Helping Patients Afford VELETRI®
- Janssen CarePath Resource GuideA comprehensive summary of support tools for your office to help patients start and stay on treatment.
- Patient Authorization FormA form for patients to allow their providers, insurers, and Janssen to share health information about them.
Patient Authorization Form (en español) - Patient Authorization Form (en español)A form for patients to allow their providers, insurers, and Janssen to share health information about them.
- Prior Authorization TipsA list of items and information that may be needed to obtain a coverage decision from an insurer.
- Steps to Getting Your MedicineA patient-friendly guide to the verification and delivery process.
Steps to Getting Your Medicine (en español) - Steps to Getting Your Medicine (en español)A patient-friendly guide to the verification and delivery process.
- VELETRI® Prescription and Statement of Medical Necessity (PSMN)Complete and submit this form first to get your patient started on VELETRI®.
- VELETRI® Prescription and Statement of Medical Necessity (PSMN)—For Veterans Affairs Patients OnlyComplete and submit this form first to get your Veterans Affairs patient started on VELETRI®.

Helping Patients Afford VELETRI®
Select your patient’s coverage status for relevant resources.
For Patients with Commercial or Private Insurance
Janssen CarePath does not currently offer an affordability program for VELETRI®. Here are some independent programs that may be right for your patients.
For insured patients who are facing access and affordability challenges
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 insured patients who are facing access and affordability challenges
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.
Uninsured Patients May Be Eligible for Additional Support
Janssen CarePath does not currently offer an affordability program for VELETRI®. 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