TREMFYA®

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XARELTO®

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OPSUMIT®

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INVEGA SUSTENNA®

<section className={isiClass}><div className="sticky-isi-content"><div className={`isi-back-btn ${showIsiBack}`}><rce-button className="btn bs-btn" onClick={isiMobBackHandler}>Back</rce-button></div><div className="isi-level-first"><div className="isi-heading-group d-flex flex-row text-white"><div className="left-side"><h4 className="panel-title d-lg-inline-block">Important Safety Information For</h4><div>{isiTabs}</div></div><div className="right-side"><ul className="isi-options d-flex flex-row"><li className={isiMinimizeClass} onClick={isiMinimize}><span className="text-default">Minimize</span><span className="text-short">Min</span><span className="minimize-icon"></span></li><li className={isiExpandClass} onClick={isiExpand}>Expand<span className="expand-icon"></span></li><li className={isiFullScreenClass} onClick={isiFullScreen}><span className="text-default">Full Screen</span><span className="text-short">Full</span><span className="fullscreen-icon"></span></li><li className={isiReturnClass} onClick={isiReturnWebsite}>Return to Website<span className="return-icon"></span></li></ul></div></div><div className="isi-heading-product d-flex flex-row text-white"><div className="left-side"><h4 className="panel-title d-lg-inline-block py-2">IMPORTANT SAFETY INFORMATION</h4></div><div className="right-side"><h4 className="panel-title d-lg-inline-block py-2">INDICATION</h4><ul className="isi-options d-inline-flex flex-row"><li className={isiMinimizeClass} onClick={isiMinimize}><span className="text-default">Minimize</span><span className="text-short">Min</span><span className="minimize-icon"></span></li><li className={isiExpandClass} onClick={isiExpand}>Expand<span className="expand-icon"></span></li><li className={`d-md-block ${isiFullScreenClass}`} onClick={isiFullScreen}><span className="text-default">Full Screen</span><span className="text-short">Full</span><span className="fullscreen-icon"></span></li><li className={isiReturnClass} onClick={isiReturnWebsite}><span className="text-default">Return to Website</span><span className="text-short">Return</span><span className="return-icon"></span></li></ul></div></div></div><div className="isi-level-second">{isiContent}</div></div></section>

