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Oncology

Vonjo

Generic: pacritinib

Manufacturer: Sobi, Inc.  ·  Program: VONJO Patient Assistance Program

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Eligibility Criteria

Insurance Requirement

Uninsured, underinsured, Medicare/Medicaid, no coverage for Vonjo, or unaffordable copay

Residency

US resident or Puerto Rico

Income restrictions as defined by manufacturer; needs-based for uninsured, underinsured, or unaffordable copay

Program Information

Processing Time

4–8 weeks

Delivery Method

shipped to pharmacy

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 residency
  • Proof of income (e.g. tax returns, pay stubs, SSDI/SSI award letter, 1099 form)
  • Prescription
  • Completed PAP application
  • Support Request Form

Indicated For

myelofibrosis

About This Medication

# VONJO Patient Assistance Program Guide: Getting Pacritinib at Low Cost ## Overview VONJO (pacritinib) is a prescription medication used to treat myelofibrosis, a serious blood disorder. The cost of this medication can be substantial, but the VONJO Patient Assistance Program (PAP), also called VONJO Connect, helps eligible patients access their medication at reduced or no cost. This guide explains how to apply, what you'll need, and what to expect. ## Who Can Apply? You may qualify for the VONJO Patient Assistance Program if you meet any of these criteria: - You have no health insurance - Your health insurance doesn't cover VONJO - Your copayment or out-of-pocket costs are unaffordable - You have Medicare or Medicaid but still cannot afford your medication - You are underinsured ### Income Requirements Income limits vary based on your household size and individual circumstances. The program uses flexible eligibility guidelines rather than strict cutoffs. If your income is above typical limits, you may still qualify based on medical and financial hardship factors. To learn your specific income threshold, contact the program directly at **(888) 284-3678**. A specialist will review your situation. ## Insurance Status The program works with patients in all insurance situations: - **Uninsured patients**: Full eligibility - **Underinsured patients**: Can apply if costs are unaffordable - **Medicare patients**: Eligible if you cannot afford your share of costs - **Medicaid patients**: Eligible if you cannot afford your share of costs - **Patients with private insurance**: Eligible if VONJO is not covered or if your copay is too high ## Documents You'll Need Before starting your application, gather these items: 1. **Proof of Residency**: A recent utility bill, lease agreement, or mortgage statement showing your current address 2. **Proof of Income**: Choose one that applies to you: - Recent tax returns (last 2 years) - Recent pay stubs (last 2-3 months) - SSDI or SSI award letter - 1099 forms for self-employed individuals - Other income documentation 3. **Valid Prescription**: A prescription for VONJO from your doctor 4. **Insurance Information**: Details about your current insurance (if applicable) ## 4-Step Application Process ### Step 1: Contact the Program Call **(888) 284-3678** or visit **https://www.vonjo.com/vonjo-patient-assistance-and-support-programs/vonjo-connect** to start your application. ### Step 2: Submit Your Information You can apply by: - Phone with a program specialist - Online through the VONJO Connect website - Mail if directed by the program Provide your demographics, insurance details, income information, and physician contact information. ### Step 3: Submit Supporting Documents Send or upload your proof of income and proof of residency. Keep copies for your records. ### Step 4: Approval and Medication Delivery Once approved, the program will coordinate with your pharmacy. Your medication will be delivered, often at no cost or significantly reduced cost. ## Timeline Most applications are reviewed within **5-7 business days**. Some cases may take longer if additional documentation is requested. You'll be contacted by phone or email with updates. ## Savings Options In addition to the full assistance program, VONJO offers a **savings card** for eligible patients. This card can reduce your copayment at the pharmacy, even if you don't qualify for full assistance. Ask about this option when you apply. ## Annual Reauthorization Your assistance is valid for **one year**. You'll need to reapply annually to continue receiving benefits. The program will typically remind you when renewal is approaching. ## What Happens If You're Denied? If your application is denied, ask why. You have the right to appeal the decision or provide additional information. The program can discuss other options with you, including the savings card or alternative resources. ## Next Steps 1. **Gather your documents** (listed above) 2. **Call (888) 284-3678** to begin your application 3. **Submit required paperwork** promptly 4. **Follow up** if you don't hear back within 7-10 days The VONJO Patient Assistance Program exists to help you access your medication. Don't delay—contact them today.

Program information last verified: March 25, 2026

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