TREMFYA®

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XARELTO®

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OPSUMIT®

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INVEGA SUSTENNA®

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UPTRAVI®

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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 <span className="text-nowrap">J&amp;J withMe</span>. The information you get does not require you or your patient to use any <span className="text-nowrap">J&amp;J</span> product. Because the information we give you comes from outside sources, <span className="text-nowrap">J&amp;J withMe</span> 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 <span className="text-nowrap">J&amp;J</span> 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>. The information you get does not require you or your patient to use any <span className="text-nowrap">J&amp;J</span> product. 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.jnjwithme.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.jnjwithme.com/"><div className="media 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INVOKAMET® XR

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<div className="container bs-gray-400" ref={guidePopupContainerRef}><div className="row"><div className="col-12 col-lg-5 pdflist-view"><div className="overflow-auto pdf-lists"><ul><li className="li-file pdf"><a href="/system/files/2025-03-04/12-28-07/pah-savings-program-overview.pdf" data-entity-type="media" data-entity-uuid="6f9c6a32-af03-4c58-ae50-8b6aab079498" data-entity-substitution="media" onMouseOver={showPdfHandler} data-pdf-id="1" target="_blank" title="Janssen CarePath Oral PAH Savings Program">Janssen CarePath Oral PAH Savings Program</a></li><li className="li-file pdf"><a href="/system/files/2025-01-21/20-07-28/uptravi-patient-affordability-chart.pdf" data-entity-type="media" data-entity-uuid="0135e519-0cfd-4769-ace9-3a01b1aec2bc" data-entity-substitution="media" onMouseOver={showPdfHandler} data-pdf-id="2" target="_blank" title="Patient Affordability Options">Patient Affordability Options</a></li><li className="li-file pdf"><a href="/system/files/2025-05-08/14-41-14/pah-patient-authorization.pdf" data-entity-type="media" data-entity-uuid="62c9eb8c-2446-4862-987b-8c1f845de98b" data-entity-substitution="media" onMouseOver={showPdfHandler} data-pdf-id="3" target="_blank" title="Patient Authorization Form">Patient Authorization Form</a></li><li className="li-file pdf"><a href="/system/files/2025-05-08/16-45-02/pah-patient-authorization-spanish.pdf" data-entity-type="media" data-entity-uuid="4d5c8b5c-5434-40f2-b7be-26eed4ea374b" data-entity-substitution="media" onMouseOver={showPdfHandler} data-pdf-id="4" target="_blank" title="Patient Authorization Form (en español)">Patient Authorization Form (en español)</a></li><li className="li-file pdf"><a href="/system/files/2025-04-14/23-52-09/prior-authorization-tips.pdf" data-entity-type="media" data-entity-uuid="a1183658-d740-4279-bac9-a1e714c9a2fd" data-entity-substitution="media" onMouseOver={showPdfHandler} data-pdf-id="5" target="_blank" title="Prior Authorization 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onMouseOver={showPdfHandler} data-pdf-id="8" target="_blank" title="Steps to Getting Your Medicine">Steps to Getting Your Medicine</a></li><li className="li-file pdf"><a href="/system/files/2025-04-09/17-55-27/pah-steps-to-getting-your-medicine-spanish.pdf" data-entity-type="media" data-entity-uuid="146bc1fe-497e-411b-974e-10dc8574dada" data-entity-substitution="media" onMouseOver={showPdfHandler} data-pdf-id="9" target="_blank" title="Steps to Getting Your Medicine (en español)">Steps to Getting Your Medicine (en español)</a></li><li className="li-file pdf"><a href="/system/files/2025-03-26/20-19-56/uptravi-titration-guide.pdf" data-entity-type="media" data-entity-uuid="c39852fc-0c86-497d-b7dc-2cab1d1f239d" data-entity-substitution="media" onMouseOver={showPdfHandler} data-pdf-id="10" target="_blank" title="UPTRAVI® Dose Adjustment Phase Guide">UPTRAVI® Dose Adjustment Phase Guide</a></li><li className="li-file pdf"><a