For US Healthcare Professionals Full Prescribing Information I AM A: RHEUMATOLOGY SPECIALIST RHEUMATOLOGY SPECIALIST DERMATOLOGY SPECIALIST Important Safety Information Prescribing Information Instructions for Use Medication Guide Medical Information Center TREMFYA withMe Patient Site Información en Español
I AM A: RHEUMATOLOGY SPECIALIST RHEUMATOLOGY SPECIALIST DERMATOLOGY SPECIALIST Efficacy ACR Response Skin Data & More Additional Data Safety Profile Dosing Mechanism of Action Coverage & Support Coverage Patient Support Resources Video Library Important Safety Information Prescribing Information Instructions for Use Medication Guide Medical Information Center TREMFYA withMe Patient Site Información en Español Privacy Policy Legal Notice Register for Updates
TREMFYA® RESOURCES For Your Office to Help Patients Choose TREMFYA®, Get TREMFYA® Brochure An overview of coverage and support programs to help your patients start and stay on 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. TREMFYA® Prior Authorization Checklist Reminders and tips when completing prior authorizations for your patients. 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. TREMFYA withMe Delay and Denial Support A resource that provides a detailed guide on how to get support in the event of a coverage delay or denial for your commercially insured patients. 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). TREMFYA withMe cannot accept any patient without an executed BAA or Patient Authorization on file. TREMFYA withMe Specialty Pharmacy List Quick reference guide to Specialty Pharmacy partners within the TREMFYA withMe program. Access & Affordability Resources Tools & resources that help navigate payer processes and support getting your patients started on TREMFYA®. For Your Patients Patient Brochure A patient-friendly overview of product information for TREMFYA® in active PsA. TREMFYA withMe 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®. TREMFYA withMe Patient Brochure A resource to help explain the benefits of TREMFYA withMe to your patients. TREMFYA withMe Savings Program Eligible commercially insured patients pay $5 per injection. Maximum program benefit per calendar year shall apply. Terms expire at the end of each calendar year and may change. Patient Affordability Options Discover options that can help make TREMFYA® more affordable for your patients. Download this resource to help your patients learn about cost support options. Full Prescribing Information and Instructions for Use in Spanish For Spanish-speaking patients, this document includes the full Prescribing Information, Medication Guide, and Instructions for Use (IFU).