Janssen CarePath can:
- Review your health plan benefits to help answer questions you may have about insurance coverage for VENTAVIS®
- Identify options that may help make VENTAVIS® more affordable, if needed
- Identify and coordinate with a specialty pharmacy to arrange shipment of your Janssen medication
Getting Started with VENTAVIS®
VENTAVIS® 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 VENTAVIS®, though your experience may vary.
Your doctor selects VENTAVIS® as your new treatment.
- Your healthcare team completes all the forms necessary to start you on the Janssen medicine
A specialty pharmacy nurse meets with you to help you understand how to take VENTAVIS® with the I-neb® Adaptive Aerosol Delivery (AAD)® System.
- You can only take VENTAVIS® by using this system. This training session can take place at your home or in a doctor's office
The insurance company may ask your healthcare provider for additional information before they pay for your medicine.
- The specialty pharmacy will contact you or your healthcare team if they need more information
Delivery of medicine
VENTAVIS® is shipped to you by a specialty pharmacy.
- A Janssen CarePath Care Coordinator will help you connect with a specialty pharmacy that delivers VENTAVIS® in your area
- Each month, the specialty pharmacy will call you to confirm details of the delivery and arrange your refill.
- 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. 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.
Once your doctor verifies your prescription, the specialty pharmacy will ship your refill.
If your health plan does not approve VENTAVIS® 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.