Medicare
- 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 Additional Co-pay Support Form
- 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.

Medicare
Medicare is a government-funded program that provides healthcare coverage for:
- People over age 65 with a work history
- People with certain disabilities who have been disabled for 2 years or more
- People who have end-stage renal disease (ESRD) or ALS (also called Lou Gehrig's disease)
Medicare is divided into 4 parts: A, B, C, and D.
While Medicare covers many healthcare needs, it may not cover all the healthcare costs for each patient. The patient may have to pay a monthly premium for Medicare and a co-pay, co-insurance, or deductible.
We can help Medicare patients with Benefits Investigations, Prior Authorization support, and information on cost support programs.