Having trouble paying for your ELMIRON® (pentosan polysulfate sodium) Capsules prescription?Read more
We want to guide you to programs that may help. Here you'll find the financial assistance programs available for ELMIRON®. We have also listed most of the eligibility requirements for each so you can narrow your focus to those that best suit your circumstances. Call the programs or visit the websites to learn more.
At the current time, patient affordability programs for the selected insurance option are not available for this product. Please check back, as programs change.
This program is affiliated with Janssen and is updated on a regular basis. Be sure to visit the program site for additional information. Last updated 7-21-14
ELMIRON® EarlyAssist™ Savings Card
This program is an instant savings card that reduces your out-of-pocket expenses by up to $35 per month for up to 4 months.
You may be eligible if:
The following programs are not affiliated with Janssen. Be sure to contact the programs directly to get details on eligibility and application requirements, and to see if they have funding available to help you.
Johnson & Johnson Patient Assistance Foundation
Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF) is committed to providing access to medicines for uninsured individuals who lack the financial resources to pay for them. If you are uninsured and unable to pay for your medicine, please contact a JJPAF program specialist at 1-800-652-6227 or visit the Foundation website at JJPAF.org to see if you might qualify for assistance.
Janssen donates medicines to the Johnson & Johnson Patient Assistance Foundation, Inc.
You may be eligible if:
You do not have insurance coverage for ELMIRON®
Some states sponsor prescription financial assistance programs, each with its own eligibility requirements. Find out if your state has a program that can help you.
Medicare Savings Program
Many states have programs for people with limited income and resources that pay some or all of Medicare's premiums and may pay Medicare deductibles and coinsurance. Find out if your state has a program that can help you.
Medicare Part D Extra Help — Low-Income Subsidy
Medicare patients who have limited income and resources may qualify for "extra help" to pay for prescription drugs. The Low-Income Subsidy (LIS) program from Medicare provides financial assistance for patients who may otherwise be unable to afford the costs associated with their Medicare Part D plan.