PsO Support & Resources: HCPs & Patients | TREMFYA® (guselkumab) HCP
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Resources

TREMFYA® RESOURCES

For Your Office to Help Patients

Supporting Your Patients During COVID-19

Information about a variety of virtual resources and additional support options available to your patients.

BioCoordiNATION™

Tools and resources to help patients get coverage and access to TREMFYA®.

Prescription Information and Enrollment Form

This form is the first step to understanding your patient's insurance coverage and enrolling the patient in other resources.

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 a denied coverage determination for TREMFYA®, such as prior authorization or exception request denials.

Business Associate Agreement

Complete this Business Associate Agreement (BAA) one time only to allow you to request verification of patients’ insurance benefits without requiring individual Patient Authorization.

Patient Authorization

If no BAA 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 (PEF). Janssen CarePath cannot accept any patient without an executed BAA or Patient Authorization on file.

For Your Patients

Patient Brochure

A patient-friendly overview of key product information for TREMFYA®.

Injection Training Support Program Enrollment Form

Submitting this form helps patients get additional support for self-injection once they have received self-injection training from their doctor.

Patient Affordability Options

No matter what type of insurance your patients have—or even if they don't have insurance—Janssen CarePath can help find programs that may help with their TREMFYA® out-of-pocket costs.

Janssen CarePath Savings Program for TREMFYA®

Janssen CarePath Savings Program allows eligible patients to save on their out-of-pocket medication costs. Eligible patients pay $5 for each injection, with a $20,000 maximum program benefit per calendar year. 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. For medication costs only; program does not cover cost to give patients their injection. See full eligibility requirements at Tremfya.JanssenCarePathSavings.com.

Janssen CarePath Patient Support

Once you have made the decision to prescribe TREMFYA®, Janssen CarePath provides support to help your patients get started and stay on track with their TREMFYA® treatment, including helpful internet resources.

Full Prescribing Information and IFU in Spanish

For Spanish-speaking patients, this document includes the full Prescribing Information, Medication Guide, and Instructions for Use (IFU).