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<div className="delay-denial insurance-coverage"><div className="product-section"><section className="product-white-area product-welcome-banner menu-padding"><section className="product-welcome"><h1 className="product-header">STELARA withMe Delay and Denial Support</h1><nav aria-label="breadcrumb"><ol className="breadcrumb"><li className="breadcrumb-item"><a href="/">Home</a></li><li className="breadcrumb-item" aria-current="page"><a href="/hcp/stelara">STELARA®</a></li><li className="breadcrumb-item" aria-current="page"><a href="//stelara/insurance-coverage/delay-and-denial-support">Insurance Coverage</a></li></ol></nav></section><section className="banner-text"><div className="row"><rce-container className="container bs-container"><div className="row"><div className="col col-md-12 product-teaser"><p><span className="text-nowrap">STELARA withMe</span> offers eligible patients subcutaneous STELARA® <strong>at no cost</strong> until their commercial insurance covers the medication. See program requirements below.</p></div></div></rce-container></div></section></section><div className="roww product-teaser-mobile"><p><span className="text-nowrap">STELARA withMe</span> offers eligible patients subcutaneous STELARA® <strong>at no cost</strong> until their commercial insurance covers the medication. See program requirements below.</p></div><div className="row coding-row simponi-style1"><div className="col col-md-4"><span className="bluetext">Need Delay and Denial Support?</span></div><div className="col col-md-8 coverage"><ul className="tick-list pt-0"><li className="mt-0">Complete a benefits investigation request in the Provider Portal at <a className="icon-bold" href="https://www.janssencarepathportal.com/s/login" target="_blank">JanssenCarePathPortal.com</a></li><li className="or">OR</li><li>Download the <a className="translated-header-link pdf" href="/system/files/2024-06-03/21-25-28/stelara-withMe-dual-BIF-PEF.pdf" data-entity-type="media" data-entity-uuid="69424efe-2f69-4cb7-a364-519447d93f0c" data-entity-substitution="media" target="_blank" title="Patient Enrollment Form - Dermatology &amp; Rheumatology">Patient Enrollment Form - Dermatology &amp; Rheumatology</a> or the <a className="translated-header-link pdf" href="/system/files/2024-06-03/22-17-44/stelara-gastro-benefit-investigation-and-rx-form.pdf" data-entity-type="media" data-entity-uuid="7c518f2b-0c9d-49ca-9d69-1ccc08838ce6" data-entity-substitution="media" target="_blank" title="Patient Enrollment Form - Gastroenterology">Patient Enrollment Form - Gastroenterology</a>, complete the form, and fax to <span className="text-nowrap">STELARA withMe</span> at 866-769-3903.</li></ul></div></div><div className="row coding-row"><div className="col col-md-4"><span className="bluetext">Program Requirements</span></div><div className="col col-md-8 coverage"><p className="para-bold eligible">To be eligible, patient must have:</p><ul className="patient-coverage"><li><em>1</em> A subcutaneous STELARA® prescription for an on-label, FDA-approved indication</li><li><em>2</em> Commercial insurance with biologics coverage</li><li><em>3</em> A delay of more than 5 business days or a denial of treatment from their insurance</li></ul><p className="mb-0">In addition, for patient to be eligible, Prescriber must submit:</p><ul className="patient-coverage"><li><em>4</em> A Patient Enrollment Form*</li><li><em>5</em> A coverage determination form (i.e., prior authorization or prior authorization with exception) to the commercial insurance</li></ul><p>If coverage is denied, Prescriber must also submit a Letter of Formulary Exception, Letter of Medical Necessity or appeal within 90 days of patient becoming eligible for patient to stay in the program.</p><p className="para-bold">Patient is not eligible if:</p><ul className="patient-coverage"><li><em>1</em> Patient uses any state- or federal government-funded healthcare program to cover medication costs</li><li className="patient-coverage-example">(Examples of these programs are Medicare, Medicaid, TRICARE, Department of Defense, and Veterans Administration)</li><li><em>2</em> Prior authorization is denied due to missing information on coverage determination form, use for a non-FDA-approved indication, or invalid clinical rationale</li></ul><p>Patient is eligible until commercial insurance covers the medication. Program requires periodic verification of insurance coverage status to confirm continued eligibility.