Ponvory (ponesimod)
Patient Assistance Program Guide — Johnson & Johnson Patient Assistance Foundation (JJPAF)
Do You Qualify?
Income
Up to $75,300 for a single person
Insurance
Must be uninsured, underinsured (no coverage for the drug), or enrolled in a Medicare Part D plan and meeting specific financial criteria
Residency
U.S. resident with valid address in the United States or U.S. territories
Income Limits (500% FPL)
Calculated at 500% of FPL; income thresholds may vary slightly for residents of AK and HI
Based on 2025 HHS Federal Poverty Level guidelines.
# Getting Ponvory (Ponesimod) at No Cost Through the Johnson & Johnson Patient Assistance Foundation (JJPAF)
Who Qualifies for the Johnson & Johnson Patient Assistance Foundation (JJPAF)?
If you have been prescribed Ponvory (ponesimod) and cannot afford it, you may be able to get it at no cost through the Johnson & Johnson Patient Assistance Foundation (JJPAF). This program is designed to help patients who lack adequate insurance coverage and meet income guidelines. For a single-person household, your annual income must be at or below $75,300 to qualify. To be eligible, you must be uninsured, have insurance that does not cover Ponvory, or be enrolled in Medicare Part D and meet specific financial criteria. If you qualify, Ponvory is shipped directly to your home at no charge. This program is worth exploring before paying full price out of pocket.
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About Ponvory (Ponesimod)
Ponvory (ponesimod) is a prescription medication made by Janssen, a Johnson & Johnson company. It belongs to a class of drugs called sphingosine 1-phosphate (S1P) receptor modulators and is approved by the FDA to treat relapsing forms of multiple sclerosis (RMS). This includes clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease in adults. Without insurance or financial assistance, Ponvory can cost several thousand dollars per month, making it out of reach for many patients. Because no FDA-approved biosimilar or generic version of Ponvory currently exists, the JJPAF program is one of the primary ways to access this medication at reduced or no cost.
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Income Eligibility: Full Breakdown
JJPAF uses income thresholds set at 500% of the Federal Poverty Level (FPL) to determine eligibility. The limits below apply to most U.S. residents. Note that thresholds may be slightly higher for residents of Alaska and Hawaii.
| Household Size | Maximum Annual Income |
|---|---|
| 1 person | $75,300 |
| 2 persons | $102,200 |
| 3 persons | $129,100 |
| 4 persons | $156,000 |
If your household is larger than four people, additional income allowances typically apply — contact JJPAF directly at (800) 652-6227 to ask about your specific situation.
To verify income, you will usually need to provide your most recent federal tax return, a W-2 form, or three months of recent pay stubs. If your income has changed significantly since last year, pay stubs may be a better reflection of your current situation. If you are above the income limit, you may not qualify for free medication through this program, but you may still be eligible for the Ponvory savings card if you have commercial insurance. See the "Alternatives" section below for more options.
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Insurance Requirements Explained
Your insurance status plays a major role in whether you qualify. Here is how it works:
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Step-by-Step: How to Apply
Follow these steps to apply for free Ponvory through JJPAF:
1. Visit the support page. Go to https://www.ponvory.com/support to review current program details and confirm you are looking at the most up-to-date requirements.
2. Choose your application method. You can apply online at https://www.jjpaf.org/, call JJPAF at (800) 652-6227, or fax your completed application to (888) 526-5168.
3. Gather your documents before you start. You will need:
- Proof of income (most recent tax return, W-2, or three months of pay stubs)
- A valid prescription for Ponvory from your doctor
- Your doctor's signature on the application
- Your own signature on the patient portion of the application
4. Complete the application. Fill out all sections carefully. Incomplete applications can slow down processing.
5. Submit your application. Use the online portal, fax the completed form, or work with your doctor's office to submit on your behalf. Some physician offices handle this process for their patients.
6. Wait for confirmation. Processing typically takes 2 to 5 business days after your complete application is received.
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What to Expect: Timeline and Delivery
Once JJPAF reviews your application, you will typically receive a decision within 2 to 5 business days. If approved, JJPAF will confirm your enrollment and arrange for Ponvory to be shipped directly to your home address — you do not need to pick it up at a pharmacy. There is nothing you need to do at delivery other than be available to receive the shipment. Your approval is not permanent. JJPAF requires annual reauthorization, meaning you will need to reapply each year and provide updated income documentation to continue receiving the medication at no cost. Mark your approval date on your calendar so you do not miss the renewal window.
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Alternatives If You Don't Qualify
If you do not meet the JJPAF eligibility requirements, here are other options to consider:
1. Biosimilars: There are currently no FDA-approved biosimilar or generic versions of Ponvory available. This option is not available at this time.
2. Manufacturer savings card: If you have commercial (private) insurance, you may qualify for the Ponvory savings card, which can reduce your out-of-pocket costs. You can find more information and enroll at https://www.ponvory.com/savings-support. This card is typically not available to Medicare or Medicaid patients.
3. State Pharmaceutical Assistance Programs (SPAPs): Many states run their own programs to help residents afford prescription drugs. Eligibility and benefits vary by state. Your state health department website or your doctor's office can help you find your local SPAP.
4. NeedyMeds.org: This free, independent database lists hundreds of patient assistance programs, co-pay cards, and disease-specific funds. Visit https://www.needymeds.org to search for additional help that may apply to your situation.
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*This guide is for informational purposes only and does not constitute medical or legal advice. Eligibility determinations are made solely by Janssen. Program terms may change — verify current requirements at [https://www.ponvory.com/support](https://www.ponvory.com/support) before applying.*
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Documents You'll Need
If You Don't Qualify for the Assistance Program
Manufacturer Savings Card (for insured patients)
Janssen offers a savings card that may reduce your out-of-pocket cost if you have commercial insurance. Ask your prescriber or pharmacist for current savings card details.
Common Questions
Once JJPAF receives your complete application — including proof of income, a valid prescription, and all required signatures — processing typically takes 2 to 5 business days. After approval, the medication is shipped directly to your home. Shipping time may add a few additional days depending on your location.
Yes. The JJPAF program requires annual reauthorization. Each year, you will need to submit updated income documentation and a new prescription to continue receiving Ponvory at no cost. It is a good idea to start the renewal process at least 30 days before your current approval expires to avoid any gap in your medication.
Possibly. Unlike some manufacturer programs, JJPAF does not automatically exclude Medicare Part D patients. However, you must meet specific financial criteria to qualify. Contact JJPAF directly at (800) 652-6227 to find out whether your situation meets the program's requirements.
If your income is above the stated threshold, you may not qualify for the free medication program. However, you may still be eligible for the Ponvory savings card if you have commercial insurance. You can also check NeedyMeds.org or ask your doctor about state pharmaceutical assistance programs that may have different income limits.
Yes. The JJPAF application requires both a valid prescription from your doctor and your physician's signature on the application form. Many doctor's offices are familiar with this process and may be willing to help submit the paperwork on your behalf. Ask your care team if they can assist.
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