TREMFYA withMe Program: for patients who are prescribed TREMFYA®
TREMFYA withMe is here to help guide you on your treatment journey—from cost and coverage support, to injection education, as well as a dedicated live person available for you. This is a hassle- and cost-free program for everyone*. Whether it's your first time on treatment or you're already on your treatment journey, we'll be right by your side.
You'll get a dedicated TREMFYA withMe Guide - a qualified healthcare professional† ready to help. Along your treatment journey, the support you may need is just a phone call away. Here are just some of the ways your Guide can help:
- Setting Expectations: You'll get information about your TREMFYA® treatment and you'll be guided along the way with educational support.
- Prescription and Cost Support: You'll receive support to help you: verify your insurance coverage, understand how to fill your prescriptions, and look for options that could make your treatment more affordable.
- Injection Support: Your doctor will review the injection process with you. Your doctor is the best person to help you understand what to expect. Your Guide is also available, after you have talked with your doctor, if you have questions about injections.
- Stay on Track: You'll receive support to help you stay on track with your treatment, plus updates on your TREMFYA® treatment journey.
Sign up by visiting Tremfyawithme.com or learn more about TREMFYA withMe by calling 833-WITHME1 (833-948-4631), Monday through Friday, from 8:00 AM to 11:00 PM ET.
*Eligible patients over 18 with a prescription for approved on-label use. Eligibility criteria for some program components may vary.
†Guides do not provide medical advice. Please ask your doctor any questions you might have about your disease and treatment.
If you haven't signed up for TREMFYA withMe, a Janssen CarePath Care Coordinator can:
- Review your health plan benefits to help answer questions you may have about insurance coverage for TREMFYA®
- Identify options that may help make TREMFYA® more affordable, if needed
- Connect you with a nurse at Janssen Nurse Support to answer questions about treatment with TREMFYA®*
- Offer treatment education support. We also invite you to learn more at Tremfya.com
- Work with your pharmacy to process and deliver your TREMFYA® medication to your home or your doctor’s office
*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.
Need Help? Please call a Janssen CarePath Care Coordinator at 877-CarePath (877-227-3728), Monday-Friday, 8:00 AM to 8:00 PM ET. Multilingual phone support is available.
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 TREMFYA®; if eligible, enroll in the TREMFYA withMe Savings Program and manage program benefits; and find support to help you start and stay on track with your Janssen medication.
If your health plan does not approve TREMFYA® treatment
Sometimes you may not be able to obtain the medication that your doctor has prescribed 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.
TREMFYA withMe Delay and Denial Support
TREMFYA withMe offers eligible patients TREMFYA® (guselkumab) at no cost until their commercial insurance covers the medication. See program requirements below.
You are eligible if you have:
- a TREMFYA® prescription for an FDA-approved use
- commercial insurance with biologics coverage
- a delay of more than 5 business days or a denial of your medication from your insurance.
In addition, for you to be eligible, your Prescriber must submit a program enrollment form* and a coverage determination form to your insurance.
If your medication is denied, your Prescriber must also submit a letter or appeal to your insurance within 90 days of when you become eligible for you to stay in the program.
You are not eligible if:
- you use any state or federal government-funded healthcare program to cover medication costs. Examples of these programs are Medicare, Medicaid, TRICARE, Department of Defense, and Veterans Administration
- your coverage is denied due to non-FDA-approved use, missing information on coverage determination form, or invalid clinical rationale.
Delay and Denial Support requires a periodic check of your insurance coverage status to confirm your continued eligibility. You remain eligible until your commercial insurance covers your medication.
Delay and Denial Support covers the cost of medication only—not associated administration cost. You cannot submit the value of the free product as a claim for payment to any health plan. Program good only in the United States and its territories. Void where prohibited, taxed, or limited by law. Program terms may change.
*You may need to sign a Patient Authorization form for enrollment in Delay and Denial 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. If you haven't signed up for TREMFYA withMe, 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.
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.
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.