</p><p className="mb-2">Delay and Denial Support covers the cost of therapy only—not associated administration cost. Prescriber cannot bill commercial insurance plan for any part of the prescribed subcutaneous treatment. Patient cannot submit the value of the free product as a claim for payment to any health plan. Program good only in the United States and its territories. Void where prohibited, taxed, or limited by law. Program terms may change.</p><p><small>*<span className="text-nowrap">STELARA withMe</span> cannot enroll your patient in Delay and Denial Support without a completed Patient Authorization Form on file. The Patient Authorization can be found on the Patient Enrollment Form, or patient can create an account on <strong>MyJanssenCarePath.com</strong> and electronically sign a patient authorization there.</small></p><p className="para-bold">Participating prescribers authorize <span className="text-nowrap">STELARA withMe</span> to:</p><ul className="patient-eligible"><li><em>1</em> Conduct a benefits investigation and confirm prior authorization requirements</li><li><em>2</em> Provide prior authorization form assistance and status monitoring, including the exceptions and appeals processes</li><li><em>3</em> Refer eligible patients to the specialty pharmacy for further program support and shipment of medication</li><li><em>4</em> Support the transition of patients to commercial product if the medication is covered</li><li><em>5</em> Check insurance coverage status during the program</li></ul></div></div></div></div>

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<div className="custom-foot xarelto-jcp-resources d-none"><p className="text-one"><strong>XARELTO® is licensed from Bayer HealthCare AG, 51368 Leverkusen, Germany.</strong></p><p className="text-second">© Johnson &amp; Johnson Health Care Systems Inc. 2024 <span className="ex-sp ps-2">12/24</span> <span className="ex-sp ps-2">cp-412172v3</span></p><div className="image-jnj"><div className="media media--type-image media--view-mode-media-library media--view-mode-default">                    <img src="/system/files/2024-12-27/04-33-26/JNJ_Logo_SingleLine_Red_RGB.svg" alt="Johnson &amp; Johnson Red Icon" className="img-fluid">        </div></div></div><footer className="text-white footer" id="global-footer"><div className="wrapper"><div className="region region-footer mx-0"><div className="block block-panels-mini clearfix px-0"><div className="row bs-row top-row region-row"><div className="col bs-col col-sm-12 region-col"><div className="footer-disclaimer"><div className="panel-content"><div className="field-type-text-with-summary"><div className="field-items"><div className="field-item even"><p className="general-only">Information about your patient’s insurance coverage, cost support options, and treatment support is given by service providers for J&amp;J withMe. The information you get does not require you or your patient to use any J&amp;J product. Because the information we give you comes from outside sources, J&amp;J withMe cannot promise the information will be complete.</p><p className="stelara-only">Information about your patient’s insurance coverage, cost support options, and treatment support is given by service providers for <span className="text-nowrap">STELARA withMe</span> cost support. The information you get does not require you or your patient to use any Janssen product. Because the information we give you comes from outside sources, <span className="text-nowrap">STELARA withMe</span> cannot promise the information will be complete.</p><p className="tremfya-only">Information about your patient’s insurance coverage, cost support options, and treatment support is given by service providers for <span className="text-nowrap">TREMFYA withMe</span>. 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Because the information we give you comes from outside sources, <span className="text-nowrap">TREMFYA withMe</span> cannot promise the information will be complete.