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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/2023-12-27/22-49-16/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/2023-12-27/22-55-02/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/2024-08-19/11-32-45/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/2023-12-27/22-49-16/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/2023-12-27/22-55-02/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/2023-12-27/22-55-02/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/2024-08-19/11-32-45/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 Prescription Form">UPTRAVI® Enrollment and Prescription Form</a></h3></div></div><div className="row desc"><div className="col"><p className="pdf-text">Complete and submit this form first to get your patient started on UPTRAVI®.</p></div></div></div></div><div className="row d-none pdf-preview pdf-12"><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/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" target="_blank" title="UPTRAVI® Enrollment and Prescription Form—For Veterans Affairs Patients Only">UPTRAVI® Enrollment and Prescription Form—For Veterans Affairs Patients Only</a></h3></div></div><div className="row desc"><div className="col"><p className="pdf-text">Complete and submit 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<div className="product-section more-heighted-section"><div className="product-white-area product-welcome-banner"><section className="product-welcome"><h1 className="product-header">Medicaid</h1><nav aria-label="breadcrumb"><ol className="breadcrumb"><li className="breadcrumb-item"><a href="/">Janssen CarePath</a></li><li className="breadcrumb-item" aria-current="page"><a href="/hcp/uptravi">UPTRAVI®</a></li><li className="breadcrumb-item" aria-current="page"><a href="//uptravi/insurance-coverage/medicaid">Insurance Coverage</a></li></ol></nav></section></div><section className="mt-5 mb-5 inner-links product-page-right"><div className="row"><div className="col col-first col-12 col-lg-8 left-area"><div className="row product-template-innerlinks"><div className="container col-first col-md-12 px-0"><div className="subsection-wrapper"><p>Medicaid provides free or low-cost health coverage to Americans with limited income and resources. Low-income adults, children, pregnant women, elderly adults, and people with disabilities may be eligible. Medicaid is run by each state. The program is funded jointly by the states and the federal government. Coverage for UPTRAVI® may depend on the indication, along with other factors. Since information varies by state, we recommend contacting the state directly or reviewing its website.</p><p><span className="text-nowrap">Janssen CarePath</span> can help Medicaid patients with Benefits Investigations and Prior Authorization support.</p><p>Visit your state’s Medicaid page for more coverage information. You can use the menu below to find contact details for your state.</p><div>{findContactDetails}</div><div data-entity-type="node" data-entity-uuid="52af0f61-b39d-4cca-a810-cad0626cfb35" 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"><rec-searchable-dropdown options={stateOptions} label="label" id="value" placeholder="Type or select your state"></rec-searchable-dropdown><div className="stateoptionhiden"><div className="medicaid-list-group"><ul ref={stateListRef} name="neuro-medicaid"><li data-value="AL" state-name-link="https://medicaid.alabama.gov/content/4.0_Programs/4.3_Pharmacy-DME/4.3.7_Preferred_Drug_List.aspx" pdl-status="Covered" prior-auth-req>Alabama</li><li data-value="AK" state-name-link="https://dhss.alaska.gov/dhcs/Pages/pdl/default.aspx" pdl-status="See payer for details" prior-auth-req="Yes">Alaska</li><li data-value="AZ" state-name-link="https://azahcccs.gov/PlansProviders/Pharmacy/" pdl-status="See payer for details" prior-auth-req="Yes">Arizona</li><li data-value="AR" state-name-link="https://humanservices.arkansas.gov/divisions-shared-services/medical-services/helpful-information-for-providers/manuals/pharmacy-prov/" pdl-status="See payer for details" prior-auth-req="Yes">Arkansas</li><li data-value="CA" state-name-link="https://medi-calrx.dhcs.ca.gov/provider/drug-lookup/" pdl-status="Covered" prior-auth-req="Yes">California</li><li data-value="CO" state-name-link="https://hcpf.colorado.gov/medicaid-pharmacy-benefits" pdl-status="See payer for details" prior-auth-req="Yes">Colorado</li><li data-value="CT" state-name-link="https://www.ctdssmap.com/CTPortal/Provider/Drug-Search" pdl-status prior-auth-req>Connecticut</li><li data-value="DE" state-name-link="https://medicaid.dhss.delaware.gov/provider/Home/PharmacyCornerLanding/tabid/2096/Default.aspx" pdl-status="See payer for details" prior-auth-req="Yes">Delaware</li><li data-value="DC" state-name-link="https://dc.fhsc.com/providers/PDL.asp" pdl-status="See payer for details" prior-auth-req="Yes">District of Columbia</li><li