Paying for SPRAVATO®
Paying for SPRAVATO®
Helping make SPRAVATO® more affordable for eligible patients
At Janssen, we don't want cost to get in the way of treatment you need. We can help you explore options to lower your out-of-pocket cost for SPRAVATO®. No matter what type of coverage you have – or even if you don't have coverage – Janssen CarePath can help explain your medication insurance coverage and potential out-of-pocket cost and help find programs that may help you pay for SPRAVATO®.
Summary of Resources to help you pay for SPRAVATO®
If you have commercial or private health insurance and need help paying for SPRAVATO®, the Janssen CarePath Savings Program may be able to help. If you don't have commercial or private health insurance, you may find help from the programs and resources found on JanssenPrescriptionAssistance.com.
If you use commercial or private insurance to pay for your medication:
Janssen CarePath Savings Program for SPRAVATO®
If you are eligible, the Janssen CarePath Savings Program may provide instant savings on your out-of-pocket medication costs for SPRAVATO®. Depending on your health insurance plan, savings may apply toward co-pay, co-insurance, or deductible. Eligible commercially-insured patients pay $10 per treatment for SPRAVATO® medication costs, with a $7,150 maximum program benefit per calendar year. Treatment may include up to three devices administered on the same day. Program limits apply. Depending on how your insurance covers SPRAVATO®, there is a program benefit limit of list price of the medication and a quantity limit of three devices per day or up to 23 devices in a 24-day period. There is a quantity limit of 24 devices in a 24-day period for one use per lifetime. Not valid for patients using Medicare, Medicaid, or other government-funded programs to pay for their medications. Terms expire at the end of each calendar year and may change. There is no income requirement. Program does not cover the cost to give you your treatment. See full eligibility requirements.
To enroll in the Janssen CarePath Savings Program
Visit MyJanssenCarePath.com to create an online account, check your eligibility, enroll in the Savings Program, manage your Savings Program benefits, and receive timely alerts and program updates. Or call a Janssen CarePath Care Coordinator at 877-CarePath (877-227-3728), Monday-Friday, 8:00 AM to 8:00 PM ET.
If you only want to check your eligibility and enroll in the Janssen CarePath Savings Program, visit the Express Enrollment site at MyJanssenCarePath.com/express. There is a "Print a Card" feature to provide you with a Savings Program card. You will not have a Janssen CarePath account and will not be able to view and manage your Savings Program benefits.
If your doctor's office or pharmacy cannot process your Janssen CarePath Savings Program card, you can submit a rebate form and proof of medication payment to receive a rebate.
If you use your medical/primary insurance to pay for your medication, you are responsible for submitting a rebate request including an Explanation of Benefits (EOB) to receive payment under the Savings Program. At your direction, your provider may submit the rebate request and EOB on your behalf by mail or through an electronic billing system. Please ensure you and your provider coordinate who will submit the rebate request.
If you are using a government-funded healthcare program to pay for SPRAVATO® or have no insurance coverage and need help paying for your medication:
Janssen CarePath can provide information about other resources that may be able to help with your out-of-pocket medication costs for SPRAVATO®. Call a Janssen CarePath Care Coordinator at 877-CarePath (877-227-3728) or visit JanssenPrescriptionAssistance.com for more information about affordability programs and independent foundations† that may have funding available.
If you are enrolled in Medicare, our resources below provide information on sources for cost support that may be available.
Medicare Resource Guide
Medicare Part D and Coverage Gap Guide
Medicare Low-Income Subsidy (LIS) Brochure
Medicare Low-Income Subsidy (LIS) "Extra Help" Resource for Patients
† Independent co-pay assistance foundations have their own rules for eligibility. We cannot guarantee a foundation will help you. We only can refer you to a foundation that supports your disease state. This information is provided as a resource for you. We do not endorse any particular foundation.
If you have questions, please call a Janssen CarePath Care Coordinator at 877-CarePath (877-227-3728), Monday-Friday, 8:00 AM to 8:00 PM ET. Multilingual phone support is available.
Other Resources
The Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF) is an independent, nonprofit organization that is committed to helping eligible patients without insurance coverage receive prescription products donated by Johnson & Johnson operating companies. To see if you might qualify for assistance, please contact a JJPAF program specialist at 800-652-6227 (Monday–Friday, 9:00 AM to 6:00 PM ET) or visit the foundation website at JJPAF.org.