Vonjo

Indicated For

Myelofibrosis (intermediate or high-risk primary or secondary)

About This Medication

# VONJO Patient Assistance Program (PAP) Patient Guide: How to Get Pacritinib at Low or No Cost ## About VONJO (Pacritinib) VONJO is a prescription medication used to treat adults with intermediate or high-risk myelofibrosis (MF) who have a platelet count below 50,000 per microliter.[2] Myelofibrosis is a serious blood disorder that affects bone marrow function. VONJO works by inhibiting specific kinases to help reduce spleen volume and manage symptoms associated with this condition.[2] ## Who Qualifies for the VONJO Patient Assistance Program? The VONJO Patient Assistance Program (PAP) is designed to help patients who cannot afford their medication. You may qualify if you meet the following criteria: - **Residency**: You are a resident of the United States or Puerto Rico[6] - **Insurance Status**: You are uninsured or underinsured (meaning your insurance does not cover VONJO or your out-of-pocket costs are prohibitively high)[5] - **Medical Indication**: You have been prescribed VONJO for an FDA-approved indication or a clinical compendia-recognized use[6] - **Financial Need**: You demonstrate financial hardship or inability to pay for your medication If you have commercial insurance, you may also qualify for the **VONJO Copay Assistance Program**, which allows eligible patients to pay as little as $25 per prescription fill, with a maximum benefit of $25,000 per twelve-month period.[5] ## Income Eligibility While specific income thresholds are not publicly detailed in standard program materials, the PAP is needs-based and considers your overall financial situation.[10] The program evaluates factors including: - Household income - Employment status - Existing medical expenses - Other financial obligations If you are unsure whether your income qualifies, VONJO Connect representatives can discuss your specific situation during the application process. There is no activation fee required to apply.[10] ## Insurance Requirements and Other Assistance Programs **For Uninsured or Underinsured Patients**: The PAP provides VONJO at no cost if you meet eligibility requirements.[4] **For Commercially Insured Patients**: You may qualify for the Copay Assistance Program, which reduces your out-of-pocket costs to as little as $25 per fill.[2][5] **For Patients Experiencing Insurance Delays**: Two additional programs may help: - **VONJO QuickStart Program**: Provides a limited supply of VONJO at no cost to eligible new patients experiencing insurance-related delays in coverage[5] - **VONJO Bridge Program**: Provides up to 60 days of free medication to eligible patients experiencing a gap in coverage due to insurance issues, with a documented therapy delay or continuation of 5 or more business days[6] ## Step-by-Step Application Process ### Step 1: Gather Required Documents Before starting your application, collect the following: - **Completed Application Form**: Available in English or Spanish[8] - **Valid Prescription**: A signed prescription from your healthcare provider for VONJO[3] - **Proof of Income or Financial Hardship Documentation**: This may include recent tax returns, pay stubs, bank statements, or a letter explaining your financial situation - **Insurance Information**: Details about your current health insurance (if applicable) ### Step 2: Complete the Application You can apply through multiple methods: **Online Enrollment**: Visit SobiPatientSupport.iassist.com to complete your application digitally[3] **Paper Application**: Download the application form from VonjoConnect.com or RxAssist.org, complete it by hand, and submit it via fax or email **Phone Assistance**: Call VONJO Connect at 1-888-284-3678 (Monday–Friday, 8:30 AM–7 PM ET) for help completing your application[3] ### Step 3: Submit Your Application Submit your completed application and supporting documents using one of these methods: - **Fax**: 1-888-284-8084[3] - **Email**: VonjoConnect@AssistRx.com[3] - **Online Portal**: SobiPatientSupport.iassist.com[3] Your healthcare provider may also submit the application on your behalf if you authorize them to do so. ### Step 4: Eligibility Review VONJO Connect will review your application and supporting documents. They will verify: - Your residency status - Your financial need - Your insurance coverage (or lack thereof) - Your medical prescription for an approved indication ### Step 5: Enrollment and Medication Delivery If approved, you will be enrolled in the program. Your medication will be shipped directly to you or to your healthcare provider's office, depending on your preference and program requirements.[5] ## Timeline and Delivery While specific processing times are not publicly detailed, VONJO Connect aims to process applications efficiently. Once approved, medication is typically shipped to your address or your healthcare provider's location. For patients experiencing urgent delays in treatment, the QuickStart Program may provide medication more quickly while your full PAP application is being processed.[5] ## Reauthorization Requirements The VONJO PAP requires reauthorization, meaning you will need to renew your enrollment periodically to continue receiving assistance.[10] VONJO Connect will notify you when reauthorization is needed and will guide you through the renewal process. Keep your contact information current to ensure you receive these notifications. ## What Happens If Your Application Is Denied If your application is denied, you have options: 1. **Request Clarification**: Contact VONJO Connect to understand why your application was denied 2. **Appeal**: You may be able to appeal the decision by providing additional financial documentation or updated information 3. **Alternative Programs**: Ask about other assistance options, such as the Copay Assistance Program if you have commercial insurance, or the Bridge Program if you are experiencing a temporary coverage gap 4. **Financial Counseling**: VONJO Connect can discuss other resources and payment options with you ## Important Considerations **Before Starting VONJO**: Inform your healthcare provider about any preexisting diarrhea, as VONJO can cause or worsen this side effect. Your provider may prescribe antidiarrheal medication before you start treatment.[2] **Seek Emergency Help**: Contact emergency services immediately if you experience symptoms of a heart attack or stroke while taking VONJO, including chest discomfort, severe tightness, pain, pressure, or heaviness in your chest, throat, neck, or jaw.[4] **Program Limitations**: The PAP is subject to program terms and conditions. Eligibility may change based on your circumstances or program updates. ## Contact Information **VONJO Connect**: 1-888-284-3678 (Monday–Friday, 8:30 AM–7 PM ET)[3] **Website**: VonjoConnect.com or VonjoConnectUS.com[5] **Fax**: 1-888-284-8084[3] **Email**: VonjoConnect@AssistRx.com[3] **Online Enrollment**: SobiPatientSupport.iassist.com[3] ## Disclaimer This guide provides general information about the VONJO Patient Assistance Program based on publicly available information as of March 2026. Program eligibility, benefits, and requirements may change. For the most current and accurate information, contact VONJO Connect directly or visit the official program website. This guide is not a substitute for professional medical or financial advice. Always consult with your healthcare provider and the program administrator regarding your specific situation.

Program information last verified: March 30, 2026