Autoimmune

Simponi (golimumab)

Patient Assistance Program Guide — Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF)

Rules verified: August 30, 2026
Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF)
Program name
2-5 business days
Processing time
shipped to patient
Medication delivery
$63,840
1-person income limit

Current program eligibility

As stated by the J&J PAP guideline we work from. Programs change their rules without notice, so we confirm your eligibility before filing.

Income limit
400% of the federal poverty level
Employer or private insurance
No
Medicaid
No
Medicare A&B
Yes
Medicare A&B with Part D
Yes

Do You Qualify?

Income

Up to $63,840 for a single person

Insurance

Must be uninsured or have limited coverage (e.g., Medicare Part D patients with high out-of-pocket costs who meet specific criteria). Commercial insurance holders are generally directed to the co-pay card.

Residency

U.S. resident, including Puerto Rico and U.S. Virgin Islands

Apply Through RX Advantages

Income Limits (400% FPL)

Household SizeMax Annual Income
1 person$63,840
2 persons$86,560
3 persons$109,280
4 persons$132,000

The program guideline sets the limit at 400% of the federal poverty level. Figures use the 2026 HHS guidelines for the 48 contiguous states.

Based on 2026 HHS Federal Poverty Level guidelines.

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Ready to Apply for Simponi Assistance?

RX Advantages handles the entire Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF) application on your behalf — paperwork, physician coordination, and refill tracking. It takes about 15 minutes to get started.

Start Your ApplicationSee How It Works

No SSN required on the web form · From $49.95/month