href="/system/files/2025-05-08/16-48-12/uptravi-form.pdf" data-entity-type="media" data-entity-uuid="08e71e0d-5566-4bf7-8df8-6cad34c90de3" data-entity-substitution="media" onMouseOver={showPdfHandler} data-pdf-id="11" target="_blank" title="UPTRAVI® Enrollment and Prescription Form">UPTRAVI® Enrollment and Prescription Form</a></li><li className="li-file pdf"><a href="/system/files/2024-08-19/11-34-17/uptravi-va-form.pdf" data-entity-type="media" data-entity-uuid="4349dd13-921b-48d0-ab7d-c6fc44da8054" data-entity-substitution="media" onMouseOver={showPdfHandler} data-pdf-id="12" target="_blank" title="UPTRAVI® Enrollment and Prescription Form—For Veterans Affairs Patients Only">UPTRAVI® Enrollment and Prescription Form—For Veterans Affairs Patients Only</a></li></ul></div></div><div className="col col-lg-7 d-sm-none d-lg-block right-section"><div className="container"><div className="close-preview d-none d-lg-block" onClick={hideFormsModal}></div><div className="row pdf-preview default-preview"><div className="logo-preview"><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></div><div className="hov-inst">Hover on a document on the left for a quick document preview</div></div><div className="row d-none pdf-preview pdf-1"><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-image"></div><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-description"><div className="row title"><div className="col"><h3 className="pdf-header"><a href="/system/files/2025-03-04/12-28-07/pah-savings-program-overview.pdf" data-entity-type="media" data-entity-uuid="6f9c6a32-af03-4c58-ae50-8b6aab079498" data-entity-substitution="media" target="_blank" title="Janssen CarePath Oral PAH Savings Program">Janssen CarePath Oral PAH Savings Program</a></h3></div></div><div className="row desc"><div className="col"><p className="pdf-text">Eligible patients using commercial or private insurance can save on out-of-pocket-costs for UPTRAVI®.</p></div></div></div></div><div className="row d-none pdf-preview pdf-2"><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-image"></div><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-description"><div className="row title"><div className="col"><h3 className="pdf-header"><a href="/system/files/2025-01-21/20-07-28/uptravi-patient-affordability-chart.pdf" data-entity-type="media" data-entity-uuid="0135e519-0cfd-4769-ace9-3a01b1aec2bc" data-entity-substitution="media" target="_blank" title="Patient Affordability Options">Patient Affordability Options</a></h3></div></div><div className="row desc"><div className="col"><p className="pdf-text">Discover options that can make UPTRAVI® more affordable for your patients.</p></div></div></div></div><div className="row d-none pdf-preview pdf-3"><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-image"></div><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-description"><div className="row title"><div className="col"><h3 className="pdf-header"><a href="/system/files/2025-05-08/14-41-14/pah-patient-authorization.pdf" data-entity-type="media" data-entity-uuid="62c9eb8c-2446-4862-987b-8c1f845de98b" data-entity-substitution="media" target="_blank" title="Patient Authorization Form">Patient Authorization Form</a></h3></div></div><div className="row desc"><div className="col"><p className="pdf-text">A form for patients to allow their providers, insurers, and Janssen to share health information about them.<br><a className="es-link" href="/system/files/2025-05-08/16-45-02/pah-patient-authorization-spanish.pdf" data-entity-type="media" data-entity-uuid="4d5c8b5c-5434-40f2-b7be-26eed4ea374b" data-entity-substitution="media" target="_blank" title="Patient Authorization Form (en español)">Patient Authorization Form (en español)</a></p></div></div></div></div><div className="row d-none pdf-preview pdf-4"><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-image"></div><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-description"><div className="row title"><div className="col"><h3 className="pdf-header"><a href="/system/files/2025-05-08/16-45-02/pah-patient-authorization-spanish.pdf" data-entity-type="media" data-entity-uuid="4d5c8b5c-5434-40f2-b7be-26eed4ea374b" data-entity-substitution="media" target="_blank" title="Patient Authorization Form (en español)">Patient Authorization Form (en español)</a></h3></div></div><div className="row desc"><div className="col"><p className="pdf-text">A form for patients to allow their providers, insurers, and Janssen to share health information about them.