Janssen CarePath can:
- Review your health plan benefits to help answer questions you may have about insurance coverage for TRACLEER®
- Identify options that may help make TRACLEER® more affordable, if needed
- Connect you with a dedicated PAH Companion* for one-on-one educational conversations and support
- Identify and coordinate with a specialty pharmacy to arrange shipment of your Janssen medication
*The PAH Companion Program is limited to education about your Janssen therapy, its administration, and/or PAH. It is intended to supplement your understanding of your therapy, and does not provide medical advice or replace a treatment plan from your doctor, nurse, or healthcare team.
Getting Started with TRACLEER®
TRACLEER® is delivered by a specialty pharmacy—it's not something that's kept in stock at your local retail pharmacy. The following is a typical process when starting out with TRACLEER®, though your experience may vary.
Your doctor selects TRACLEER® as your new treatment.
- Your healthcare team completes all the forms necessary to start you on the Janssen medicine. For TRACLEER®, this includes enrollment in the Bosentan REMS Program to monitor liver function and to make sure that females who are able to get pregnant use effective birth control during TRACLEER® treatment and for 1 month after treatment discontinuation
Bosentan REMS Program enrollment
TRACLEER® can cause serious side effects, including liver damage and birth defects. When starting TRACLEER®, you must enroll in the Bosentan Risk Evaluation and Mitigation Strategy (REMS) Program.
Your healthcare team will enroll you in the Bosentan REMS Program at the start of treatment.
The insurance company may ask your healthcare provider for additional information before they pay for your medicine.
- A Janssen CarePath Care Coordinator can help with this process by gathering additional information from your healthcare team
Delivery of medicine
TRACLEER® is shipped to you by a specialty pharmacy.
- A Janssen CarePath Coordinator will help you connect with a specialty pharmacy that delivers TRACLEER® in your area
- Each month, the specialty pharmacy will call you to confirm details of the delivery, arrange your refill, and confirm your monthly tests
- The shipment is usually quick, but the process leading up to your first delivery could take more than 2 weeks
- Before shipping, the specialty pharmacy will call you to confirm some details, including the shipment date and verification that you've completed a pregnancy test (if required). Be sure to answer, or call the specialty pharmacy back if they leave a message
Remember, the call from your specialty pharmacy may come from a phone number that you don't know. If you miss the call, it's important that you call back.
You will need to complete required monthly testing and your doctor must verify your prescription. Then the specialty pharmacy will ship your refill.
Your Janssen CarePath Care Coordinator may need additional information from you at the start of treatment
When you speak with a Care Coordinator, they may ask for additional information, including:
- Details of your healthcare plan, including the name and contact information for the insurance company and your policy number
- The name and contact information of your prescribing doctor (including the fax number)
- Further details from your healthcare team, if your initial claim is denied
If you change insurance plans or healthcare providers, speak with your healthcare team and a Care Coordinator in a timely manner to make sure you can continue your treatment.
Contact a Care Coordinator with questions at 866-228-3546, Monday–Friday, 8:00 AM to 8:00 PM ET.
If your health plan does not approve TRACLEER® 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.