SEARCH THE TREMFYA® SITE
- Efficacy in PsO
- Efficacy in PsA
- Starting & staying on TREMFYA®
TREMFYA withMe provides in-office educational support to help patients have a positive experience throughout their TREMFYA® treatment journey
Reimbursement Support with a FRAS
Your Field Reimbursement and Access Specialist (FRAS) will provide dedicated, in-office educational support on reimbursement, access, and fulfillment
Access and Affordability Support
TREMFYA withMe can help verify insurance coverage for your patients, provide reimbursement information, find financial assistance options for eligible patients, and provide ongoing support to help patients start and stay on TREMFYA®
Specialty pharmacies provide enhanced product fulfillment and patient support services
TREMFYA withMe is limited to education for patients about TREMFYA®, its administration, and/or their disease, and is not intended to provide medical advice, replace a treatment plan from the patient’s doctor or nurse, or provide case management services.
Simple steps and resources for getting your patients started on TREMFYA®
As you know, each health plan may have its own unique Prior Authorization (PA) form with different requirements. It’s important to gather all the necessary information during your patient’s first appointment to ensure an effective PA process with minimal delays
There are many ways to submit a PA. You can visit CoverMyMeds.com; utilize TREMFYA withMe access and affordability support via JanssenCarePathPortal.com; or contact the specialty pharmacy of your choice
Remember that, in order to submit a prior authorization via TREMFYA withMe, you have to fill out the Enrollment and Prescription Form manually or on JanssenCarePathPortal.com.
Business Associate Agreement
Complete this BAA one time only to allow you to request verification of your patients’ insurance benefits without requiring the Patient Authorization form to be signed by the patient.
If no Business Associate Agreement (BAA) is on file, you must secure patient authorization for each patient. Use this form or have your patient complete the Patient Authorization section on the Enrollment and Prescription Form. TREMFYA withMe cannot accept any patient information without an executed BAA or patient authorization on file.
Prior Authorization Checklist
Reminders and tips when completing a prior authorization for your patients.
Specialty Pharmacy Reference List
List of specialty pharmacies providing enhanced services for the TREMFYA withMe program.
Enroll eligible patients in TREMFYA withMe. From there, a TREMFYA withMe Guide will provide dedicated support to help make it easier for the patient as they begin and continue their TREMFYA® treatment journey
Enrollment and Prescription Form
Submit the Enrollment and Prescription Form (with the Patient Authorization form signed by the patient) to enroll the patient in TREMFYA withMe.
National Access Flash Card
This resource provides an overview of the commercial coverage of TREMFYA® and patient support offerings from TREMFYA withMe.
If a prior authorization is approved, the process is complete for the healthcare provider. Additional steps may be required if the patient’s insurance mandates a specialty pharmacy or if there are delays or any denial issues
If coverage is denied or delayed, don’t worry—your eligible, commercially insured patients can still get access to their treatment. When commercial insurance coverage is delayed >5 business days or denied, TREMFYA withMe offers eligible patients TREMFYA® at no cost until their commercial insurance covers the medication. See program requirements at TREMFYAwithMeDelay.com.
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.
Sample Letter of Medical Necessity
To document rationale as to why a payer’s formulary products may not be clinically appropriate for a patient. May also be used when a payer does not have a known coverage policy in effect.
Sample Letter of Appeal
To document and request a payer review of a denied coverage determination for TREMFYA®, such as prior authorization or exception request denials.
TREMFYA withMe Delay and Denial Support
It’s time to get assigned to a specialty pharmacy, where your patients will receive fulfillment help in getting TREMFYA®, and education from their TREMFYA withMe Guide about cost support options to make it more affordable
If a mandated specialty pharmacy is required by a patient’s insurance plan, then a transfer of the prescription will be needed
Access & Affordability Resources
Tools and resources that help navigate payer processes and support getting your patients started on TREMFYA®.
Back to Top