Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.  

Johnson & Johnson Patient Assistance Foundation, Inc. Patient Assistance Program

This program provides brand name medications at no or low cost

Provided by: Johnson & Johnson Patient Assistance Foundation, Inc.

PO Box 221857
Charlotte, NC 28222-1857

TEL: 800-652-6227

FAX: 888-526-5168
Languages Spoken:


Program Website


Program Applications and Forms

Johnson & Johnson Patient Assistance Foundation, Inc. Patient Application

HIV Common Application: Johnson & Johnson Patient Assistance Foundation, Inc.



  • fentanyl transdermal system patch (Duragesic CII) Patch

Eligibility Requirements   

Insurance Status Must have no prescription coverage for needed medication
Those with Part D Eligible? *See Additional Information Section Below
Income Varies. **See below for details
Diagnosis/Medical Criteria Medication must be for outpatient use only
US Residency Required? Must reside permanently in the US or US territories


Obtaining Call or download
Receiving Faxed, mailed or downloaded from website
Returning Fax or mail
Doctor's Action Complete section and sign
Applicant's Action Complete section, sign, attach a copy of proof of income
Decision Communicated Patient and Doctor notified in writing
Decision Timeframe Not specified


Amount/Supply Not specified
Sent To Doctor's office or patient is sent card to be used at pharmacy
Delivery Time Varies
Refill Process Varies per medication
Limit Varies
Re-application New application, new documentation yearly

Additional Information

*Some Medicare Part D patients who cannot afford their medicines, and who meet certain financial criteria, may also be eligible for assistance. Please Contact the program for more information (1-800-652-6227).

**Please call 1-800-652-6227 or visit Program website for specific FPL income requirements.

Updated August 21, 2017