Johnson & Johnson Patient Assistance Foundation, Inc. www.jipaf.org
Patients who lack adequate financial resources and do not have prescription coverage can apply to the Johnson & Johnson Patient Assistance Foundation, Inc., to determine if they meet eligibility criteria for financial assistance for OLYSIO: Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF) is an independent, private, nonprofit organization that assists patients who do not have financial resources or prescription drug coverage to obtain free prescription products that are donated by Johnson & Johnson operating companies. Janssen Therapeutics donates medicines, including OLYSIO, to JJPAF For additional information, please visit the JJPAF Web site at www.jjpaf.org or call and speak to one of our patient assistance program specialists at 1-800-652-6227 www.jjpaf.org Johnson & Johnson Patient Assistance Foundation, Inc.
Patients with prescription drug coverage that may require significant out-of-pocket (co-pay or co-insurance) expenses for OLYSIO may apply for assistance through OLYSIO Support: Patients who qualify for the OLYSIO patient savings program will pay no more than $25 per month for a total of $75 for three months out-of-pocket costs. This program is available to cover co-pays and co-insurance costs. Additional important information about the OLYSIO patient savings program: Subject to a $25,000 annual maximum, 12 months after activation, or 3 fills (12-week supply), whichever comes first Not valid for patients enrolled in Medicare (e.g., Medicare Part D) or Medicaid Information on the OLYSIO patient savings program and other access support services can be found at www.olysio.com or by calling 1-855-5-OLYSIOwww.olysio.com OLYSIO Support
OLYSIO Support, a comprehensive array of educational information and tools that may help individuals through their treatment journey. OLYSIO Support is available online at www.olysio.com or by callingwww.olysio.com 1-855-5-OLYSIO. Here are a few examples of the programs and tools that are available, in addition to the patient savings program other access assistance: A 24/7 Nurse Support hotline A support group finder to help individuals connect with other people in their area who are seeking support on their hepatitis C journey A variety of resources to help individuals keep track of their treatment inclusive of a mobile app, dosing diary, treatment calendar, and reminder calls OLYSIO Support
Comprehensive patient support system that is easy to access and available with information for HCP's and patients Merck CARES Central Phone Line 1-866-939 HEPC (4372) Website: Merck-CARES.com Adherence Support In Office Patient Management Support for Healthcare Professionals Merck CARES (Committed to Access, Resources, Education and Support) Access
Reimbursement Support – The ACT Program Patient Assistance for Eligible Patients Provides certain Merck medicines free of charge to eligible patients who do not have insurance coverage. Who may qualify for patient assistance? Patients may qualify for patient assistance if all 3 of the following conditions apply: The patient is a US resident and has a prescription for a Merck medicine from a doctor licensed in the United States. The patient does not have insurance or other coverage for their prescription medicine. The patient cannot afford to pay for their medicine. The financial criteria is for any patient whose income is below five times the Federal Poverty Level. For individuals this threshold is $54,450; for couples $73,550; and for a family of 4, it is $111,750.
Reimbursement Support Provided by ACT Program www.merckhelps.com and toll free 1-800- 727-5400, Monday through Friday, 8:00 AM to 8:00 PM ET or by calling Merck- CARES phone line during business hours
Coupons for Eligible Patients Multi-use cards that will provide eligible patients with up to $200 on each of up to 12 prescriptions ($0 copay up to $200) Can be obtained electronically
Be In Charge Program 24/7 Nurse Hotline Appointment, Testing and Medication Reminders Tips and Educational Information Support in four languages: English, Spanish, Vietnamese, Mandarin Inbound/outbound calls
Programs and Contact Info - Summary Merck Medication: Overall Program: “Merck-CARES” Website www.merck-cares.com and toll free 1-866-939- HEPC (4372) Patient Assistance Program: “ACT Program” Website www.merckhelps.com and toll free 1-800-727-5400, Monday through Friday, 8:00 AM to 8:00 PM ET or by calling Merck-CARES phone line during business hours. Adherence Program: “Be In Charge Program” Website www.beincharge.com and toll free 1-888-437-2608 Non-Merck Medicines: Partnership for Prescription Assistance (PPA). Toll-free number 1-888-477-2669 (1-888-4PPA-NOW) Website www.pparx.org
Genentech Access Solutions Helping make treatment possible MCM0000436600 GenentechAccessSolutions.com
Helping Patients Who Need Our Medicines Genentech Access Solutions offers a range of services to help patients get the medicine they need—regardless of their ability to pay. Last year, more than 107,000 patients with coverage and reimbursement issues were helped by Genentech Access Solutions.
A Range of Service Offerings to Meet Patients’ Needs
Patient Assistance Genentech Access Solutions offers several options to help cover the cost of our medicines for patients who are uninsured, rendered uninsured by payer denial, underinsured or who have concerns about their co-pay.
The Genentech ® Access to Care Foundation Uninsured Insured Patient Assistance Programs Tailored to Patients’ Needs* Privately insured Therapy-specific co-pay card programs † Public and privately insured Referrals to non-profit co-pay foundations *Certain eligibility criteria must be met for all programs. † Certain brands do not apply.