For Patients and Caregivers
Feedback
Body
Your Janssen CarePath Care Coordinator can:
- Review your health plan benefits to help answer questions you may have about insurance coverage for STELARA®
- Identify options that may help make STELARA® more affordable, if needed
- Work with your specialty pharmacy to process and deliver your STELARA® medication to your home or your doctor’s office
- Provide treatment education support.
Get started with a Janssen CarePath Account
Sign Up or Log In to your personal Janssen CarePath Account, so you can learn about your insurance coverage for STELARA®; if eligible, enroll in the Janssen CarePath Savings Program and manage program benefits; and sign up for treatment support that may help you start and stay on track with your Janssen medication.
Treatment Support
View the Step-By-Step Guide to Getting Started with STELARA® [pdf] for the approved indication of active psoriatic arthritis and the approved indication of moderate to severe plaque psoriasis.
View the support a Nurse Navigator can provide for every step of your STELARA® treatment for the approved indication of moderately to severely active Crohn’s disease or moderately to severely active ulcerative colitis.
Learn more about your STELARA® treatment at StelaraInfo.com.
If your health plan does not approve STELARA® treatment
Sometimes you may not be able to obtain the medication that your doctor has ordered for you. For example, your health plan might not cover the medication because it is not on the plan’s drug list (formulary) or the cost is higher than you think you should have to pay. In these situations, you and your doctor have the right to ask the health plan to explain its decision and to consider making the medication available to you as an exception to its policies.
Janssen Link enables eligible patients to receive STELARA® at no cost until you receive coverage or until the end of the current program year if the following program requirements are met.
- You have been prescribed subcutaneous STELARA® for an on-label, FDA-approved indication
- You have commercial insurance that has delayed (>5 business days) or denied your treatment
- You do not use any state or federal government-funded healthcare program to cover a portion of medication costs, such as Medicare, Medicaid, TRICARE, Department of Defense, or Veterans Administration
- You cannot submit the value of the free product as a claim for payment to any third-party payer
- You are not eligible if the prior authorization is denied due to missing information on coverage determination form, use for a non-FDA-approved indication, or invalid clinical rationale
- You must contact Janssen CarePath if you switch from commercial health insurance coverage to a government-funded healthcare program at any point during the program year
- Your prescriber must enroll you in Jassen Link, which may require you to sign a Patient Authorization Form. The Patient Authorization can be found on the enrollment form your prescriber completes, or you can create an account on MyJanssenCarePath.com and electronically sign a Patient Authorization there.
- Your prescriber agrees to not purchase the Janssen medication on your behalf, and not bill commercial payers for any part of the prescribed subcutaneous treatment
- Your prescriber completes and submits a form of coverage determination (ie, prior authorization or prior authorization with exception) to the commercial insurance
- If coverage is denied, your prescriber challenges the coverage denial with an exception, Letter of Medical Necessity, or appeal within 90 days
- Program covers the cost of therapy only—not associated administration cost
- No portion of the value of the free product will count towards the patient’s applicable out-of-pocket cost-sharing obligations
- Program year runs March 1 - February 28
- Janssen CarePath reserves the right to cancel or modify Janssen Link at any time
Injection Support
A nurse is just a phone call away
Even after you’ve been trained by a healthcare professional to give yourself an injection, you may still have questions. Janssen Nurse Support* can help answer questions about giving yourself an injection at home, preparing your injection site prior to self-injecting, and properly disposing of your used syringe.
Connect with Janssen Nurse Support at 877-CarePath (877-227-3728), available Monday-Friday, 9:00 AM to 8:00 PM ET. At all other times, a nurse will typically return your call in 15 minutes.
*Janssen Nurse Support is limited to education about your Janssen medication, its administration, and/or the condition it treats. It is not intended to provide medical advice, replace a treatment plan you receive from your doctor or nurse, or serve as a reason for you to start or stay on treatment.
Step-by-step injection demonstration videos
You can watch these step-by-step injection dosing demonstration videos to be reminded how to take your STELARA® medication.
Click here for STELARA® injection demonstration video for the approved indication of active psoriatic arthritis or moderate to severe plaque psoriasis.
Click here and scroll down to the FEELING RIGHT AT HOME WITH STELARA® video for an overview of the self-injection process for the approved indications of moderately to severely active Crohn's disease or moderately to severely active ulcerative colitis.
Infusion Support
Infusion Site Locator
If your doctor’s office does not have an infusion center, use the search capabilities of 2infuse.com to help you locate an infusion site convenient to your home or doctor’s office. Searchable by city or ZIP code, this helpful site provides detailed search results organized by driving distance. This website also includes valuable information about the infusion sites such as business hours, insurance plans accepted, and medications infused.
This database is compiled for informational purposes only. This website offers the user the opportunity to locate and contact an infusion site of care. Inclusion of centers in this database does not represent an endorsement, referral or recommendation from Janssen Biotech, Inc. Check with your health plan on insurance coverage for the center. Please see more information on the website.
Health Insurance Open Enrollment Guide
Even if you keep the same health plan year to year, your benefits can change. This guide can help you review your coverage and make changes if needed during the open enrollment period so you can stay on treatment in the new benefit period, usually beginning January 1.
Get Open Enrollment Guide [PDF]
If you’re enrolled in Medicare and using Medicare insurance to pay for your medications, our Medicare Resource Guide provides important information to consider as you are selecting your insurance coverage.
