Below you will find downloadable resources and information to use during treatment with TREMFYA®

Frequently used resources

Provider Portal

Access your Provider Portal or create an account

Log in here
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Express Enrollment

Enroll your patient in the Savings Program or with a Nurse Guide* if you don’t have an account

*Nurse Guides do not provide medical advice.

Start here
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Resource Portal

Need more support? Access additional resources

Look here
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Insurance coverage and affordability options for patients

Supporting Appropriate Payer Coverage Decisions Brochure

Download

Interactive Tool for State-Level Affordability Options

Download

Medicare Coverage

Download

Resources to help patients with access and fulfillment support

TREMFYA withMe Patient Enrollment Form

Download

Prior Authorization Checklist

Download

Patient Authorization

Download

Sample Letter of Medical Necessity

Download

Sample Letter of Appeal

Download

Sample Letter of Exception

Download

TREMFYA withMe Delay and Denial Support

Download

Provider Portal User Guide

Download

Provider Portal User Video

Watch here

Resources to help eligible patients save on the cost of their medication

Affordability Options Brochure

Download

TREMFYA withMe Savings Program Overview

Download

TREMFYA withMe Savings Program

Download

TREMFYA withMe Savings Program Rebate Form

Download

Johnson & Johnson Patient Assistance Program

Download

Educational resources for Medicare and Medicaid patients

Health Insurance Open Enrollment Guide

Download

Medicare Resource Guide

Download

Low-Income Subsidy Brochure

Download

Low-Income Subsidy “Extra Help” Resource for Patients

Download

Interactive Tool for State-Level Affordability Options

Download

Preferred 1L Medicare Part D Coverage Brochure

Download
Frequently used resources

Electronic Patient Authorization

Patients can e-sign the Patient Authorization Form

Download Form
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Patient resources to help them start and stay on therapy

PsO Patient Brochure

Download

PsA Patient Brochure

Download

Resources to help eligible patients save on the cost of their medication

Affordability Options Brochure

Download

TREMFYA withMe Savings Program

Download

TREMFYA withMe Savings Program Rebate Form

Download

Johnson & Johnson Patient Assistance Program

Download

Educational resources for Medicare and Medicaid patients

Health Insurance Open Enrollment Guide

Download

Medicare Resource Guide

Download

Low-Income Subsidy Brochure

Download

Low-Income Subsidy “Extra Help” Resource for Patients

Download

Know Your State Tool

Download