For US Healthcare Professionals
I am a
Ulcerative Colitis Specialist
Eligible patients can receive their first subcutaneous induction trial dose through TREMFYA withMe in as fast as 1 day*
Only 1 PA for SC induction and maintenance doses†
1
Send
a completed Patient Enrollment Form (PEF) to TREMFYA withMe. Visit Provider Portal for fully digital enrollment or eFAX/FAX the PEF to 800-600-7226
2
START in as fast as 1 day
Eligible patients are shipped their first SC induction trial dose of TREMFYA® at no cost:
Commercially insured
≥18 years old
Moderately to severely active UC
For Trial, no delay or denial required
PATIENTS MUST ANSWER PHONE CALL FROM “J&J WITHME” 888-796-8152
3
Stay
After the trial dose, you may continue the patient’s treatment:
If payer policy is updated, via the specialty pharmacy by submitting 1 PA for SC induction and maintenance doses†
If payer policy is not updated for UC, or if coverage is delayed or denied, through the TREMFYA withMe Access Program for eligible patients‡
*See program requirements for TREMFYAwithMeTrial.com.
†Individual patient coverage may vary.
‡See program requirements for the TREMFYA withMe Access Program at TREMFYAwithMeAccess.com.
IV=intravenous; PA=prior authorization; SC=subcutaneous.
Eligible commercial patients with a delay or denial in coverage can receive TREMFYA® in as fast as 3 days for up to 3 years through the TREMFYA withMe Access Program*
Induction Dosing
1
Submit
a Patient Enrollment Form (PEF) to TREMFYA withMe with both the IV induction and SC maintenance information complete via Provider Portal or e-FAX
2
Acquire
product via Specialty Distributor or via TREMFYA withMe Access Program for eligible patients
3
Schedule
first infusion
SC Maintenance Dosing
4
SUBMIT
the prior authorization for SC maintenance
If commercially covered, product
is shipped to patient via
specialty pharmacy, or
Shipped via the TREMFYA withMe Access Program for eligible patients
*See program requirements for TREMFYAwithMeTrial.com.
IV=intravenous; SC=subcutaneous.
Visit Portal.JNJwithMe.com or FAX/eFAX the PEF to 800-600-7226.
Contact your Field Representative from Johnson & Johnson or call 844-494-8463 (8 AM – 8 PM ET) for more information.
The patient support and resources provided by TREMFYA withMe are not intended to give medical advice, replace a treatment plan from the
patient’s healthcare provider, offer services that would normally be performed by the provider’s office, or serve as a reason to prescribe TREMFYA®.
TREMFYA withMe provides streamlined support to help your eligible patients start and stay on treatment
Submit a PEF (patient enrollment form) to unlock access to patient support offerings.
Pay as little as $0 per dose*
First SC trial dose at no cost in as fast as 1 day†
IV induction dose at no cost in as fast as 3 days‡
Dedicated Nurse Guide§
Insurance Benefits InvestigationII
Specialty Pharmacy Enhanced Services Network¶
Patient resilience coaching may be available through a limited pilot program¶
TREMFYA withMe offers eligible patients TREMFYA® at no cost for up to 3 years or until their commercial insurance covers the medicine.
The patient support and resources provided by TREMFYA withMe are not intended to give medical advice, replace a treatment plan from the patient’s
healthcare provider, offer services that would normally be performed by the provider’s office, or serve as a reason to prescribe TREMFYA®.
*The TREMFYA withMe Savings Program consists of Medicine Cost Support and Treatment Administration Cost Support (includes eligible laboratory tests). Maximum program benefit per calendar year shall apply. Offer subject to change or end without notice. See program requirements at TREMFYAwithMeSavings.com.
†See program requirements for the TREMFYA withMe Trial Offer at TREMFYAwithMeTrial.com.
‡For up to 3 years for eligible patients with a delay or denial in coverage through the TREMFYA withMe Access Program. See program requirements for the TREMFYA withMe Access Program at TREMFYAwithMeAccess.com.
§Includes answers to questions about prescription fulfillment and cost support; information about the treatment process; supplemental self-injection training and resources; assistance to help patients stay on track with
treatment goals, milestones, updates, and reminders; Nurse Guides do not provide medical advice. Patient Authorization is required to enroll in Nurse Guide Support.
||Includes cost support eligibility assessment via the Case Manager Team.
