Schedule a conversation with a PAH Companion

Want to learn more about participating in PAH Companion withMe* and the one-on-one educational support and customized tools and resources we provide? Complete the form below and one of our PAH Companions will reach out to you.

You can also connect with a PAH Companion by calling 866-300-1818, Monday–Friday, 8 AM–9 PM ET. Tell them you are interested in participating in PAH Companion withMe.

PAH Companion withMe is limited to education about your Janssen PAH therapy, its administration, and/or PAH. It is not intended to provide medical advice, replace a treatment plan you receive from your healthcare team, or serve as a reason for you to start or stay on treatment.

*PAH Companion withMe is only for patients on certain Janssen PAH medications, and requires a completed patient authorization form to enroll.

Actelion Pharmaceuticals US, Inc., a Janssen Pharmaceutical Company, our affiliates, and our service providers will use the information you provide for your enrollment and participation in PAH Companion withMe, to include communicating with you by phone, email, and postal mail. Our Privacy Policy further governs the use of the information you provide.

Actelion Pharmaceuticals US, Inc., a Janssen Pharmaceutical Company, our affiliates, and our service providers will use the information you provide for your enrollment and participation in the PAH Companion Program*, to include communicating with you by phone, email, and postal mail. Our Privacy Policy further governs the use of the information you provide.

All fields are required.

First Name *

Last Name *

Date of Birth *

Zip Code *

Preferred date for call *

Preferred time for call *

Your time zone *

Best phone number to call *

Please provide your email so we can send verification of your request. *

Leave this field blank

Clear Form