Johnson and Johnson

LINK: http://www.jjpaf.org/

You must reside in the United States or in a territory of the United States.

You are being treated by a licensed US Healthcare provider.

You are being treated as an outpatient.

You do not have private or public prescription drug coverage.

To receive tier one medications you must meet the following income guidelines:

Household Size Income
1 $23,540
2 $31,860
Larger families will be adjusted accordingly

Axert (almotriptan malate) Tablets

Concerta (methylphenidate HCL) Extended-release Tablets Cll

Ditropan XL (oxybutynin chloride) Extended Release Tablets

Duragesic (fentanyl) Transdermal System Cll

Edurant (rilpiyirine) Tablets

Elmiron (pentosan polysulfate sodium) Capsules

Haldol (haloperidol) Immediate-Release Injection

Haldol Decanoate (haloperidol) IM Injection Only

Intelence (etravirine) Tablets

Invega (paliperidone) Extended-Release Tablets

Invega Sustenna (paliperidone palmitate) Extended-Release Injectable Suspension

Invega Trinza (paliperidone palmitate) Extended-Release Injectable Suspension

Invokamet (canaglifozin/metformin HCl) Tablets

Invokana (canagliflozin) Tablets

Levaquin (levofloxacin) Tablets/Oral Solution

Nucynta (tapentadol) Immediate-Release Tablets Cll

Nucynta ER (tapentadol) Extended-Release Tablets Cll

Pancrease (pancrelipase) Delayed-Release Capsules

Parafon Forte DSC (chlorzoxazone) Caplets

Prezcobix (darnavir 800mg/cobicistat 150mg) Tablets

Preszista (darunavir) Tablets/Oral Suspension

Razadyne (galantamine HBr) Tablets/Oral Solution

Razadyne ER (galantamine HBr) Extended-Release Capsules

Risperdal (risperidone) M-TAB Orally Disintegrating Tablets

Risperdal (risperidone) Tablets/Oral Solution

Risperdal Consta (risperidone) Long-Acting Injection

Sporanox (itraconaxole) Capsules

Sporanox (itraconaxole) Oral Solution

Terazol 3 (terconazole) Vaginal Cream

Terazol 7 (terconazole) Vaginal Cream

Tompamax (topiramate capsules) Sprinkle Capsules

Topomax (topiramate) Tablets

Ultracet (tramadol HCL/acetaminophen) Tablets CIV

Ultram (tramadol HCL) Tablets CIV

Ultram ER (tramadol HCL) Extended-Release Tablets CIV

Xarelto (rivaroxaban) Tablets

To receive the second tier medications you must meet the following income guidelines:

Household Size Income
1 $47,080
2 $63,720
Larger families income levels are  adjusted accordingly

Doxil (doxorubicin HCL liposome) IV Infusion

Movovisc (high molecular weight hyaluronan) Injection

Natrecor (nesiritide) IV Infusion

Orthovisc (high molecular weight hyaluronan) Injection

Remicade (infliximab) IV Infusion

Simponi (golimumab) Injection

Simponi Aria (golimumab) IV Infusion

Sylvant (siltuximab) IV Infusion

Zytiga (abiraterone acetate) Tablets

To receive tier three medications you must meet the following income guidelines:

Household Size Income
1 $58,850
2 $79,650
Larger families incomes are adjusted accordingly

Olysio (simeprevir) Capsules

To receive tier four medications you must meet the following income guidelines:

Household Size Income
1 $70,620
2 $95,580
Larger families incomes are adjusted accordingly

Imbruvica (ibrutinib) Capsules

Phone: (706) 208 9700   Mail: info@pcpmail.org