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UPTRAVI® Website
UPTRAVI.com - This website contains information about treatment with UPTRAVI®. On this website, you can also get helpful information about your condition.
Authorization
Patient Authorization Form [PDF] - Allows you to authorize the use of your personal information for certain Janssen Patient Support Programs.
Patient Authorization Form [PDF] (en Español) - Allows you to authorize the use of your personal information for certain Janssen Patient Support Programs.
Patient Support
Dose Adjustment Phase Guide [PDF] - A guide that highlights important steps and information about titration with UPTRAVI®.
Steps to Getting Your Medicine [PDF] - A patient-friendly guide to the verification and delivery process.
Steps to Getting Your Medicine [PDF] (en Español) - A patient-friendly guide to the verification and delivery process.
Cost Support
Janssen CarePath Oral PAH Savings Program Overview [PDF] - Provides information on the Janssen CarePath Savings Program for UPTRAVI® and eligibility requirements for enrolling in the program.
Coverage
Medicare 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. (JJPAF)
Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF) - An independent, nonprofit organization that gives eligible patients free prescription medicines donated by Johnson & Johnson companies.