Helping Patients Afford TREMFYA®
- 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.
- Enrollment and Prescription FormA way to find out if TREMFYA® is covered by the patient's insurance plan, including requirements for coverage or prior authorization, any out-of-pocket costs, and approved pharmacies.
Enrollment and Prescription Form (en español para Puerto Rico) - Enrollment and Prescription Form (en español para Puerto Rico)A way to find out if TREMFYA® is covered by the patient's insurance plan, including requirements for coverage or prior authorization, any out-of-pocket costs, and approved pharmacies. En español.
- Enrollment and Prescription Form for EMAA way to find out if TREMFYA® is covered by the patient's insurance plan, including requirements for coverage or prior authorization, any out-of-pocket costs, and approved pharmacies. (EMA)
- Letter of AppealA template to send to patients' insurance companies to help get patients 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 TREMFYA® is medically necessary for your patient.
- Letter of Medical Necessity (Reverification)A template that you can fill out and submit to a patient’s health insurance provider to explain why it is medically necessary for your patient to continue on TREMFYA®.
- Patient Affordability OptionsDiscover options that can make TREMFYA® more affordable for your patients.
Patient Affordability Options (en español) - Patient Affordability Options (en español)Discover options that can make TREMFYA® more affordable for your patients. En español.
- 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 TREMFYA®. En español.
- Resource GuideA comprehensive summary of support tools for your office to help patients start and stay on treatment.
- Savings Program OverviewEligible patients using commercial or private insurance can save on out-of-pocket costs for TREMFYA®.
Savings Program Overview (en español) - Savings Program Overview (en español)Eligible patients using commercial or private insurance can save on out-of-pocket costs for TREMFYA®. En español.
- Savings Program Rebate FormA form the patient can submit if the pharmacy isn’t able to process the Janssen CarePath Savings Program card.
Savings Program Rebate Form (en español) - Savings Program Rebate Form (en español)A form the patient can submit if the pharmacy isn’t able to process the Janssen CarePath Savings Program card. En español.
- 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 TREMFYA®
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 TREMFYA withMe 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 TREMFYA withMe Savings Program, please have them contact us at 833-WITHME1 (833-948-4631).
- Sign Patients Up for the Savings Program and Get a Savings Card
- Sign Patients Up for the 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 and Exception Letters
- Request Exceptions and Appeals Information
- View Patient Dashboard
- Get Timely Notifications
- 24-hour Online Access to Your Account
Mobile Enrollment for the TREMFYA withMe Savings Program for Patients
Your patients can use their mobile phone to enroll in the Savings Program. They can text “SAVINGS” to 56011 (message and data rates may apply*) or visit MyJanssenCarePath.com/Express to receive an electronic card that can be saved to their mobile wallet.
If you or your patients enroll in the Savings Program via Express Enrollment, viewing and management of Savings Program benefits will not be available until you or your patients create a Janssen account.
*Terms and Privacy Policy can be found at JanssenCarePath.com/Terms-Conditions-Mobile and JanssenCarePath.com/Privacy-Policy.
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.
In addition to the TREMFYA withMe 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.
- Pay their monthly premiums
- Reduce or eliminate their deductible
- Reduce or eliminate their co-insurance and co-payments
- Have no gap in coverage
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 injection.
Patients may participate without sharing their income information.
We provide cost support directly to patients through the TREMFYA withMe 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 TREMFYA withMe Savings Program, please have them contact us at 833-WITHME1 (833-948-4631).
- Sign Patients Up for the Savings Program and Get a Savings Card
- Sign Patients Up for the 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 and Exception Letters
- Request Exceptions and Appeals Information
- View Patient Dashboard
- Get Timely Notifications
- 24-hour Online Access to Your Account
Mobile Enrollment for the TREMFYA withMe Savings Program for Patients
Your patients can use their mobile phone to enroll in the Savings Program. They can text “SAVINGS” to 56011 (message and data rates may apply*) or visit MyJanssenCarePath.com/Express to receive an electronic card that can be saved to their mobile wallet.
If you or your patients enroll in the Savings Program via Express Enrollment, viewing and management of Savings Program benefits will not be available until you or your patients create a Janssen account.
*Terms and Privacy Policy can be found at JanssenCarePath.com/Terms-Conditions-Mobile and JanssenCarePath.com/Privacy-Policy.
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.
In addition to the TREMFYA withMe 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