data-value="FL" state-name-link="https://ahca.myflorida.com/medicaid/Prescribed_Drug/preferred_drug.shtml" pdl-status="See payer for details" prior-auth-req="Yes">Florida</li><li data-value="GA" state-name-link="https://dch.georgia.gov/providers/provider-types/pharmacy/preferred-drug-lists" pdl-status="See payer for details" prior-auth-req="Yes">Georgia</li><li data-value="HI" state-name-link="https://medquest.hawaii.gov/en/plans-providers/pharmacy.html" pdl-status="Covered" prior-auth-req="Yes">Hawaii</li><li data-value="ID" state-name-link="https://healthandwelfare.idaho.gov/providers/pharmacy-providers/idaho-medicaid-pharmacy-program" pdl-status="See payer for details" prior-auth-req="Yes">Idaho</li><li data-value="IL" state-name-link="https://hfs.illinois.gov/medicalproviders/pharmacy.html" pdl-status="See payer for details" prior-auth-req>Illinois</li><li data-value="IN" state-name-link="https://www.in.gov/medicaid/providers/clinical-services/pharmacy-benefits/pharmacy-services/" pdl-status="See payer for details" prior-auth-req="Yes">Indiana</li><li data-value="IA" state-name-link="https://hhs.iowa.gov/programs/welcome-iowa-medicaid/provider-services/medicaid-pharmacy" pdl-status="See payer for details" prior-auth-req="Yes">Iowa</li><li data-value="KS" state-name-link="https://www.kdhe.ks.gov/188/Pharmacy" pdl-status="See payer for details" prior-auth-req="Yes">Kansas</li><li data-value="KY" state-name-link="https://www.chfs.ky.gov/agencies/dms/dpo/ppb/Pages/default.aspx" pdl-status="See payer for details" prior-auth-req="Yes">Kentucky</li><li data-value="LA" state-name-link="https://www.lamedicaid.com/provweb1/Pharmacy/pharmacyindex.htm" pdl-status="See payer for details" prior-auth-req="Yes">Louisiana</li><li data-value="ME" state-name-link="https://www.mainecarepdl.org/" pdl-status="See payer for details" prior-auth-req="Yes">Maine</li><li data-value="MD" state-name-link="https://health.maryland.gov/mmcp/pap/Pages/Preferred-Drug-List.aspx" pdl-status="See payer for details" prior-auth-req="Yes">Maryland</li><li data-value="MA" state-name-link="https://www.mass.gov/masshealth-pharmacy-program" pdl-status="See payer for details" prior-auth-req="Yes">Massachusetts</li><li data-value="MI" state-name-link="https://michigan.magellanrx.com/provider/" pdl-status="Preferred" prior-auth-req="Yes">Michigan</li><li data-value="MN" state-name-link="https://minnesota.magellanmedicaid.com/pdl.asp" pdl-status="See payer for details" prior-auth-req="Yes">Minnesota</li><li data-value="MS" state-name-link="https://medicaid.ms.gov/providers/pharmacy/" pdl-status="See payer for details" prior-auth-req="Yes">Mississippi</li><li data-value="MO" state-name-link="https://dss.mo.gov/mhd/cs/pharmacy/pages/frequpdat.htm" pdl-status="See payer for details" prior-auth-req="Yes">Missouri</li><li data-value="MT" state-name-link="https://medicaidprovider.mt.gov/19#187402960-preferred-drug-information" pdl-status="See payer for details" prior-auth-req="Yes">Montana</li><li data-value="NE" state-name-link="https://dhhs.ne.gov/Pages/Medicaid-Provider-Pharmacy-Services.aspx" pdl-status="See payer for details" prior-auth-req="Yes">Nebraska</li><li data-value="NV" state-name-link="https://www.medicaid.nv.gov" pdl-status="See payer for details" prior-auth-req="Yes">Nevada</li><li data-value="NH" state-name-link="https://www.dhhs.nh.gov/programs-services/medicaid/medicaid-pharmacy-benefit-management" pdl-status="See payer for details" prior-auth-req="Yes">New Hampshire</li><li data-value="NJ" state-name-link="https://www.njmmis.com/" pdl-status prior-auth-req>New Jersey</li><li data-value="NM" state-name-link="https://www.hsd.state.nm.us/providers/" pdl-status prior-auth-req>New Mexico</li><li data-value="NY" state-name-link="https://www.health.ny.gov/health_care/medicaid/program/pharmacy.htm" pdl-status="See payer for details" prior-auth-req="Yes">New York</li><li data-value="NC" state-name-link="https://medicaid.ncdhhs.gov/providers/programs-and-services/prescription-drugs/outpatient-pharmacy-services" pdl-status="See payer for details" prior-auth-req="Yes">North Carolina</li><li data-value="ND" state-name-link="http://www.hidesigns.com/ndmedicaid" pdl-status="Preferred" prior-auth-req>North Dakota</li><li data-value="OH" state-name-link="https://pharmacy.medicaid.ohio.gov/drug-coverage" pdl-status="See payer for details" prior-auth-req="Yes">Ohio</li><li data-value="OK" state-name-link="https://oklahoma.gov/ohca/providers/types/pharmacy/pharmacy.html" pdl-status prior-auth-req="Yes">Oklahoma</li><li data-value="OR" state-name-link="https://www.oregon.gov/oha/HSD/OHP/Pages/PDL.aspx" pdl-status="See payer for details" prior-auth-req="Yes">Oregon</li><li data-value="PA" state-name-link="https://papdl.com/preferred-drug-list" pdl-status="See payer for details" prior-auth-req="Yes">Pennsylvania</li><li data-value="RI" state-name-link="https://eohhs.ri.gov/providers-partners/provider-directories/pharmacy" pdl-status="See payer for details" prior-auth-req="Yes">Rhode Island</li><li