Uptravi

Indicated For

Pulmonary Arterial Hypertension (PAH)

About This Medication

# Janssen Patient Assistance Program Patient Guide: How to Get UPTRAVI® at Low or No Cost ## About UPTRAVI® (Selexipag) UPTRAVI® is a prescription medication used to treat pulmonary arterial hypertension (PAH), a condition characterized by high blood pressure in the arteries of the lungs. UPTRAVI® works by helping to slow disease progression and can help prevent PAH-related hospitalizations. It is taken orally and requires a dose adjustment phase when you first start treatment. ## Who Qualifies for Assistance Janssen offers multiple financial assistance programs for UPTRAVI® depending on your insurance status: **If you have commercial or private insurance:** You may qualify for the Janssen CarePath Oral PAH Savings Program, which helps reduce your out-of-pocket medication costs. **If you have government-funded insurance or no insurance:** You may be eligible for the Janssen Patient Assistance Program, which can provide UPTRAVI® at no cost for up to one year if you meet income and eligibility requirements. **If your insurance claim is delayed or denied:** Janssen PAH Link may provide UPTRAVI® at no cost until your insurance coverage is approved. ## Income Eligibility While specific income thresholds are not detailed in publicly available materials, the Janssen Patient Assistance Program bases eligibility on income requirements. You will not be required to share your income information to participate in the Janssen CarePath Oral PAH Savings Program. For the Patient Assistance Program, income verification may be required during the application process. Contact Janssen directly at the phone number below to learn the specific income limits that apply to your household size and situation. ## Insurance Requirements **Commercial or Private Insurance:** The Janssen CarePath Oral PAH Savings Program is available only to patients with commercial or private insurance. Under this program, eligible patients pay $5 per prescription fill, with a maximum program benefit of $20,000 per calendar year across all oral PAH therapies in the program. **Medicare and Medicaid:** The Janssen CarePath Oral PAH Savings Program is not valid for patients using Medicare, Medicaid, or other government-funded programs. However, if you have Medicare or Medicaid, you may qualify for the Janssen Patient Assistance Program, which can provide medication at no cost for up to one year. **Uninsured Patients:** If you do not have insurance coverage, you may be eligible for the Janssen Patient Assistance Program. ## How to Apply ### Step 1: Determine Your Eligibility Contact J&J withMe to discuss which program you may qualify for based on your insurance status and financial situation. ### Step 2: Gather Required Information Have the following information ready: - Your prescription from your healthcare provider - Insurance information (if applicable) - Income documentation (if applying for the Patient Assistance Program) - Identification and contact information ### Step 3: Submit Your Application You can apply through multiple channels: - **Phone:** Call J&J withMe Care Coordinator at 866-228-3546 (Monday–Friday, 8 AM to 8 PM ET). Multilingual support is available. - **Online:** Visit the program website or work with your healthcare provider to submit enrollment forms through the PATHwatch® Provider Portal at PATHwatch.net - **With Your Pharmacy:** Your specialty pharmacy can assist with enrollment and submission ### Step 4: Verification and Approval A J&J withMe Care Coordinator will verify your insurance coverage and help you find the cost support options you may need. They will work with your healthcare provider and specialty pharmacy to coordinate your access to UPTRAVI®. ## Timeline and Delivery **Processing Time:** While specific processing timelines are not publicly detailed, J&J withMe aims to work efficiently with your healthcare provider and specialty pharmacy. Once enrolled, your Care Coordinator will provide real-time updates on pending actions through the PATHwatch® Provider Portal. **Delivery Method:** UPTRAVI® is dispensed through a specialty pharmacy. Your medication will be shipped directly to you or your healthcare provider's office. Within 48 hours of receiving your first shipment, you may be contacted by a specialty pharmacy nurse to begin the UPTRAVI® Titration Education Program (if your provider enrolled you in this program). **Approval Rate:** Janssen reports a 93% overall approval rate for UPTRAVI® when patients are enrolled through J&J withMe. ## Additional Support Services Beyond cost assistance, Janssen provides comprehensive support: **PAH Companion withMe:** A free support program offering one-on-one guidance from PAH-trained professionals. This program includes tools and resources to help you stay on therapy, with 94% of patients reporting they would recommend it to others. Bilingual support in English and Spanish is available. Call 866-300-1818 (Monday–Friday, 8 AM to 9 PM ET). **UPTRAVI® Titration Education Program:** If your provider enrolls you, a specialty pharmacy nurse will provide virtual or in-home education during your dose adjustment phase to help you understand what to expect, reach your personal dose, and address any concerns. **Therapy Access Manager (TAM):** Provides education and assistance throughout the insurance approval and patient access process. ## What If Your Application Is Denied If your initial application is denied, contact J&J withMe immediately at 866-228-3546. A Care Coordinator can: - Review the reason for denial - Discuss alternative assistance programs you may qualify for - Help you understand next steps - Work with your healthcare provider to address any insurance barriers If your insurance claim is delayed or denied, you may be eligible for Janssen PAH Link, which can provide UPTRAVI® at no cost until your insurance coverage is approved. ## Important Disclaimers These patient assistance programs are subject to change or termination without notice. Program terms expire at the end of each calendar year and may change. The support and resources provided by J&J withMe and PAH Companion withMe are not intended to provide medical advice, replace your treatment plan from your doctor or nurse, provide case management services, or serve as a reason to prescribe UPTRAVI®. Always consult with your healthcare provider about your treatment options and financial assistance eligibility. ## Contact Information **J&J withMe Care Coordinator:** 866-228-3546 (Monday–Friday, 8 AM to 8 PM ET) — Multilingual support available **PAH Companion withMe:** 866-300-1818 (Monday–Friday, 8 AM to 9 PM ET) **PATHwatch® Provider Portal:** PATHwatch.net

Program information last verified: March 25, 2026