Veletri
Generic: epoprostenol
Manufacturer: Janssen (Johnson & Johnson) · Program: Janssen Patient Assistance Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
Uninsured or underinsured; Medicare patients may qualify via independent foundations
Residency
US resident
Individual Income Limit
$50,000/year
Household income guidelines; up to $200,000 for larger families
Program Information
Processing Time
2-4 weeks
Delivery Method
shipped to patient or physician office
Application Method
Multiple
Reauthorization
Required — annual
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- Proof of income
- Proof of residency
- Prescription
- Healthcare provider form
Indicated For
Pulmonary Hypertension
About This Medication
# Actelion Pathways Patient Assistance Program Guide: How to Get Veletri at Low or No Cost ## About This Program The Actelion Pathways Patient Assistance Program is designed to help eligible patients access Veletri (epoprostenol) at reduced or no cost. Veletri is an important medication used to treat pulmonary hypertension, a serious condition affecting the blood vessels in your lungs. This guide will help you understand if you qualify and how to apply. ## What is Veletri? Veletri is a prescription medication that belongs to a class of drugs called prostacyclin analogs. It's used to treat pulmonary hypertension in patients with specific types of this condition. Veletri helps relax blood vessels in the lungs and reduce the workload on your heart. Because this is a specialized medication that requires careful administration, it's important to have reliable access to your prescription. ## Who Can Apply? You may be eligible for the Actelion Pathways Patient Assistance Program if you meet these criteria: - You have a valid prescription for Veletri from your doctor - Your household income falls below the program's income limits (see chart below) - You are uninsured or underinsured - You are not eligible for certain insurance programs (note: Medicare eligibility may exclude you from this specific program—see details below) ## Income Eligibility Chart Your household income must be at or below these limits to qualify. These amounts may vary based on your specific circumstances: | Household Size | Maximum Annual Income | |---|---| | 1 person | $50,000 | | 2 people | $67,500 | | 3 people | $85,000 | | 4 people | $102,500 | | 5 people | $120,000 | | 6 people | $137,500 | | Each additional person | Add $17,500 | **Important:** These are general guidelines. Your specific income threshold may vary based on your state of residence and other factors. The program will provide exact limits when you apply. ## Insurance Requirements This program is designed for: - **Uninsured patients** – those with no health insurance coverage - **Underinsured patients** – those with insurance that doesn't adequately cover Veletri ### Special Note About Medicare If you are enrolled in Medicare, you may **not** be eligible for this particular patient assistance program. If you have Medicare, you may want to explore other options, such as: - Medicare Extra Help programs - Your state's pharmaceutical assistance program - Speaking with your doctor about other support options If you have Medicare and private insurance together, contact the program to discuss your specific situation. ## Step-by-Step Application Instructions ### Step 1: Gather Your Required Documents Before you apply, collect the following: - A **valid prescription for Veletri** from your doctor - **Proof of income** (examples include: recent tax returns, recent pay stubs, Social Security statements, benefit letters, or a notarized statement of income) - Your **proof of insurance status** (or lack thereof)—such as a letter stating you're uninsured or documentation of your current insurance ### Step 2: Contact the Program Apply online through the program's website: - **Visit:** https://www.jnjwithme.com/patient/veletri/cost-support The website provides a secure application form where you can submit all your information. Follow the prompts carefully and provide accurate information about your household and income. ### Step 3: Submit Your Application Complete the online application and upload or attach: - Your prescription for Veletri - Income verification documents - Insurance information (or proof of being uninsured) Make sure all documents are clear and readable. If documents are blurry or incomplete, the application may be delayed. ### Step 4: Wait for Approval The program will review your application. See the timeline section below for expected processing times. ### Step 5: Receive Your Medication Once approved, Veletri will be **shipped directly to you**. Follow the instructions provided with your shipment carefully, as Veletri requires proper storage and handling. ## Application Timeline and Delivery - **Processing Time:** 2-4 weeks from the time you submit a complete application - **Delivery:** Medication is shipped directly to you - **What to Expect:** You'll receive information about your approval status via the contact method you provided (phone, email, or mail) **Important:** During the waiting period, contact your doctor if you need to refill your current prescription to ensure you don't run out of medication. ## Annual Reauthorization Your assistance **must be renewed every year**. The program will notify you when it's time to renew. You'll need to: - Resubmit income verification - Confirm your insurance status hasn't changed - Provide an updated prescription if needed Mark your calendar to renew 30 days before your current assistance expires to avoid any gaps in your medication supply. ## What If Your Application Is Denied? If you don't qualify, here are alternatives to explore: 1. **Talk to Your Doctor:** Ask if there are other treatment options or if they can help you appeal the decision 2. **Check Your Insurance:** If you have insurance, review your formulary and copay assistance options 3. **State Programs:** Many states offer pharmaceutical assistance programs with different income limits 4. **NeedyMeds.org:** This free resource lists additional assistance programs 5. **Hospital Social Workers:** If you're receiving care at a hospital or clinic, ask to speak with a social worker who may know of other resources 6. **Disease-Specific Organizations:** Pulmonary hypertension patient organizations may have additional resources ## Important Notes - **Don't delay getting help:** Apply as soon as possible after your doctor prescribes Veletri - **Keep copies:** Save copies of all documents you submit - **Update your information:** Tell the program if your income, insurance, or contact information changes - **Honest reporting:** Provide accurate information on your application. False information can result in denial and potential legal consequences ## Legal Disclaimer This guide is for informational purposes only and does not guarantee approval for the Actelion Pathways Patient Assistance Program. Eligibility is determined solely by the program based on your application and documentation. Program requirements, income limits, and policies are subject to change. Always verify current requirements by visiting the official program website or contacting the program directly. This guide is not a substitute for professional medical or financial advice. Consult with your healthcare provider or a financial counselor with specific questions about your situation.
Program information last verified: March 25, 2026
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