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Starting STELARA® (ustekinumab) Treatment for PsO & PsA
  1. Starting STELARA®
  2. Three Steps To STELARA®

Three Steps To STELARA®

What You Can Expect

Now that you and your doctor have decided on STELARA®, it’s time to engage your team, from healthcare provider to specialty pharmacy provider. These steps outline the process and identify the role you can play in the management of your treatment.

CHECK INSURANCE BENEFITS

CHECK INSURANCE
BENEFITS

JANSSEN CAREPATH SAVINGS PROGRAM FOR STELARA®*

START ON YOUR TREATMENT SCHEDULE

START ON YOUR TREATMENT
SCHEDULE

*Eligible patients using commercial insurance can save on out-of-pocket medication costs for STELARA®. Eligible patients pay $5 for each dose. Maximum program benefit per calendar year shall apply. Not valid for patients using Medicare, Medicaid, or other government-funded programs to pay for their medications. Terms expire at the end of each calendar year and may change. Program does not cover the cost to give you your treatment. See full eligibility requirements at Stelara.JanssenCarePathSavings.com.

Read on for a more detailed summary or download our Step-By-Step Guide to Getting Started with STELARA® brochure for more detailed information.

Your Team

Many people work together to get your treatment for you.

Your Team

Assesses your condition and decides which treatment is best for you.

Works as part of your doctor’s staff to ensure your insurance is verified and that the pharmacy successfully receives your STELARA® prescription.

Provides personalized assistance during each stage of the process, to help you get the most out of managing your treatment whenever you need it

Receives your prescription from your doctor and works in these three ways:

  • Coverage – Helps you get insurance authorization through your pharmacy and/or medical benefits
  • Affordability – Makes sure you can afford the treatment by applying your Janssen CarePath Savings Program Card to your out-of-pocket expenses
  • Delivery – Handles shipping details to make sure you receive your dose on time, every time

3 Steps: Step 1

STEP 1: Check Insurance Benefits To Make Sure You’re Covered

Remind the doctor’s staff and the specialty pharmacy to investigate both pharmacy and medical benefits. You can also contact a Janssen CarePath Care Coordinator to assist you with your benefits investigation. Call Janssen CarePath at 877-CarePath (877-227-3728), Monday–Friday, 8:00 AM to 8:00 PM ET.

Learn More Next Step

STEP 2: Learn About Medication Savings

If you use commercial or private health insurance to pay for your medication, you may enroll in the Janssen CarePath Savings Program. Eligible patients using commercial or private insurance can save on out-of-pocket medication costs for STELARA®. Depending on the health insurance plan, savings may apply toward co-pay, co-insurance, or deductible.

Paying for STELARA®

At Janssen, we don’t want cost to get in the way of treatment you need. We can help you explore options to lower your out-of-pocket cost for STELARA®. No matter what type of insurance you have – or even if you don’t have insurance – Janssen CarePath can help explain your medication insurance coverage and potential out-of-pocket costs and help find programs that may help you pay for STELARA®.

If you use commercial or private health insurance to pay for your medication:

Eligible patients using commercial or private insurance can save on out-of-pocket medication costs for STELARA®. Eligible patients pay $5 for each dose. Maximum program benefit per calendar year shall apply. Not valid for patients using Medicare, Medicaid, or other government-funded programs to pay for their medications. Terms expire at the end of each calendar year and may change. Program does not cover the cost to give you your treatment. See full eligibility requirements at STELARA.JanssenCarePathSavings.com.

If you don’t have commercial or private health insurance, Janssen CarePath can provide information about other resources that may help with your out-of-pocket medication costs. You may also find help from the programs and resources found on JanssenCarePath.com.

Learn about support options

Once you and your doctor have decided STELARA® is right for you, Janssen CarePath will help you find the resources you may need to get started and stay on track. We will give you information on your insurance coverage, potential out-of pocket costs, and treatment support, and identify options that may help make your treatment more affordable.

Create a Janssen CarePath Account at MyJanssenCarePath.com.

Need help? Call a Janssen CarePath Care Coordinator at 877-CarePath (877-227-3728), Monday–Friday, 8:00 AM to 8:00 PM ET.

Enroll in the Janssen CarePath Savings Program or Activate Card
Learn More

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STEP 3: Start On Your Treatment Schedule (the steps to get to your first dose)

A) Order Dose
When the specialty pharmacy calls you, provide them with your payment information, your Janssen CarePath Savings Program information (if applicable), and confirm the delivery location and timing of your delivery.

B) Schedule Dose
Ensure you have an appointment with your doctor to receive your first dose (a couple of days after your prescription is scheduled to be delivered).

Learn More

Stay Committed To The Treatment Plan

You and your doctor have chosen STELARA® as a treatment. As you continue on your journey, it’s important for you to stay on your medication schedule as your doctor prescribed in order to see results.

Your team is here to help you. Call Janssen CarePath at 877-CarePath (877-227-3728), with any questions. Please inform the doctor’s office and the specialty pharmacy if your insurance coverage or delivery address for your prescription changes.

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Did you know STELARA® can be covered in 2 ways: through your pharmacy and/or medical benefits. Coverage for your biologic medicine typically depends on how your treatment is given. PHARMACY BENEFITS provide coverage for medicine you inject at home, after training. MEDICAL BENEFITS provide coverage for injections by a medical professional at a doctor’s office. Since STELARA® is a prescription drug that can be administered two ways, the treatment can be covered by either insurance benefit.

If your doctor’s staff or specialty pharmacy says that you’re not covered, make sure to ask them if they’ve checked both benefits. Don’t assume that your medical benefits have been checked. (Since STELARA® is an injection that may be given at the office, your medication may be covered by your medical benefits.)

Please note it may take several days for your coverage to be checked and approved by your insurance carrier. Once approved, the specialty pharmacy (or in some cases the doctor’s office) will call you to inform you of your coverage.