</p></div></div></div></div><div className="row d-none pdf-preview pdf-5"><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-image"><a href="/system/files/2025-04-14/23-52-09/prior-authorization-tips.pdf" title="Prior Authorization Tips" target="_blank" data-entity-type="media" data-entity-uuid="a1183658-d740-4279-bac9-a1e714c9a2fd" data-entity-substitution="media"><div className="pdf-preview-canvas media media--type-image media--view-mode-media-library media--view-mode-default">                    <img src="/system/files/styles/large/private/2023-12-26/19-53-28/prior-authorization-tips.png?itok=xu7Nng9y" width="220" height="281" alt loading="lazy" className="img-fluid image-style-large">        </div></a></div><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-description"><div className="row title"><div className="col"><h3 className="pdf-header"><a href="/system/files/2025-04-14/23-52-09/prior-authorization-tips.pdf" data-entity-type="media" data-entity-uuid="a1183658-d740-4279-bac9-a1e714c9a2fd" data-entity-substitution="media" target="_blank" title="Prior Authorization Tips">Prior Authorization Tips</a></h3></div></div><div className="row desc"><div className="col"><p className="pdf-text">A list of items and information that may be needed to obtain a coverage decision from an insurer.</p></div></div></div></div><div className="row d-none pdf-preview pdf-6"><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-image"><a href="/system/files/2024-12-18/20-47-24/uptravi-sample-letter-of-appeal.docx" title="Sample Letter of Appeal" target="_blank" data-entity-type="media" data-entity-uuid="0129d498-440d-4dec-9d5b-099d971664c6" data-entity-substitution="media"><div className="pdf-preview-canvas media media--type-image media--view-mode-media-library media--view-mode-default">                    <img src="/system/files/styles/large/private/2024-12-18/20-52-01/uptravi-sample-letter-of-appeal.png?itok=3Iutn_ZX" width="369" height="480" alt="Letter of Appeal" title="Letter of Appeal" loading="lazy" className="img-fluid image-style-large">        </div></a></div><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-description"><div className="row title"><div className="col"><h3 className="pdf-header"><a href="/system/files/2024-12-18/20-47-24/uptravi-sample-letter-of-appeal.docx" data-entity-type="media" data-entity-uuid="0129d498-440d-4dec-9d5b-099d971664c6" data-entity-substitution="media" target="_blank" title="Sample Letter of Appeal">Sample Letter of Appeal</a></h3></div></div><div className="row desc"><div className="col"><p className="pdf-text">A template to send to patients' insurance companies to help get patients on treatment.</p></div></div></div></div><div className="row d-none pdf-preview pdf-7"><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-image"><a href="/system/files/2024-12-18/20-37-05/uptravi-sample-letter-of-medical-necessity.docx" title="Sample Statement of Medical Necessity" target="_blank" data-entity-type="media" data-entity-uuid="433ebe01-7fe9-4b8d-8f81-2a669c1ecd42" data-entity-substitution="media"><div className="pdf-preview-canvas media media--type-image media--view-mode-media-library media--view-mode-default">                    <img src="/system/files/styles/large/private/2024-12-18/20-42-09/uptravi-sample-letter-of-medical-necessity.png?itok=55flFgY_" width="369" height="480" alt="Letter of Medical Necessity" title="Letter of Medical Necessity" loading="lazy" className="img-fluid image-style-large">        </div></a></div><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-description"><div className="row title"><div className="col"><h3 className="pdf-header"><a href="/system/files/2024-12-18/20-37-05/uptravi-sample-letter-of-medical-necessity.docx" data-entity-type="media" data-entity-uuid="433ebe01-7fe9-4b8d-8f81-2a669c1ecd42" data-entity-substitution="media" target="_blank" title="Sample Statement of Medical Necessity">Sample Statement of Medical Necessity</a></h3></div></div><div className="row desc"><div className="col"><p className="pdf-text">A template that you can fill out and submit to a patient’s health insurance provider. You may use it to explain why UPTRAVI® is medically necessary for your patient.