</p></div></div></div></div></div></div></div><div className="row bs-row main-row region-row"><div className="left-col col-12 bs-col col-sm-4 col-lg-4 px-0"><div className="footer-logo"><div className="pane-content"><div className="field-type-text-with-summary"><div className="field-item even"><div className="media media-element-container media-default"><div className="file file-image"><div className="content non-withme-footer-logo"><a href="https://www.janssencarepath.com/"><div className="media media--type-image media--view-mode-media-library media--view-mode-default">                    <img src="/system/files/2023-10-16/19-08-12/logo-footer-2.svg" alt="Home" loading="lazy" className="img-fluid">        </div></a></div><div className="content withme-footer-logo"><a href="https://www.janssencarepath.com/"><div 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<div className="banner-notice"><rce-container className="container bs-container"><rce-row className="row bs-row"><rce-col className="col bs-col"><div className="withme-banner" id="withmeBanner"><p><span className="no-break"><strong>Janssen CarePath</strong></span><strong> is becoming J&amp;J withMe. </strong>Our name may be changing, but our commitment to patients stays the same. <button className="learnmore" type="button" data-bs-toggle="modal" data-bs-target="#withmemodal">                                                                                  Learn More                                                                                </button> <button className="close-banner">X</button></p></div></rce-col></rce-row></rce-container></div><div className="modal fade" id="withmemodal" tabindex="-1" aria-labelledby="withmeModalLabel" aria-hidden="true"><div className="modal-dialog"><div className="modal-content"><p><button className="btn-close" type="button" data-bs-dismiss="modal" aria-label="Close">X</button></p><div className="modal-body"><div className="popup-logo"><div className="media media--type-image media--view-mode-media-library media--view-mode-default">                    <img src="/system/files/styles/large/private/2024-07-11/16-54-37/jnj-withme-logo.png?itok=IMrN78Gl" width="480" height="214" alt="J&amp;J withMe Logo" title="J&amp;J withMe Logo" loading="lazy" className="img-fluid image-style-large">        </div></div><p className="withme-popup-h">Janssen CarePath is becoming J&amp;J withMe. During this transition, you may see both program names in use.</p><p><strong>At Johnson &amp; Johnson, we are committed to helping people live fuller lives.</strong> Our J&amp;J withMe program is here at every step to provide personalized support to help patients start and stay on their J&amp;J medicines.</p></div></div></div></div><div className="modal fade" id="withmemodalonco" tabindex="-1" aria-labelledby="withmeModalLabelonco" aria-hidden="true"><div className="modal-dialog"><div className="modal-content"><p><button className="btn-close" type="button" data-bs-dismiss="modal" aria-label="Close">X</button></p><div className="modal-body"><div className="popup-logo"><div className="media media--type-image media--view-mode-media-library media--view-mode-default">                    <img src="/system/files/styles/large/private/2024-07-11/16-54-37/jnj-withme-logo.png?itok=IMrN78Gl" width="480" height="214" alt="J&amp;J withMe Logo" title="J&amp;J withMe Logo" loading="lazy" className="img-fluid image-style-large">        </div></div><p className="withme-popup-h">Janssen CarePath is becoming J&amp;J withMe. During this transition, you may see both program names in use.</p><p><strong>At Johnson &amp; Johnson, we are committed to helping people live fuller lives.</strong> Our J&amp;J withMe program is here at every step to provide personalized support to help patients start and stay on their J&amp;J medicines.</p></div></div></div></div>

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SYMTUZA®

<section className="text-white" id="global-header"><rce-container className="container bs-container global-header-inner"><div className="wrapper"><div className="region-global-header"><div className="panel-display"><div className="row mw-100 mx-0"><div className="col-sm-6 col-md-4 menu-top-left "><ul className="menu nav"><li className={`first leaf hcp-link ${addToggleClass}`} onClick={togglePatientLink}><span className="nolink">For Healthcare Professionals</span></li><li className="last leaf patient-link active"><a className="active" href="https://www.janssencarepath.com/patient/">For Patients &amp; Caregivers</a></li></ul></div><div className="col-sm-1 d-md-none"></div><div className="col-sm-5 col-md-7 menu-top-right"><ul className="menu nav"><li className="first leaf isi-top show-info"><span className="nolink" onClick={topISILinkHandler}>Important Safety Information</span></li><li className="leaf pi-top show-info"><span className={`nolink ${globalPiLinkClass}`}>Prescribing Information</span>{productPILink}</li><li className="leaf med-guide-top show-info">{productMedicationLink}</li><li className="last leaf contact-top show-info"><a className="d-lg-none" href="/hcp/contact-us">Contact Us</a>{productContactNumber}</li></ul></div><div className="portal-links"><div className="menu-portal"><div