For Patients and Caregivers
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TREMFYA® Website
Tremfya.com - This website contains information about treatment with TREMFYA®. On this website, you can also get helpful information about your condition.
Enrollment
Patient Authorization Form [PDF] - Allows you to authorize the use of your personal information for Janssen CarePath support programs.
Tremfyawithme.com - This website contains information about enrolling in the TREMFYA withMe Program - for patients who were prescribed TREMFYA®.
Cost Support
TREMFYA withMe Savings Program Overview [PDF] - Provides information on the TREMFYA withMe Savings Program for TREMFYA® and eligibility requirements for enrolling in the program.
TREMFYA withMe Savings Program Rebate Form [PDF] - (en Español) - Allows you to request a rebate for your medication cost if your pharmacy can't process your TREMFYA withMe Savings Program card. Rebate requests can also be submitted via your online account at MyJanssenCarePath.com.
Patient Affordability Options for TREMYFA® [PDF] - (en Español) - Gives information on options that can make your treatment more affordable.
Coverage
Health Insurance Open Enrollment Guide [PDF] - Even if you keep the same health plan, 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.
Medicare Resource Guide [PDF] - Provides information on sources for cost support that may be available to patients enrolled in Medicare.
Medicare Part D and Coverage Gap Guide [PDF] - Helps you understand the 4 phases of coverage (Deductible, Initial Coverage, Coverage Gap, and Catastrophic Coverage), and when you will enter the Coverage Gap (formerly known as the Donut Hole).
Medicare Low-Income Subsidy (LIS) Brochure [PDF] - Offers information about extra help with prescription drug costs that is available to low-income residents of the United States enrolled in Medicare Prescription Drug Plans.
Johnson & Johnson Patient Assistance Foundation, Inc.
Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF) - An independent, nonprofit organization that gives eligible patients free prescription medicines donated by Johnson & Johnson companies.