Oncology

Zytiga (abiraterone)

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

Verified: February 27, 2026
Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF)
Program name
2-5 business days
Processing time
shipped to patient
Medication delivery
$75,300
1-person income limit

Do You Qualify?

Income

Up to $75,300 for a single person

Insurance

Must be uninsured or have limited/no outpatient prescription drug coverage. Patients with Medicare Part D may qualify if they meet specific financial criteria and have already spent a certain amount on medications.

Residency

Must reside in the U.S. or a U.S. Territory and be under the care of a U.S.-licensed healthcare provider.

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Income Limits (500% FPL)

Household SizeMax Annual Income
1 person$75,300
2 persons$102,200
3 persons$129,100
4 persons$156,000

Income threshold for oncology products under JJPAF is generally 500% of the Federal Poverty Level.

Based on 2025 HHS Federal Poverty Level guidelines.

# A Patient Guide to Free Zytiga (Abiraterone) Through the Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF)

Prepared by RX Advantages

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

If you have been prescribed Zytiga (abiraterone) and cannot afford it, the Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF) may be able to provide it to you at no cost. This program is designed for patients who are uninsured or who have limited or no outpatient prescription drug coverage. For a single-person household, your annual income must be at or below $75,300 to qualify. Patients with Medicare Part D may also be considered under certain financial conditions. If you meet the income and insurance criteria, you may receive Zytiga free of charge, shipped directly to your home. The program is run by the manufacturer and is separate from any insurance plan you may have.

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About Zytiga (Abiraterone)

Zytiga (abiraterone acetate) is a prescription medication made by Janssen, a Johnson & Johnson company. It is approved by the U.S. Food and Drug Administration (FDA) to treat metastatic castration-resistant prostate cancer (mCRPC) and metastatic high-risk castration-sensitive prostate cancer (mHSPC). Zytiga belongs to a class of drugs called CYP17 inhibitors, which work by reducing the body's production of certain hormones involved in prostate cancer. Without insurance or assistance, Zytiga can cost several thousand dollars per month, making it unaffordable for many patients. The JJPAF program exists specifically to help patients who face this financial barrier access the medication their doctor has prescribed.

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Income Eligibility: Full Breakdown

JJPAF uses income thresholds set at approximately 500% of the Federal Poverty Level (FPL) for oncology medications like Zytiga. The table below shows the maximum annual household 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 |

Your income is typically verified using your most recent U.S. federal income tax return (Form 1040), W-2 forms, or three months of recent pay stubs. If your household size is larger than four people, the income limit generally increases by a set amount per additional person — contact JJPAF directly at (800) 652-6227 to confirm the threshold for your household.

If your income is above the listed limits, you may not qualify for free medication through this program. However, that does not mean there are no options available to you. See the "Alternatives If You Don't Qualify" section below for other resources. In some cases, patients near the income boundary are encouraged to apply anyway, as JJPAF reviews each application individually and may consider special circumstances.

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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:

If you are uninsured: You are likely the strongest candidate for this program. Patients with no health insurance or no prescription drug coverage are a primary focus of JJPAF and may qualify if they meet the income requirements.
If you have Medicare Part D: You may still qualify, but only if you meet specific financial criteria and have already spent a qualifying amount on your medications. Medicare Part D patients are not automatically excluded, so it is worth applying or calling (800) 652-6227 to review your specific situation.
If you have private insurance that covers less than 50% of your drug costs: You may be eligible, as JJPAF considers patients who have limited outpatient prescription drug coverage. Coverage gaps or high cost-sharing may work in your favor.
If you have Medicaid: Patients with full Medicaid coverage are generally not eligible for this program, since Medicaid is intended to cover prescription costs. If your Medicaid coverage has gaps, contact JJPAF to ask whether an exception applies.

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Step-by-Step: How to Apply

Follow these steps to apply for Zytiga through JJPAF:

1. Visit the official program website. Go to https://www.jjpaf.org to access the online application. You can also call (800) 652-6227 during business hours to apply by phone or request a paper application.