data-value="SC" state-name-link="https://southcarolina.fhsc.com/providers/pdl.asp" pdl-status="Covered" prior-auth-req="Yes">South Carolina</li><li data-value="SD" state-name-link="https://dss.sd.gov/medicaid/providers/programinfo/pharmacy/" pdl-status prior-auth-req>South Dakota</li><li data-value="TN" state-name-link="https://www.tn.gov/tenncare/providers/managed-care-contractors/pharmacy-benefits-manager.html" pdl-status="See payer for details" prior-auth-req="Yes">Tennessee</li><li data-value="TX" state-name-link="https://www.txvendordrug.com/formulary" pdl-status="See payer for details" prior-auth-req="Yes">Texas</li><li data-value="UT" state-name-link="https://medicaid.utah.gov/pharmacy/preferred-drug-list/" pdl-status="See payer for details" prior-auth-req="Yes">Utah</li><li data-value="VT" state-name-link="https://dvha.vermont.gov/providers/pharmacy/drug-coverage-lists" pdl-status="See payer for details" prior-auth-req="Yes">Vermont</li><li data-value="VA" state-name-link="https://www.virginiamedicaidpharmacyservices.com/provider/preferred-drug-list/" pdl-status="See payer for details" prior-auth-req="Yes">Virginia</li><li data-value="WA" state-name-link="https://www.hca.wa.gov/billers-providers-partners/programs-and-services/apple-health-preferred-drug-list-pdl" pdl-status="See payer for details" prior-auth-req="Yes">Washington</li><li data-value="WV" state-name-link="https://dhhr.wv.gov/bms/BMS%20Pharmacy/Pages/Preferred-Drug-List.aspx" pdl-status="See payer for details" prior-auth-req="Yes">West Virginia</li><li data-value="WI" state-name-link="https://www.forwardhealth.wi.gov/WIPortal/Tab/42/icscontent/provider/medicaid/pharmacy/resources.htm.spage#" pdl-status="See payer for details" prior-auth-req="Yes">Wisconsin</li><li data-value="WY" state-name-link="https://www.wymedicaid.org/pa-pdl/preferred-drug-lists.html" pdl-status="See payer for details" prior-auth-req="Yes">Wyoming</li></ul></div><div className="medicaid-static-text d-none"><p>PDL Status Key:<br>Preferred: The highest coverage level of a drug<br>Covered: Drug is included in PDL or supporting documents<br>Brand: A patented drug (non-generic) listed in PDL or supporting documents<br>Blank Entry: Information not publicly available</p><p>*The title for each state's Medicaid Fee-for-Service drug list may vary (eg, Prescription Drug List, Contract Drug List)</p><p>Collected in 10/23 and may change.<br>This information does not give advice or promise coverage or payment. Legal requirements and plan information can be updated frequently. Contact the plan for more information about current coverage, restrictions, or requirements that may apply.</p><p className="r2-span"><span>R3</span></p></div></div></div>      </div></div></div></div></div><div className="col col-last col-12 col-lg-4 right-area"><div data-entity-type="node" data-entity-uuid="a0ec8845-0865-4b5d-8b32-80b8c617f070" 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"><div className="product-template-innerlinks"><div className="pdf-image"><a href="/system/files/2024-07-08/15-55-28/know-your-state.pdf" target="_blank" title="Know Your State Interactive Tool" data-entity-type="media" data-entity-uuid="9144bb9a-cd5c-4b65-84c9-c020e4520f6a" data-entity-substitution="media"><div className="media media--type-image media--view-mode-media-library media--view-mode-default">                    <img src="/system/files/styles/large/private/2024-07-08/11-13-36/know-your-state.png?itok=ArbUTrCJ" width="362" height="271" alt="Know Your State Interactive Tool" title="Know Your State Interactive Tool" loading="lazy" className="img-fluid image-style-large">        </div></a></div><div className="pdf-link"><a href="/system/files/2024-07-08/15-55-28/know-your-state.pdf" data-entity-type="media" data-entity-uuid="9144bb9a-cd5c-4b65-84c9-c020e4520f6a" data-entity-substitution="media" target="_blank" title="Know Your State Interactive Tool">Know Your State Interactive Tool</a></div><div className="pdf-description">Learn about access and affordability options for patients in your state.</div></div></div>      </div></div></div></section></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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<rce-modal className="modal bs-modal jcp-common-video-popup" id="my-experience-brightcove" show={showBCPopup} onHide={onBCPopupHidden}><rce-modal-header className="modal-header bs-modal-header" closeButton={true}></rce-modal-header><rce-modal-body className="modal-body bs-modal-body"><rce-brightcove-video className="brightcove-player react-brightcove-player" accountId="4317630935001" videoId="6314734494112"></rce-brightcove-video><div className="portal-links d-flex py-3"><a className="portal-signup text-center" href="https://www.janssencarepathportal.com/s/login/SelfRegister" target="_blank">Sign up for Provider Portal</a><a className="portal-login text-center" href="https://www.janssencarepathportal.com/s/login/" target="_blank">Log In</a></div></rce-modal-body></rce-modal>

