Benefits Investigation Support
- 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.

Benefits Investigation Support
Register Today for the Provider Portal for 24-hour Online Access to Support Your Patients
With a Provider Portal account, you can:
- Upload signed Patient Authorization forms
- Get Benefits Investigation (BI) and Prior Authorization (PA) support when you need it
- See the status of BIs
- Complete and submit PAs with or without doing a BI
- Create medical necessity and exception letters
- Request exceptions and appeals information
- Enroll your eligible patients in the TREMFYA withMe Savings Program
- Manage your patients’ Savings Program benefits
- See Patient Dashboard at a glance
- Get timely notifications
Complete Benefits Investigations and Request Prior Authorizations Right in the Provider Portal
Or You Can Download Faxable Forms Below
Patient Authorization Form (en español)
Enrollment and Prescription Form (en español para Puerto Rico)