className="provider-portal">Provider Portal</div><ul className="menu nav"><li className="first leaf portal-signup"><a href="https://www.janssencarepathportal.com/signup" target="_blank">Sign Up</a></li><li className="last leaf portal-login"><a href="https://www.janssencarepathportal.com/login" target="_blank">Log In</a></li></ul></div></div></div></div></div></div></rce-container></section><section className={`patient-menu-mobile d-lg-none ${showPatientLink}`}><div className="wrapper"><a className="active" href="https://www.janssencarepath.com/patient/">For Patients &amp; Caregivers</a><span className="patient-close" onClick={togglePatientLink}></span></div></section><div data-entity-type="node" data-entity-uuid="c953f3cf-aed4-4319-9fac-9684d18aceaa" data-embed-button="node" data-entity-embed-display="view_mode:node.block_content" data-langcode="en" data-entity-embed-display-settings="[]" className="embedded-entity">            <div className="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><header className="site-header navbar container-fluid navbar-default" id="navbar" role="banner"><div className="wrapper"><div className="brand-wrapper"><div className="region-header"><div className="section-header"><div className="hcp-header"><div className="logo-header"><a href="/hcp/" rel="home" id="logo" title="Home"><div className="media media--type-image media--view-mode-media-library media--view-mode-default">                    <img src="/system/files/styles/large/private/2024-04-29/13-41-25/logo.png?itok=tKOq0dN8" width="200" height="78" alt="Home" title="Home" loading="lazy" className="img-fluid image-style-large">        </div></a></div><div className="separator"></div><div className="product-logo-header d-lg-none"><a href={productLandingLink}>{productLogo}</a></div><div className="mega-menu-header"><div className="mega-menu-wrap"><ul className="main-menu"><li><a className="shortcut-link-title menu-title">Shortcuts</a></li><li><a className="resource-link-title menu-title">General Resources</a></li><li className="mobile-only"><a className="mobile-isi" href="#">Important Safety Information</a></li><li className="mobile-only"><a className="mobile-pi" href="#">Prescribing Information</a></li><li className="mobile-only"><a href="/contact-us">Contact Us</a></li><li className="mobile-only"><a className="mobile-patient-link" href="https://www.janssencarepath.com/patient/">For Patients &amp; Caregivers</a></li></ul></div></div><div className="separator"></div><div className="mobile-header"><div className="phone-icon">{productContactNumber}</div></div><rce-navbar className="mobile-header-wrap navbar bs-navbar bg-body-tertiary" collapseonselect onToggle={toggleMobileMenu} expand="lg"><rce-container className="container bs-container"><rce-navbar-toggle className="navbar-toggler bs-navbar-toggler hamburger-icon" aria-controls="basic-navbar-nav"><div></div><div></div><div></div></rce-navbar-toggle><rce-navbar-collapse className="navbar-collapse bs-navbar-collapse collapse" id="basic-navbar-nav"><rce-nav className="navbar-nav bs-navbar-nav me-auto"><div className="mega-menu-product-wrap">{leftMenu}</div><div className="nav-link-wrapper"><rce-nav-link className="nav-link bs-nav-link" href="#">Shortcuts</rce-nav-link></div><div className="nav-link-wrapper"><rce-nav-link className="nav-link bs-nav-link" href="#">General Resources</rce-nav-link></div><div className="nav-link-wrapper"><rce-nav-link className="nav-link bs-nav-link" href="#">Important Safety Information</rce-nav-link></div><div className="nav-link-wrapper"><rce-nav-link className="nav-link bs-nav-link" href="#">Prescribing Information</rce-nav-link></div><div className="nav-link-wrapper"><rce-nav-link className="nav-link bs-nav-link" href="#">Contact Us</rce-nav-link></div><div className="nav-link-wrapper"><rce-nav-link className="nav-link bs-nav-link patient-care" href="#">For Patients &amp; Caregivers</rce-nav-link></div></rce-nav></rce-navbar-collapse></rce-container></rce-navbar></div></div></div></div><div className="container-fluid d-lg-none mt-n1 me-n1 ps-0 pe-0 navigation-wrapper"><div className="product-header-nav"><div className="row productpage-row"><div className="col col-md-4 isi-link"><span className="nolink" onClick={mobileTopISILinkHandler}>Important Safety Information</span></div><div className={`col col-md-4 medication-guide pdf-link ${showForProduct}`}><div className="col col-md-12 text-center"><span className="nolink">Medication Guide</span>{productMedicationLink}</div></div><div className="col col-md-4 prescribing-info pdf-link"><div