Commercial or Private Insurance
I have insurance from my job, a family member's job, or Healthcare.gov
J&J withMe Savings Program
Eligible patients
pay $0 for each dose and prescription fill
Eligible patients using commercial or private insurance can save on out-of-pocket medicine costs. Depending on your health insurance plan, savings may apply toward co-pay, co-insurance, or deductible. Eligible patients pay $0 for each RYBREVANT FASPRO™ or RYBREVANT® dose and LAZCLUZE® prescription fill when LAZCLUZE® is used in combination with either of these medicines.
Maximum program benefit per calendar year shall apply. Not valid for patients using Medicare, Medicaid, or other government-funded programs to pay for their medicines. Terms expire at the end of each calendar year. Offer subject to change or end without notice. Restrictions, including monthly maximums, may apply. For medicine costs only; program does not cover the cost to give you your treatment. Participate without sharing your income information.
We provide cost support directly to patients through the J&J withMe Savings Program. This benefit is intended to help eligible patients afford their out-of-pocket obligations as set by their health plans. The cost support is meant solely for patients—not health plans and/or their partners.
To enroll in the J&J withMe Savings Program
Visit RYBREVANTwithMe.com/signup. Or call J&J withMe at 833-JNJ-wMe1 (833-565-9631), Monday through Friday,
If you have any questions, please call us at 833-JNJ-wMe1 (833-565-9631), Monday–Friday, Multilingual phone support is available.
To get a Virtual Payment Card for RYBREVANT FASPRO™ and RYBREVANT® and Savings Program Card for LAZCLUZE®:
Once enrolled, you will get two J&J withMe Savings Program cards.
You'll get a Virtual Payment Card for your RYBREVANT FASPRO™ and RYBREVANT® medicine costs. After receiving treatment with RYBREVANT FASPRO™ or RYBREVANT®, submit your Explanation of Benefits (EOB) for a rebate.
If you were prescribed RYBREVANT FASPRO™ in combination with LAZCLUZE® or RYBREVANT® in combination with LAZCLUZE®, you can also receive a Savings Program Card for LAZCLUZE® to use at your pharmacy for instant savings.
To submit a rebate request:
For RYBREVANT FASPRO™ and RYBREVANT®
After receiving treatment, submit your Explanation of Benefits (EOB) online, by fax, or by mail.
For LAZCLUZE®
If the pharmacy cannot process your savings card, submit a rebate request online or by mail.
fax:
833-512-0489
mail:
J&J withMe Savings Program
2250 Perimeter Park Drive, Suite 300
Morrisville, NC 27560
Other programs
State-sponsored programs
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.
Independent co-pay assistance foundations
Independent co-pay assistance foundations have their own rules for eligibility, which are subject to change. We cannot guarantee a foundation will help you. We can only refer you to foundations that support your disease state. This information is provided as a resource for you. We do not endorse any particular foundation. The foundations on this list are not the only ones that might be able to help you.
The Assistance Fund
Additional affordability support from Johnson & Johnson
Patient assistance from Johnson & Johnson is available if you are uninsured or have commercial, employer-sponsored, or government coverage that does not fully meet your needs. You may be eligible to receive your medicine from J&J at no cost for up to one year if you meet the eligibility and income requirements for the Johnson & Johnson Patient Assistance Program. See terms and conditions at PatientAssistanceInfo.com or en español at PatientAssistanceInfo.com/ES, or call 833-742-0791.
Be sure to contact the programs directly to get details on eligibility and application requirements, and to see if they may be able to help you.
Frequently Asked Questions
Summary of resources to help you pay for RYBREVANT FASPRO™ in combination with LAZCLUZE® and RYBREVANT® in combination with LAZCLUZE®
J&J withMe Savings Program Rebate Form
Allows you to request a rebate on your medicine if your pharmacy can’t process your J&J withMe Savings Program card.
Health Insurance Open Enrollment Guide
Review your coverage and make necessary changes so you can stay on treatment in the new benefit period.
The support and resources provided by J&J withMe and RYBREVANT withMe are not intended to provide medical advice, replace a treatment plan you receive from your doctor or nurse, or serve as a reason for you to start or stay on treatment.