Helping Patients Afford SIMPONI®
- Benefits Investigation & Prescription Form (Gastroenterology)A way to find out if SIMPONI® 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 (Rheumatology)A way to find out if SIMPONI® 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 – en español para Puerto Rico (Reumatólogo) - Benefits Investigation & Prescription Form – en español para Puerto Rico (Reumatólogo)If you choose not to use the Provider Portal, complete this form and fax it back to us.
- Business Associate AgreementComplete a Business Associate Agreement for your practice only once. No individual patient authorizations are required.
- Delay & Denial Support Reverification GuideUse this guide to learn how to confirm your patient's eligibility for Delay & Denial Support/Janssen Link if they have previously been eligible.
- Janssen CarePath Resource GuideA comprehensive summary of support tools for your office to help patients start and stay on treatment.
- Letter of Exception (Rheumatology)A 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 Exception (Ulcerative Colitis)A 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 SIMPONI® is medically necessary for your patient.
- Patient Account Overview
- Patient Affordability OptionsDiscover options that can make SIMPONI® 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.
- Prescribing Information & Medication Guide (en español)Product information for SIMPONI®. En español.
- Savings Program OverviewEligible patients using commercial or private insurance can save on out-of-pocket costs for SIMPONI®.
- 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 SIMPONI®
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 injection.
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
- View Savings Program Transactions
- Requires Business Associate Agreement / Patient Authorizations
- Get Benefits Investigations
- Get Prior Authorization Support
- Create Medical Necessity 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
If for any reason, your patient’s pharmacy cannot process their card, let your patient know that they can submit a Rebate Form to receive a check.

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.
Additional Affordability Support from Janssen
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.
- Pay their monthly premiums
- Reduce or eliminate their deductible
- Reduce or eliminate their co-insurance and co-payments
- Have no gap in coverage
Additional Affordability Support from Janssen
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.
Uninsured Patients May Be Eligible for Additional Support
There is a limit to savings each year. Program does not cover the cost to give patients their injection.
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
- View Savings Program Transactions
- Requires Business Associate Agreement / Patient Authorizations
- Get Benefits Investigations
- Get Prior Authorization Support
- Create Medical Necessity 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
If for any reason, your patient’s pharmacy cannot process their card, let your patient know that they can submit a Rebate Form to receive a check.

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.
- Pay their monthly premiums
- Reduce or eliminate their deductible
- Reduce or eliminate their co-insurance and co-payments
- Have no gap in coverage