¶Includes streamlined product fulfillment support, prescription transfers to payer-mandated pharmacies, and patient outreach related to starting and staying on treatment. Enhanced services provided by each specialty pharmacy may vary. Johnson & Johnson does not endorse the use of any pharmacies in particular. The information provided represents no statement, promise, or guarantee of Johnson & Johnson concerning levels of reimbursement, payment, or charge. Please consult specific payer organizations with regard to local or actual coverage, reimbursement policies, and determination processes.
ENROLLING PATIENTS
Initiate patient enrollment for TREMFYA withMe support and resources
To enroll your patients in TREMFYA withMe, complete the form below, then FAX or eFAX it to 800-600-7226
The patient support and resources provided by TREMFYA withMe are not intended to give medical advice, replace a treatment plan from the patient’s healthcare provider, offer services that would normally be performed by the provider’s office, or serve as a reason to prescribe TREMFYA®.
Access & affordability
Support may be available
TREMFYA withMe SAVINGS PROGRAM
Pay
as little as
$0
per dose
Eligible commercial patients may
pay as little as $0 per dose.
Program consists of Medicine Cost Support and Treatment Administration Cost Support.
TREMFYA withMe ACCESS PROGRAM
as fast as
3 days
for up to
3 years
When commercial insurance coverage is delayed more than 5 business days or denied, TREMFYA withMe offers eligible patients TREMFYA® at no cost in as fast as 3 days for up to 3 years or until their commercial insurance covers the medicine. See program requirements at TREMFYAwithMeAccess.com.
THE TREMFYA withMe TEAM
One dedicated team with one goal
The TREMFYA withMe team works together to deliver customized fulfillment support for TREMFYA® patients.
Case Manager TEAM
Led by your Case Manager, the primary point of contact for the healthcare professional office. Highly trained across all programs and skilled at matching patients to the right support.
FIELD Reimbursement MANAGER (FRM)*
Provides in-office educational support and partners with your Case Manager Team to get eligible patients who have been prescribed TREMFYA® started on therapy as quickly as possible.
nurse guide†‡
Provides personalized support to answer questions and help patients navigate treatment.
The patient support and resources provided by TREMFYA withMe are not intended to give medical advice, replace a treatment plan from the patient’s healthcare provider, offer services that would normally be performed by the provider’s office, or serve as a reason to prescribe TREMFYA®.
*Protected Health Information cannot be exchanged without a Business Associate Agreement or Patient Authorization on file.
‡Protected Health Information cannot be exchanged without a Patient Authorization on file.
ENHANCED OFFERINGS
Infusion services for a streamlined
patient-focused fulfillment experience
Once a decision has been made to prescribe TREMFYA®, TREMFYA withMe Infusion Services is intended to help patients start their 3 intravenous (IV) induction doses and transition to subcutaneous (SC) maintenance doses through a streamlined fulfillment experience.
TREMFYA withMe Infusion Services utilizes a contracted network of Infusion Service Providers (ISPs)* to coordinate continuity of care and support the overall patient experience by leveraging existing infrastructure and clinical expertise.
*The contracted ISPs are not the only ISPs available, and Janssen Biotech, Inc. does not endorse the use of any infusion service providers in particular. The information provided represents no statement, promise, or guarantee of Janssen Biotech, Inc., concerning levels of reimbursement, payment, or charge. Please consult specific payer organizations with regard to local or actual coverage, reimbursement policies, and determination processes.
The patient support and resources provided by TREMFYA withMe are not intended to give medical advice, replace a treatment plan from the patient’s healthcare provider, offer services that would normally be performed by the provider’s office, or serve as a reason to prescribe TREMFYA®.
If you have questions, call your Case Manager team at 888-796-8152, Monday−Friday, 8:00 AM – 8:00 PM ET. Multilingual phone support available.
Sign up or log in to the Provider Portal at Portal.JNJwithMe.com, where you can request and review benefits investigations, enroll eligible patients in the TREMFYA withMe Savings Program, and view Savings Program transactions as requested by the patient.