className="col col-md-12 text-center"><span className="nolink">Prescribing Information</span>{productPILink}</div></div></div></div></div></div></header></div>      </div><div data-entity-type="node" data-entity-uuid="367687eb-6f47-4e75-9cbc-5558e4c26a99" data-embed-button="node" data-entity-embed-display="view_mode:node.block_content" data-langcode="en" data-entity-embed-display-settings="[]" className="embedded-entity">            <div className="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><section className="sticky-feedback-btn"><div className="hcp-pinned-feedback"><a className="hcp-tab-right" href="#" data-target="#feedbackHCPModal" data-toggle="modal">Feedback<span className="screen-reader"> Will open a new window</span></a></div></section></div>      </div>

JCP HCP Global Header

RISPERDAL CONSTA®

risperdal_consta_logo.svg

<header className="site-header navbar container-fluid navbar-default" id="navbar" role="banner"><div className="wrapper"><div className="brand-wrapper"><div className="region-header"><div className="section-header"><div className="hcp-header"><div className="logo-header"><a href="/hcp/" rel="home" id="logo" title="Home"><div className="media media--type-image media--view-mode-media-library media--view-mode-default">                    <img src="/system/files/styles/large/private/2024-04-29/13-41-25/logo.png?itok=tKOq0dN8" width="200" height="78" alt="Home" title="Home" loading="lazy" className="img-fluid image-style-large">        </div></a></div><div className="separator"></div><div className="product-logo-header d-lg-none"><a href={productLandingLink}>{productLogo}</a></div><div className="mega-menu-header"><div className="mega-menu-wrap"><ul className="main-menu"><li><a className="shortcut-link-title menu-title">Shortcuts</a></li><li><a className="resource-link-title menu-title">General Resources</a></li><li className="mobile-only"><a className="mobile-isi" href="#">Important Safety Information</a></li><li className="mobile-only"><a className="mobile-pi" href="#">Prescribing Information</a></li><li className="mobile-only"><a href="/contact-us">Contact Us</a></li><li className="mobile-only"><a className="mobile-patient-link" href="https://www.janssencarepath.com/patient/">For Patients &amp; Caregivers</a></li></ul></div></div><div className="separator"></div><div className="mobile-header"><div className="phone-icon">{productContactNumber}</div></div><rce-navbar className="mobile-header-wrap navbar bs-navbar bg-body-tertiary" collapseonselect onToggle={toggleMobileMenu} expand="lg"><rce-container className="container bs-container"><rce-navbar-toggle className="navbar-toggler bs-navbar-toggler hamburger-icon" aria-controls="basic-navbar-nav"><div></div><div></div><div></div></rce-navbar-toggle><rce-navbar-collapse className="navbar-collapse bs-navbar-collapse collapse" id="basic-navbar-nav"><rce-nav className="navbar-nav bs-navbar-nav me-auto"><div className="mega-menu-product-wrap">{leftMenu}</div><div className="nav-link-wrapper"><rce-nav-link className="nav-link bs-nav-link" href="#">Shortcuts</rce-nav-link></div><div className="nav-link-wrapper"><rce-nav-link className="nav-link bs-nav-link" href="#">General Resources</rce-nav-link></div><div className="nav-link-wrapper"><rce-nav-link className="nav-link bs-nav-link" href="#">Important Safety Information</rce-nav-link></div><div className="nav-link-wrapper"><rce-nav-link className="nav-link bs-nav-link" href="#">Prescribing Information</rce-nav-link></div><div className="nav-link-wrapper"><rce-nav-link className="nav-link bs-nav-link" href="#">Contact Us</rce-nav-link></div><div className="nav-link-wrapper"><rce-nav-link className="nav-link bs-nav-link patient-care" href="#">For Patients &amp; Caregivers</rce-nav-link></div></rce-nav></rce-navbar-collapse></rce-container></rce-navbar></div></div></div></div><div className="container-fluid d-lg-none mt-n1 me-n1 ps-0 pe-0 navigation-wrapper"><div className="product-header-nav"><div className="row productpage-row"><div className="col col-md-4 isi-link"><span className="nolink" onClick={mobileTopISILinkHandler}>Important Safety Information</span></div><div className={`col col-md-4 medication-guide pdf-link ${showForProduct}`}><div className="col col-md-12 text-center"><span className="nolink">Medication Guide</span>{productMedicationLink}</div></div><div className="col col-md-4 prescribing-info pdf-link"><div className="col col-md-12 text-center"><span className="nolink">Prescribing Information</span>{productPILink}</div></div></div></div></div></div></header>

HCP Header Navbar