Copay support
May reduce eligible commercially insured patients' out-of-pocket STELARA medicine cost to $5 per dose, subject to program limits.
What it does
Supports eligible STELARA medication costs under pharmacy- and medical-benefit claims. Pharmacy claims use member processing information; medical claims may require an EOB submitted through the account, provider, payment-card, or rebate workflow.
Open official program pageAvailable to eligible patients with commercial or private insurance and an on-label STELARA prescription, subject to current program terms.
Government program exclusions: Medicare, Medicaid, TRICARE, VA, DoD, Other federal or state healthcare programs
Prescription or infusion order is sent to the treatment channel.
Provide plan information and accept the savings terms in the account or official form.
Submit the EOB through the approved reimbursement workflow within 365 days.
Enroll through the J&J withMe account, by phone, or with the official form. Use the member processing details for pharmacy claims; submit the EOB for medical-benefit claims.
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, J&J WithMe, Specialty Pharmacy Or Infusion Provider
J&J Patient Assistance Program - immunology
Patient-assistance screening and application support.
Have ready: STELARA 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: Signed patient enrollment form, Commercial insurance information
Submit the completed form by fax to 1-844-250-7193.
Owner: Clinic staff
After enrollment: Give the savings information to the specialty pharmacy. For infusion induction, obtain the EOB and submit it within 365 days using the account or supported reimbursement method.
If there is a problem: Call J&J withMe about rejected pharmacy claims, EOB submission, payment method, or alternate-funding restrictions.
Describes the $5-per-dose commercial savings program and provider support tools.
Current official overview explains claim submission and exclusions, including EOB submission within 365 days.
Official patient savings enrollment form with fax and mailing instructions.
Official STELARA cost-support page.
