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Program 1 of 2 Scroll down to see them all.

This program provides brand name medications at no or low cost.
Pharmaceutical Company Johnson & Johnson Patient Assistance Foundation, Inc
Program Name Johnson & Johnson Hospital Access Patient Assistance Program
Program Address PO Box 220455
Charlotte, NC 28222-0455
Phone Number

800-652-6227

Fax Number 800-521-2437
Medications on Program Ditropan XL Tablets  (oxybutynin)
Application Forms Hospital Access Patient Assistance Program
On-line Application
No on-line application available at this time
Web Site Click to go to program's web site
Eligibility Guidelines and Notes

The patient must meet insurance guidelines that are not disclosed and meet income guidelines that are not disclosed. Medical diagnosis necessary for this program is not specified. US residency requirements are not specified. This program is intended to provide qualified patients access to medications through a qualified DSH or DRG-exempt Cancer Center. DSH facilities and DRG-exempt Cancer Centers are assessed for eligibility according to standardized criteria.

Application Process

Someone from the hospital must call for an application.      

Application Requirements

Someone from the hospital must fill out a product request form for each replacement. 

Program Details

The amount requested is sent to the hospital.  

Last Updated November 12, 2009


                                         

Program 2 of 2.

This program provides brand name medications at no or low cost.
Pharmaceutical Company Johnson & Johnson Patient Assistance Foundation, Inc
Program Name Johnson & Johnson Patient Assistance Program
Program Address PO Box 221857
Charlotte, NC 28222-1857
Phone Number

800-652-6227, opt 1

Fax Number 888-526-5168
Medications on Program Ditropan XL Tablets 5mg, 10mg, 15mg (oxybutynin)
Application Forms Johnson & Johnson Patient Assistance Program
On-line Application
No on-line application available at this time
Web Site Click to go to program's web site
Eligibility Guidelines and Notes

The patient must have no prescription coverage for the requested medication and meet income guidelines that are not disclosed. Medical diagnosis necessary for this program is not specified. The patient must also be a US resident. This programs helps qualified patients gain access to medications donated by the operating companies of Johnson & Johnson. Medicare LIS (Low Income Subsidy) eligible patients are not eligible to receive assistance through this program. Patients receiving benefits under a Medicare Part D prescription drug plan are not eligible to receive assistance through this program, however program eligibility exceptions for Medicare Part D enrollees based on significant financial or medical need will be considered.

Application Process

With the patient's permission, anyone concerned can call for an application. The application will be faxed out. The completed application can be faxed or mailed back.  Both the patient and doctor are notified in writing of acceptance or denial.  

Application Requirements

The doctor must fill out a section and sign the application. The patient must fill out a section, sign the application and attach proof of income.

Program Details

The medications are either sent to the doctor's office or the patient is sent a pharmacy card. The company automatically sends out refills. Once a year a new application with financial documentation is needed.

Last Updated November 13, 2009