Helping Patients Afford Infliximab
- Benefits Investigation & Enrollment FormA way to find out if Infliximab is covered by the patient's insurance plan, including requirements for coverage or prior authorization, any out-of-pocket costs, and approved pharmacies.
- Benefits Investigation & Prescription Form for GastroenterologyA way to find out if Infliximab is covered by the patient's insurance plan, including requirements for coverage or prior authorization, any out-of-pocket costs, and approved pharmacies.
- Benefits Investigation Form for Janssen IVA way to find out if Infliximab is covered by the patient's insurance plan, including requirements for coverage or prior authorization, any out-of-pocket costs, and approved pharmacies.
- Billing Guide
- Business Associate AgreementComplete a Business Associate Agreement for your practice only once. No individual patient authorizations are required.
- Janssen CarePath Resource GuideA comprehensive summary of support tools for your office to help patients start and stay on treatment.
- Letter of ExceptionA template that you can fill out and submit to a patient’s health insurance provider asking them to cover a medication that is not on formulary.
- Letter of Medical NecessityA template that you can fill out and submit to a patient’s health insurance provider. You may use it to explain why Infliximab is medically necessary for your patient.
- Patient Account Overview
- Patient Affordability OptionsDiscover options that can make Infliximab more affordable for your patients.
- Patient Authorization FormIndividual patient form for offices without a Business Associate Agreement.
Patient Authorization Form (en español) - Patient Authorization Form (en español)Individual patient form for offices without a Business Associate Agreement.
- Savings Program Assignment of Benefits FormA form the patient can submit that allows Janssen CarePath Savings Program to reimburse the provider directly.
- Savings Program EOB Clarification FormUse this form when the Explanation of Benefits (EOB) statement does not indicate that the patient received Infliximab.
- Savings Program OverviewEligible patients using commercial or private insurance can save on out-of-pocket costs for Infliximab.
- Savings Program Patient Enrollment FormFax or mail this completed form to enroll your patient in the Savings Program for Infliximab.
- Savings Program Rebate FormA form the patient can submit if the pharmacy isn’t able to process the Janssen CarePath Savings Program card.
- Verification of Benefits Guide (Medical)A guide to understanding the Verification of Benefits for your patient’s medical benefits.
- Verification of Benefits Guide (Pharmacy)A guide to understanding the Verification of Benefits for your patient’s pharmacy benefits.

Helping Patients Afford Infliximab
Select your patient’s coverage status for relevant resources.
For Patients with Commercial or Private Insurance
There is a limit to savings each year. Program does not cover the cost to give patients their infusion.
Patients may participate without sharing their income information.
We provide cost support directly to patients through the Janssen CarePath Savings Program. This benefit is intended to help eligible patients afford their out-of-pocket obligations as set by their health plans. The cost support is meant solely for patients—not health plans and/or their partners.
If your patients are having any difficulty accessing cost support through the Janssen CarePath Savings Program, please have them contact us at 877-CarePath (877-227-3728).
- Sign Patients Up for the Janssen CarePath Savings Program and Get a Savings Card
- Sign Patients Up for the Janssen CarePath Savings Program and Get a Savings Card
- Manage Savings Program Transactions
- Requires Business Associate Agreement /Patient Authorizations
- Get Benefits Investigations
- Get Prior Authorization Support
- Create Medical Necessity and Exception Letters
- Request Exceptions and Appeals Information
- View Patient Dashboard
- Get Timely Notifications
- 24-hour Online Access to Your Account
Help Your Patients Manage Their Savings Program Benefits
The patient is responsible for submitting a rebate request to the Janssen CarePath Savings Program or, at the patient’s direction, you may submit the rebate request on behalf of the patient. Confirm with your patient who will submit rebate requests to the Savings Program.
You may submit rebate requests via the Provider Portal or by fax or mail.
For prompt rebate payment to your patient, we recommend you:
- Submit the patient’s Explanation of Benefits (EOB) using your account on the Provider Portal
Directing Rebate to Treatment Site
Be sure to submit:
- Patient’s Explanation of Benefits (EOB)
- Savings Program Assignment of Benefits Form (AOB) from patient
- Copy of the Health Insurance Claim Form CMS-1500 (HICF) or Uniform Billing Form CMS-1450 (UB-04)

Janssen CarePath for Your Patients
Your patients can visit MyJanssenCarePath.com to sign up for the Savings Program. Once they’ve created an account, they can learn more about their insurance coverage and sign up for personalized treatment support. They can also get alerts, updates, and even manage their benefits 24/7.
Talk to your patients about
MyJanssenCarePath.com
In addition to the Janssen CarePath Savings Program, here are some independent programs that may be right for your patients.
For Patients with Government Coverage
Even if your patients have government coverage like Medicare, we can identify programs that may help them afford their medications. Here are some independent programs that may be right for them.
For Patients with No Insurance Coverage
If your patients need help with drug costs, we can identify programs that may help them afford their medications.
Here are some programs that are not offered by Janssen. Each program has its own eligibility rules.
Take a look and see which ones may be right for your patients.
There is a limit to savings each year. Program does not cover the cost to give patients their infusion.
Patients may participate without sharing their income information.
We provide cost support directly to patients through the Janssen CarePath Savings Program. This benefit is intended to help eligible patients afford their out-of-pocket obligations as set by their health plans. The cost support is meant solely for patients—not health plans and/or their partners.
If your patients are having any difficulty accessing cost support through the Janssen CarePath Savings Program, please have them contact us at 877-CarePath (877-227-3728).
- Sign Patients Up for the Janssen CarePath Savings Program and Get a Savings Card
- Sign Patients Up for the Janssen CarePath Savings Program and Get a Savings Card
- Manage Savings Program Transactions
- Requires Business Associate Agreement /Patient Authorizations
- Get Benefits Investigations
- Get Prior Authorization Support
- Create Medical Necessity and Exception Letters
- Request Exceptions and Appeals Information
- View Patient Dashboard
- Get Timely Notifications
- 24-hour Online Access to Your Account
Help Your Patients Manage Their Savings Program Benefits
The patient is responsible for submitting a rebate request to the Janssen CarePath Savings Program or, at the patient’s direction, you may submit the rebate request on behalf of the patient. Confirm with your patient who will submit rebate requests to the Savings Program.
You may submit rebate requests via the Provider Portal or by fax or mail.
For prompt rebate payment to your patient, we recommend you:
- Submit the patient’s Explanation of Benefits (EOB) using your account on the Provider Portal
Directing Rebate to Treatment Site
Be sure to submit:
- Patient’s Explanation of Benefits (EOB)
- Savings Program Assignment of Benefits Form (AOB) from patient
- Copy of the Health Insurance Claim Form CMS-1500 (HICF) or Uniform Billing Form CMS-1450 (UB-04)

Janssen CarePath for Your Patients
Your patients can visit MyJanssenCarePath.com to sign up for the Savings Program. Once they’ve created an account, they can learn more about their insurance coverage and sign up for personalized treatment support. They can also get alerts, updates, and even manage their benefits 24/7.
Talk to your patients about
MyJanssenCarePath.com