For commercially insured patients, STAY ON TREMFYA®

Janssen Carepath Savings Program

Eligible patients pay per dose

Maximum program benefit per calendar year shall apply.

See full program requirements at Tremfya.JanssenCarePathSavings.com.

When commercial insurance coverage is delayed >5 business days or denied, Janssen Link offers eligible patients TREMFYA® (guselkumab) at no cost until their commercial insurance covers the medication.

See program requirements at JanssenCarePath.com/Tremfya/Janssen-Link.

The Janssen CarePath Savings Program and Janssen Link are not valid for patients using Medicare, Medicaid, or other government-funded programs.

All three programs are for medication only. Program terms may change.

For cost insurance information for different types of payers.

 

 

Coverage and support 
to help patients start
and stay on tremfya®

View ZIP code-specific coverage 
information using our lookup tool.

ACCESS FORMS

Here are all the forms you may need to help secure access to TREMFYA® for your patients.

Prescription Information and Enrollment Form

This form is the first step to understanding your patient’s insurance coverage and enrolling the patient in the So Simple Trial Program.

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Business Associate Agreement (for Janssen CarePath)

Complete this Business Associate Agreement one time only to allow you to request verification of patients’ insurance benefits without requiring individual patient authorization.

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Patient Authorization (for Janssen CarePath)

If no Business Associate Agreement is on file, you must secure patient authorization for each patient. Use this form or complete patient authorization on the Prescription Information and Enrollment Form. Janssen CarePath cannot accept any patient without an executed Business Associate Agreement or patient authorization on file.

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Sample Letter of Exception

To document the request for a Payer to cover a nonformulary product or when step therapy through other treatments is required.

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Sample Letter of Medical Necessity

Sample letter to communicate that TREMFYA® is medically appropriate and necessary and should be covered and reimbursed.

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Sample Letter of Appeal

To document and request a Payer review a denied coverage determination for TREMFYA®, such as prior authorization or exception request denials.

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TREMFYA® Prior Authorization Checklist

Reminders and tips when completing prior authorizations for your patients.

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