</p></div></div></div></div><div className="row d-none pdf-preview pdf-8"><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-image"><a href="/system/files/2025-04-03/01-06-47/pah-steps-to-getting-your-medicine.pdf" title="Steps to Getting Your Medicine" target="_blank" data-entity-type="media" data-entity-uuid="989595c3-3b46-4726-a8e1-0723f5955059" data-entity-substitution="media"><div className="pdf-preview-canvas media media--type-image media--view-mode-media-library media--view-mode-default">                    <img src="/system/files/styles/large/private/2025-04-03/01-54-49/steps-to-getting-your-medicine-eng-spanish-preview.png?itok=N_tv_TDi" width="370" height="480" alt="Steps to Getting Your Medicine" title="Steps to Getting Your Medicine" loading="lazy" className="img-fluid image-style-large">        </div></a></div><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-description"><div className="row title"><div className="col"><h3 className="pdf-header"><a href="/system/files/2025-04-03/01-06-47/pah-steps-to-getting-your-medicine.pdf" data-entity-type="media" data-entity-uuid="989595c3-3b46-4726-a8e1-0723f5955059" data-entity-substitution="media" target="_blank" title="Steps to Getting Your Medicine">Steps to Getting Your Medicine</a></h3></div></div><div className="row desc"><div className="col"><p className="pdf-text">A patient-friendly guide to the verification and delivery process.<br><a className="es-link" href="/system/files/2025-04-09/17-55-27/pah-steps-to-getting-your-medicine-spanish.pdf" data-entity-type="media" data-entity-uuid="146bc1fe-497e-411b-974e-10dc8574dada" data-entity-substitution="media" target="_blank" title="Steps to Getting Your Medicine (en español)">Steps to Getting Your Medicine (en español)</a></p></div></div></div></div><div className="row d-none pdf-preview pdf-9"><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-image"></div><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-description"><div className="row title"><div className="col"><h3 className="pdf-header"><a href="/system/files/2025-04-09/17-55-27/pah-steps-to-getting-your-medicine-spanish.pdf" data-entity-type="media" data-entity-uuid="146bc1fe-497e-411b-974e-10dc8574dada" data-entity-substitution="media" target="_blank" title="Steps to Getting Your Medicine (en español)">Steps to Getting Your Medicine (en español)</a></h3></div></div><div className="row desc"><div className="col"><p className="pdf-text">A patient-friendly guide to the verification and delivery process.</p></div></div></div></div><div className="row d-none pdf-preview pdf-10"><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-image"></div><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-description"><div className="row title"><div className="col"><h3 className="pdf-header"><a href="/system/files/2025-03-26/20-19-56/uptravi-titration-guide.pdf" data-entity-type="media" data-entity-uuid="c39852fc-0c86-497d-b7dc-2cab1d1f239d" data-entity-substitution="media" title="UPTRAVI® Dose Adjustment Phase Guide" target="_blank">UPTRAVI® Dose Adjustment Phase Guide</a></h3></div></div><div className="row desc"><div className="col"><p className="pdf-text">A patient guide that highlights the important steps and information about titration with UPTRAVI®.</p></div></div></div></div><div className="row d-none pdf-preview pdf-11"><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-image"></div><div className="col col-lg-5 col-xl-6 d-md-none d-lg-block pdf-description"><div className="row title"><div className="col"><h3 className="pdf-header"><a href="/system/files/2025-05-08/16-48-12/uptravi-form.pdf" data-entity-type="media" data-entity-uuid="08e71e0d-5566-4bf7-8df8-6cad34c90de3" data-entity-substitution="media" target="_blank" title="UPTRAVI® Enrollment and 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