Copay support
Helps eligible commercially insured patients with out-of-pocket SIMPONI medicine costs, subject to current program maximums and restrictions.
What it does
Provides member processing information for eligible pharmacy claims and a reimbursement route when supported by current terms.
Open official program pageAvailable to eligible patients with commercial or private insurance and an on-label SIMPONI prescription, subject to current savings terms.
Government program exclusions: Medicare, Medicaid, TRICARE, VA, DoD, Other federal or state healthcare programs
Send the prescription to the specialty pharmacy.
Enroll through J&J withMe and accept the current terms.
Submit claim records required by the applicable savings workflow.
Enroll through the J&J withMe account, by phone, or through the clinic form, then give the resulting savings processing information to the specialty pharmacy.
Best for: Patients or caregivers who can complete the official web form
Enter the requested patient, prescription, contact, and insurance information; select the services requested.
Owner: Patient or caregiver
Patient, SIMPONI WithMe, Specialty Pharmacy
SIMPONI withMe Case Manager
Benefits, affordability, pharmacy shipment, and treatment logistics.
Monday-Friday, 8 AM-8 PM ET
SIMPONI Nurse Support
Injection and treatment education within program scope.
Monday-Friday, 9 AM-8 PM ET; after-hours callback is typically advertised within 15 minutes
Official patient-facing cost-support page.
Official savings overview; live terms should be checked for current maximums.
Have ready: SIMPONI prescription, Contact information, Commercial insurance, Consent
Review the authorization and program terms, provide consent, and submit the form.
Owner: Patient or caregiver
Best for: Services requiring clinical information, a prescription, or prescriber attestation
Patient completes demographics and the authorization/consent section of the official form.
Owner: Patient
Have ready: Contact information, Signature and date
Prescriber completes the prescription, clinical, insurance, and service-selection sections and attaches supporting records.
Owner: Prescriber or clinic staff
Have ready: Completed patient authorization, Insurance cards, Prescription and prescriber signature
After enrollment: Give the savings details to the specialty pharmacy before the claim is finalized and retain any program confirmation.
If there is a problem: Call SIMPONI withMe if the specialty pharmacy cannot process the benefit or the account does not show enrollment.
Official affordability pathway chart.
