Patient Savings Program
This program is for people with prescription coverage who pay high out-of-pocket costs for INTELENCE (etravirine). The Patients Savings Program (PSP) is a simple and easy way to lower costs for up to 1 year.
Patients should refer to the Q&A below for eligibility rules and regulations to determine whether they qualify. For more information, call 1-866-961-7169.
Janssen Therapeutics' Patient Savings Program (the “Program”) may request and obtain information from you to enroll you in the Program. People who work for the program administrator may see your information, but they may use it only to help you get assistance with the cost of your drugs and to run the program. Every effort will be made to keep your information private, but if it is accidentally given out, federal privacy laws will not protect it. You can withdraw from the program at any time by calling 1-866-961-7169, but it will not change any actions taken before you withdrew from the program.
Patient Savings Program Application Form
Patient Savings Application Form
Patient Savings Program Q&A
Additional Information
The Janssen TherapeuticsLine, 1-866-836-0014, is a convenient, toll-free hotline to answer questions from patients and healthcare providers. It is available Monday through Friday from 9 AM to 8 PM, Eastern Standard Time. You can also reach us by fax at 1-866-836-0567. The Janssen TherapeuticsLine provides reimbursement information including: benefit verification; prior authorization requirements; appeal process and procedures; alternate sources of payment; and additional information about patient assistance.
Insurance Benefit Verification Form
Insurance Benefit Verification Form
When calling about a patient-specific reimbursement issue, please have the following information available:
- Patient’s full name, date of birth, address, telephone, and Social Security number
- Name and telephone number of insurance plan(s), policy number(s), and name of subscriber
- Physician’s name, address, and telephone number
- Patient’s financial information if calling on behalf of an uninsured patient, including total gross income, household size, and value of assets
This information is provided for informational purposes only and represents no statement, promise, or guarantee by Janssen Therapeutics concerning levels of reimbursement, payment, or charge. We strongly suggest that you consult your payer organization about local reimbursement policies.
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