Copay support
May reduce eligible commercially insured patients' TREMFYA out-of-pocket costs to as little as $0 per dose, subject to benefit limits.
What it does
Supports eligible medicine cost and can also support eligible infusion administration and lab-test costs. Processing differs between medical-benefit infusion claims and pharmacy-benefit maintenance claims.
Open official program pageAvailable to eligible US patients with commercial or private insurance and an on-label TREMFYA prescription, subject to the current terms.
Government program exclusions: Medicare, Medicaid, TRICARE, VA, DoD, Other federal or state healthcare programs
Prescription or infusion order is sent through the treatment channel.
Provide insurance details and accept current program terms.
Submit documentation requested for infusion, administration, lab, or reimbursement claims.
Enroll through the TREMFYA withMe account, by phone, or through the clinic form. Provide the resulting savings details to the pharmacy or infusion site and follow the medical-benefit documentation workflow when applicable.
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.
Patient, TREMFYA WithMe, Pharmacy Or Infusion Site
TREMFYA withMe
Savings, access, Nurse Guide, injection, and patient-support services.
Monday-Friday, 8 AM-11 PM ET
Owner: Patient or caregiver
Have ready: TREMFYA prescription, Contact information, 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
Submit the completed form by fax to 1-844-322-9402.
Owner: Clinic staff
After enrollment: Use the program benefit with the pharmacy or infusion site. Submit EOBs or other proof for eligible medical-benefit, administration, or lab expenses when required.
If there is a problem: Call TREMFYA withMe for rejected claims, EOB questions, or uncertainty about eligible administration or lab expenses.
Describes the commercial savings program and supported cost categories.
Official current savings terms and conditions.
Patient-facing official support page for Crohn's disease.
Patient-facing official support page for ulcerative colitis.
