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 at Low or No Cost ## About This Program The **Janssen Patient Assistance Program** helps eligible patients access Tremfya (guselkumab) at no cost or reduced cost for up to one year[4]. Tremfya is a prescription medication used to treat plaque psoriasis and psoriatic arthritis. If you have difficulty affording your medication, this program may help bridge the gap between what your insurance covers and what you can actually pay out of pocket. ## Who Qualifies You may be eligible for the Janssen Patient Assistance Program if you meet all of the following criteria[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 Tremfya by your doctor - You meet the **income eligibility requirements** for Tremfya (specific thresholds vary) - You spend more than 4% of your gross annual household income on prescription drugs (if you have Medicare Part D coverage) - You have commercial, employer-sponsored, or government insurance that does not fully cover your medication costs, OR you have no insurance and have applied to all available free or minimal-cost insurance options[1] ## Income Eligibility The Janssen Patient Assistance Program uses income thresholds to determine eligibility. While specific dollar amounts are not listed in standard materials, the program bases decisions on your household income relative to your family size[2]. **Important:** For Medicare Part D patients specifically, you must demonstrate that you are not eligible for the Low-Income Subsidy (LIS), which applies to patients whose income is at or below 150% of the Federal Poverty Level[3]. To learn your specific income threshold for Tremfya, contact the program directly at **1-833-742-0791** (Monday–Friday, 8:00 AM–8:00 PM ET) or visit the enrollment website. ## Insurance Requirements You must currently have one of the following[2][3]: - Commercial health insurance - Employer-sponsored insurance - Government insurance (Medicare, Medicaid, etc.) - Health Insurance Marketplace coverage If your insurance does not fully cover Tremfya or you have no insurance, you may still qualify. Patients with no insurance must certify that they have checked eligibility requirements or applied to all available options for free or minimal-cost insurance or other assistance[1]. ## How to Apply: Step-by-Step ### Step 1: Gather Required Documents Before starting your application, collect the following[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.) - **Proof of Residency:** Documentation showing you live in the U.S. or a U.S. territory - **Medicare Part D Patients Only:** A pharmacy report OR an Explanation of Benefits (EOB) statement from your insurer 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 enrollment website or by calling the program[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[3]. ### Step 3: Submit Your Application You have two options[1]: - **Online:** Upload your completed form and supporting documents through the enrollment website - **Fax:** Send your completed form and documents to **1-833-512-0497** Make sure all required information and supporting documents are included with your initial submission to avoid processing delays[1]. ### Step 4: Receive Program Updates After submission, the program will determine your insurance coverage, needs, and eligibility. You and your healthcare provider will receive updates on your enrollment status[2]. ## Timeline and Medication Delivery The search results do not specify an exact processing timeline for applications. However, the program emphasizes that **submitting complete information with all required documents upfront will prevent delays**[1]. Once approved, Tremfya will be **shipped directly to you or your physician's office**, depending on what works best for your treatment plan[2]. ## Refills and Reauthorization Your assistance is typically provided for **up to one year**[4]. You will need to **reauthorize your enrollment** to continue receiving assistance beyond this period. The program will contact you with information about reauthorization before your current assistance expires. You must also **notify the Janssen Support Program within 30 days** if there are any changes in your income or health insurance coverage, including changes in your Medicare Part D enrollment status[9]. ## What If Your Application Is Denied? If you do not qualify for the Janssen Patient Assistance Program, ask your healthcare provider about: - Other manufacturer assistance programs - State pharmaceutical assistance programs - Non-profit organizations that help with medication costs - Your insurance company's appeals process or prior authorization exceptions You can also call the program at **1-833-742-0791** to discuss your specific situation and explore other options. ## Important Terms and Conditions - The medication provided under this program will not be sold or traded[9] - You are completing this application voluntarily and have not been directed by your insurance company or a non-medical professional to apply[1] - All information you provide must be complete and accurate to the best of your knowledge[1] - You may end your participation in the program at any time by calling **1-833-742-0791**[2] ## Contact Information **Janssen Patient Assistance Program** - **Phone:** 1-833-742-0791 (Monday–Friday, 8:00 AM–8:00 PM ET) - **Fax:** 1-833-512-0497 - **Online Enrollment:** Visit the enrollment website or MyJanssenCarePath.com ## Disclaimer This guide provides general information about the Janssen Patient Assistance Program for Tremfya. Program eligibility, income thresholds, required documents, and terms may change. For the most current and complete information, contact the program directly or visit the official enrollment website. This guide is not a guarantee of program eligibility or approval. Always consult with your healthcare provider about your treatment options and financial assistance programs.

Program information last verified: March 30, 2026