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DARZALEX FASPRO®

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DARZALEX <em>FASPRO</em>®

RYBREVANT® (amivantamab-vmjw) + LAZCLUZE™ (lazertinib)

RYBREVANT® + LAZCLUZE™

LAZCLUZE™

RYBREVANT®+ LAZCLUZE™

Helping Patients Afford <span class="text-nowrap">INVEGA SUSTENNA®</span>

Help Your Patients Start and Stay on <span class="text-nowrap">INVEGA SUSTENNA®</span>

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Helping Patients Afford <span class="text-nowrap">RISPERDAL CONSTA®</span>

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<p className="blue-text">Treatment and Cost Support Are Now Provided by <em>SPRAVATO withMe</em></p><div className="media-embed spravatowithmelogo-wrapper"><div className="media media-element-container media-default img-spravato-withme"><div className="file file-image file-image-svgxml" id="file-374"><div className="content"><div className="media media--type-image media--view-mode-media-library media--view-mode-default">                    <img src="/system/files/2024-03-29/12-29-15/spr_wme_rgb_fc_pos.svg" alt loading="lazy" className="img-fluid">        </div></div></div></div><div className="media media-element-container media-default img-spravato"><div className="file file-image file-image-svgxml" id="file-375"><div className="content"><div className="media media--type-image media--view-mode-media-library media--view-mode-default">                    <img src="/system/files/2024-03-29/12-31-07/spravato_logo_28mg.svg" alt="SPRAVATO®" title="SPRAVATO®" loading="lazy" className="img-fluid">        </div></div></div></div></div><p className="sparvato-anchor"><a href="https://www.spravatohcp.com/spravato-with-me" id="redirect-spravato" target="_BLANK"><strong>Click here</strong></a> to learn more about <em>SPRAVATO withMe</em>.</p>

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Helping Patients Afford PREZCOBIX®

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TRACLEER®

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Helping Patients Afford STELARA®

Help Your Patients Start and Stay on STELARA®

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INVOKANA®

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Helping Patients Afford INVOKAMET®

Help Your Patients Start and Stay on INVOKAMET®

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SIMPONI ARIA®

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PREZCOBIX®

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VENTAVIS®

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SPRAVATO®

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IMAAVY™ (nipocalimab-aahu)

IMAAVY™

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INVEGA HAFYERA™ (paliperidone palmitate)

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INVEGA HAFYERA™

Helping Patients Afford <span class="text-nowrap">INVEGA TRINZA®</span>

Help Your Patients Start and Stay on <span class="text-nowrap">INVEGA TRINZA®</span>