Tracleer (bosentan)
Patient Assistance Program Guide — Johnson & Johnson Patient Assistance Foundation (JJPAF)
Do You Qualify?
Income
Up to $75,300 for a single person
Insurance
Patients must be uninsured or underinsured (lack of coverage for the product). Medicare Part D patients may qualify if they meet income requirements and have been denied the Low Income Subsidy (LIS).
Residency
U.S. resident or resident of U.S. territories with a valid address
Income Limits (500% FPL)
Income eligibility for Janssen specialty products like Tracleer is set at 500% of the Federal Poverty Level.
Based on 2025 HHS Federal Poverty Level guidelines.
# Getting Tracleer (Bosentan) 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 Tracleer (bosentan) for pulmonary arterial hypertension and cannot afford it, the Johnson & Johnson Patient Assistance Foundation (JJPAF) may be able to provide it to you at no cost. For a single-person household, your annual income must be at or below $75,300 to qualify. To be eligible, you must be either uninsured or have insurance that does not cover Tracleer. Medicare Part D patients are not automatically excluded — you may still qualify if you meet the income requirements and have already been denied the Low Income Subsidy (LIS). If you meet these basic criteria, this program is worth pursuing as a first step.
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About Tracleer (Bosentan)
Tracleer (bosentan) is an FDA-approved prescription medication used to treat pulmonary arterial hypertension (PAH), specifically WHO Group 1 PAH. It belongs to a drug class called endothelin receptor antagonists (ERAs), which work by blocking certain receptors involved in the narrowing of blood vessels in the lungs. Tracleer is manufactured by Actelion, a Janssen company. Because it is a specialty medication used for a serious chronic condition, Tracleer carries a high list price that can reach thousands of dollars per month without insurance or assistance. Patient assistance programs like JJPAF exist specifically to help eligible patients access medications like this one.
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Income Eligibility: Full Breakdown
JJPAF sets income eligibility for Tracleer at 500% of the Federal Poverty Level (FPL). The table below shows the maximum annual income allowed based on household size:
| Household Size | Maximum Annual Income |
|---|---|
| 1 person | $75,300 |
| 2 persons | $102,200 |
| 3 persons | $129,100 |
| 4 persons | $156,000 |
For households larger than four people, the income limit continues to increase. Contact JJPAF directly at (800) 652-6227 to ask about the threshold for your household size.
Your income is typically verified using your most recent federal tax return (Form 1040 or W-2) or three months of recent pay stubs. If your income has changed significantly since your last tax filing — for example, due to job loss or reduced hours — you may be able to use current pay stubs instead. This can work in your favor if your current earnings are lower than what your tax return shows.
If your income is above the limit for your household size, you may not qualify for free medication through JJPAF. In that case, review the "Alternatives If You Don't Qualify" section below for other options that may help lower your out-of-pocket costs.
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Insurance Requirements Explained
Your insurance status plays a major role in whether you qualify. Here is how different situations are handled:
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Step-by-Step: How to Apply
Follow these steps to apply for Tracleer through JJPAF:
1. Visit the program website. Go to https://www.jjpaf.org/ to start your application online, or visit https://www.tracleer.com/patient-support for program-specific details.
2. Gather your documents before starting. You will need:
- A completed and signed JJPAF application form (available on the website)
- Proof of household income: your most recent Form 1040, W-2, or three months of recent pay stubs
- A valid prescription for Tracleer signed by your healthcare provider
3. Complete the application. You can apply online at https://www.jjpaf.org/, by phone at (800) 652-6227, or by fax at (888) 526-5168. If applying by fax or phone, make sure your healthcare provider's office is involved, as their signature is required on the application.
4. Have your doctor sign the application. The prescribing physician must sign the application form. Many patients find it easiest to have their doctor's office submit the paperwork directly.
5. Submit your application. Send all documents together to avoid delays. Incomplete applications are a common reason for processing delays.
6. Wait for confirmation. Processing typically takes 2 to 5 business days. You or your provider's office will be notified of the decision.
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What to Expect: Timeline and Delivery
After you submit a complete application, JJPAF typically processes it within 2 to 5 business days. Once approved, your medication will be shipped directly to your home address — you do not need to pick it up at a pharmacy. Make sure your mailing address on the application is current and accurate. You should not need to do anything at the time of delivery other than receive the package.
Approval is not permanent. You will need to reauthorize your enrollment on an annual basis. JJPAF or your provider's office will typically initiate this process, but it is a good idea to mark your approval date on your calendar so you are not caught off guard. Reauthorization requires updated income documentation and a renewed prescription.
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Alternatives If You Don't Qualify
If you do not qualify for JJPAF, there are still options to explore:
1. Generic bosentan (biosimilar alternative): A generic version of bosentan is available and is significantly less expensive than brand-name Tracleer. Ask your doctor whether switching to generic bosentan is appropriate for your treatment plan.
2. Janssen CarePath savings card: If you have private insurance that covers Tracleer, you may be eligible for the Janssen CarePath savings card, which can reduce your out-of-pocket costs. Apply at https://www.janssencarepath.com/patient/tracleer.
3. State Pharmaceutical Assistance Programs (SPAPs): Many states offer programs that help residents pay for prescription drugs. Eligibility and benefits vary by state. Contact your state health department or insurance commissioner's office to learn what is available in your area.
4. NeedyMeds.org: This free, nonprofit database at https://www.needymeds.org lists hundreds of patient assistance programs, disease-based funds, and co-pay assistance programs. It is a reliable starting point if other options fall through.
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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 (Actelion). Program terms may change — verify current requirements at [https://www.tracleer.com/patient-support](https://www.tracleer.com/patient-support) before applying.*
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Documents You'll Need
If You Don't Qualify for the Assistance Program
Biosimilar / Generic Alternatives
FDA-approved alternatives to Tracleer: bosentan. Ask your prescriber if one of these is clinically appropriate for your condition.
Manufacturer Savings Card (for insured patients)
Janssen (Actelion) 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 a complete application — including your signed application form, proof of income, and a valid prescription — processing typically takes 2 to 5 business days. Incomplete applications can cause delays, so make sure all documents are included before submitting.
Yes, in some cases. Medicare Part D patients may qualify for JJPAF assistance if they meet the income requirements and have already been denied the Low Income Subsidy (LIS), also known as Extra Help. You will need documentation of that LIS denial as part of your application.
Yes. JJPAF requires annual reauthorization to continue receiving Tracleer at no cost. You will need to submit updated income documentation and a renewed prescription each year. It is a good idea to track your approval date so you can start the reauthorization process before your current enrollment period ends.
Tracleer approved through JJPAF is shipped directly to your home address. You do not need to pick it up at a pharmacy or your doctor's office. Make sure the address on your application is correct and current.
If your income exceeds the JJPAF limit, you may not qualify for the free medication program. However, you may still have options, including a Janssen CarePath savings card for insured patients, generic bosentan, or state pharmaceutical assistance programs. You can also contact JJPAF directly at (800) 652-6227 to discuss your situation.
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