Tremfya (guselkumab)

Do You Qualify?

Income Limits (400% FPL)

Calculated based on 400% of the 2025 Federal Poverty Level. Total household income must be at or below these amounts.

Based on 2025 HHS Federal Poverty Level guidelines.

# How to Get Tremfya (Guselkumab) Free or at Low Cost Through JJPAF

Who Qualifies for the Johnson & Johnson Patient Assistance Foundation (JJPAF)?

If you cannot afford Tremfya (guselkumab), you may be able to get it at no cost through the Johnson & Johnson Patient Assistance Foundation (JJPAF). This program is designed for patients who meet income and insurance requirements and need help covering the cost of their medication. For a single-person household, your annual income must be at or below $60,240 to qualify. In general, you must be uninsured or have insurance that does not cover Tremfya — though some Medicare Part D patients may also qualify under specific conditions. If you meet these criteria, the JJPAF program may provide Tremfya to you free of charge.

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About Tremfya (Guselkumab)

Tremfya is a prescription biologic medication made by Janssen, a pharmaceutical company under Johnson & Johnson. It belongs to a drug class called interleukin-23 (IL-23) inhibitors and is FDA-approved to treat moderate-to-severe plaque psoriasis and active psoriatic arthritis in adults. As a biologic, Tremfya is manufactured from living cells and requires a complex production process, which makes it significantly more expensive than traditional medications. Without insurance or assistance, the list price of Tremfya can run into thousands of dollars per dose, making it out of reach for many patients. Patient assistance programs like JJPAF exist to help close that gap.

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Income Eligibility: Full Breakdown

JJPAF uses income thresholds based on 400% of the 2025 Federal Poverty Level. Your total household income must fall at or below the amounts listed in the table below:

| Household Size | Maximum Annual Income |

|---|---|

| 1 person | $60,240 |

| 2 persons | $81,760 |

| 3 persons | $103,280 |

| 4 persons | $124,800 |

Your income is typically verified using your most recent U.S. federal income tax return, a W-2, or a 1099 form. If your tax documents do not reflect your current situation — for example, if you recently lost a job or had a significant change in income — the program may accept recent pay stubs covering the last three months as an alternative.

If your income is above these limits, you may not qualify for the free medication program. However, you should still explore the other options described in the "Alternatives" section below, including manufacturer savings cards and state assistance programs. Household size matters: a family of four can earn more than twice what a single person can earn and still qualify, so make sure you are using the correct household size when you check your eligibility.

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Insurance Requirements Explained

Your insurance status plays a major role in whether you qualify for JJPAF. Here is how different situations are handled:

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Step-by-Step: How to Apply

Follow these steps to apply for free Tremfya through JJPAF:

1. Gather your documents. You will need your most recent U.S. Income Tax Return, W-2, or 1099 form as proof of income. You will also need a valid prescription for Tremfya from your doctor.

2. Choose your application method. You can apply in one of three ways:

- Online: Visit https://www.jjpaf.org/ to complete and submit your application digitally.

- By phone: Call (800) 652-6227 to speak with a program representative who can guide you through the process.

- By fax: Download and complete a paper application, then fax it to (888) 522-3339.

3. Complete the application form. The form requires signatures from both you (the patient) and your prescribing doctor. Make sure both signatures are included before submitting, or your application may be delayed.

4. Submit your application. Use whichever method you selected in Step 2. If applying online, upload your income documentation during the submission process. If faxing, include all documents with the completed form.

5. Wait for a decision. JJPAF typically processes applications within 2 to 5 business days.

6. Receive confirmation. Once approved, you will be notified of your enrollment status. Your medication will then be arranged for delivery.

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What to Expect: Timeline and Delivery

After submitting your application, JJPAF typically processes it within 2 to 5 business days. Once your application is approved, you will receive confirmation — usually by phone or mail — about your enrollment. Tremfya will be shipped directly to your home address, so you do not need to pick it up at a pharmacy or your doctor's office. There is nothing additional you need to do at the time of delivery.

Keep in mind that enrollment in JJPAF is not permanent. You will need to reauthorize your enrollment once a year to continue receiving the medication. Watch for renewal notices and make sure your income documentation is current when it is time to reapply.

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Alternatives If You Don't Qualify

If you do not qualify for JJPAF, here are other options to consider:

1. Biosimilars: There are currently no FDA-approved biosimilar alternatives to Tremfya (guselkumab). This means there is no lower-cost biosimilar version available at this time.

2. Manufacturer savings card: If you have commercial insurance that covers Tremfya but still face high out-of-pocket costs, Janssen offers a savings card program for eligible insured patients. You can learn more and enroll at https://www.tremfya.com/tremfya-withme/savings-and-cost.

3. State Pharmaceutical Assistance Programs (SPAPs): Many states run their own drug assistance programs that may help cover costs for residents who do not qualify for manufacturer programs. Search for your state's SPAP through your state health department website.

4. NeedyMeds.org: This free, independent database lists hundreds of patient assistance programs, drug discount cards, and state resources. Visit https://www.needymeds.org to search by drug name or condition at no cost.

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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.tremfya.com/support](https://www.tremfya.com/support) before applying.*

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