For US Healthcare Professionals
I am a
Ulcerative Colitis Specialist
ONCE A DECISION HAS BEEN
MADE TO PRESCRIBE TREMFYA®
Starting
a TREMFYA®
UC Patient
Program Overview
Support to help your patients start and stay on treatment
Improved access & affordability support
Eligible patients using commercial insurance:
Pay as little as $0 per dose, including certain administration and eligible lab costs*
Can receive TREMFYA® in as fast as 3 days for up to 3 years if patients have a delay or denial in coverage
enhanced fulfillment process
Streamlined benefits investigation (BI) and evaluation of patient support program eligibility
Single-point enrollment across all TREMFYA withMe patient support offerings
PATIENT-CENTERED APPROACH
Comprehensive, impactful, and customized program offerings designed to provide support throughout the patient journey
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®.
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
2
Acquire
product via Specialty Distributor or via TREMFYA withMe Access Program for eligible patients
3
Schedule
first infusion
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
Visit Portal.JNJwithMe.com or eFAX/FAX 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 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 Access Program at TREMFYAwithMeAccess.com.
IV=intravenous; SC=subcutaneous; UC=ulcerative colitis.
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 intravenous induction & subcutaneous TREMFYA® at no cost in as fast as 3 days for up to 3 years or until their commercial insurance covers the medicine.
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 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
844-494-8463, 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.
