **Doctor completes page 3**: Prescription info for Tremfya, sign per med.[1][2] 5. **Gather documents**: - Proof of income (1040/1040-SR). - Proof of residency (e.g., utility bill). - Insurance info (cards, EOB for Medicare).[1][4] 6. **Submit**: Fax to **1-833-512-0497** or upload via portal. Call **(833) 742-0791** (Mon-Fri, 8am-8pm ET) for help.[1] **Tip**: Complete everything to avoid delays—missing info slows processing.[1] ## Timeline and Delivery Processing time varies (not specified; typically 2-4 weeks). You'll get status updates via phone/email to you and your doctor.[2][4] If approved, Tremfya ships **free to your home or doctor's office**.[1] **Reauthorization**: Yes, required yearly—resubmit proof to continue.[1] ## Alternatives if Denied - **Appeal**: Call (833) 742-0791 to discuss.[1] - **Janssen CarePath Savings**: For insured patients; visit MyJanssenCarePath.com.[6] - **Other PAPs**: Check NeedyMeds.org or RxAssist.org. - **State programs** or **generic/biosimilar options** (none listed for Tremfya).[1] - **Medicare Extra Help** if eligible. ## Disclaimer This guide is for informational purposes only and based on available program details as of last update. **Eligibility, rules, and income limits can change**—always verify at official sites like jnjwithme.com or PatientAssistanceInfo.com. Consult your doctor or call the program for personalized advice. Janssen may end participation anytime; you can withdraw by calling (833) 742-0791. Not legal/medical advice.[1][4]

Program information last verified: March 25, 2026