2. Gather your documents before you start. You will need: a completed application form with signatures from both you and your prescribing doctor, proof of income (your most recent Form 1040, W-2, or three months of pay stubs), and a valid prescription for Zytiga.

3. Complete the application. Fill in all required fields. Make sure your prescriber completes and signs their portion — incomplete applications are a common cause of delays.

4. Submit your application. You may submit online at https://www.jjpaf.org, by fax to (888) 526-5168, or by phone at (800) 652-6227. If mailing a paper form, confirm the current mailing address on the JJPAF website.

5. Wait for a decision. Processing typically takes 2 to 5 business days after JJPAF receives your complete application.

6. Receive confirmation. If approved, JJPAF or Janssen will notify you and your prescriber. Your medication will then be arranged for shipment directly to your home.

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What to Expect: Timeline and Delivery

Once JJPAF receives your completed application with all required documents, a decision is typically made within 2 to 5 business days. You and your prescribing doctor will be notified of the outcome. If approved, Zytiga is shipped directly to your home address — you do not need to pick it up at a pharmacy or prescriber's office. There is nothing you need to do at delivery beyond receiving the package. Approval is valid for one year, after which you must reapply. JJPAF will typically send a reminder when your reauthorization is due, but it is a good idea to track your approval date and begin the renewal process before it expires to avoid any gaps in your medication supply.

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Alternatives If You Don't Qualify

If you do not meet the JJPAF eligibility requirements, there are still options worth exploring:

1. Biosimilar alternatives: An FDA-approved generic version of abiraterone acetate is available and may cost significantly less than brand-name Zytiga. Ask your doctor whether this is a suitable option for your treatment plan.

2. Manufacturer savings card for insured patients: If you have commercial (private) insurance, Janssen CarePath offers a savings card that may reduce your out-of-pocket costs. Learn more and enroll at https://www.janssencarepath.com/patient/zytiga/cost-support.

3. State Pharmaceutical Assistance Programs (SPAP): Many states offer programs that help residents with prescription drug costs, particularly for seniors or people with disabilities. Search for your state's program through your state health department.

4. NeedyMeds.org: This free online database at https://www.needymeds.org lists hundreds of patient assistance programs, drug discount cards, and state resources. It is a useful starting point if you need to explore multiple options at once.

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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.zytiga.com/patient-support/financial-assistance](https://www.zytiga.com/patient-support/financial-assistance) before applying.*

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Documents You'll Need

Completed application form with patient and prescriber signatures
Proof of income (e.g., most recent U.S. Income Tax Return/1040, W-2, or pay stubs)
Valid prescription

If You Don't Qualify for the Assistance Program

Biosimilar / Generic Alternatives

FDA-approved alternatives to Zytiga: abiraterone acetate. Ask your prescriber if one of these is clinically appropriate for your condition.

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 has received your completed application with all required documents, processing typically takes 2 to 5 business days. After approval, your medication is shipped directly to your home. Incomplete applications may take longer, so make sure your doctor has signed their portion before you submit.

Yes, Medicare Part D patients may still qualify, but eligibility depends on your specific financial situation and whether you have already spent a certain amount on your medications. You are not automatically disqualified. Call JJPAF at (800) 652-6227 to review your circumstances before applying.

Yes. JJPAF approval lasts for one year and requires annual reauthorization. You will need to submit updated income documentation and a new application before your approval period ends. Starting the renewal process a few weeks early can help you avoid a gap in your medication supply.

JJPAF reviews applications on a case-by-case basis. If your income is close to the threshold, it may still be worth applying or calling (800) 652-6227 to discuss your situation. If you do not qualify, the generic version of abiraterone acetate or a manufacturer savings card for insured patients may offer another path to savings.

If your application is approved, Zytiga is shipped directly to your home address. You do not need to visit a pharmacy or your doctor's office to pick it up. Simply be available to receive the shipment at the address you listed on your application.

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