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

PAY AS LITTLE AS $5 A DOSE*

PAY JUST
$5 A DOSE*

START ON YOUR TREATMENT SCHEDULE

START ON YOUR TREATMENT
SCHEDULE

*$20,000 maximum program benefit per calendar year. Not valid for patients using Medicare, Medicaid, or any other federally funded programs to pay for STELARA®. Click here for full eligibility requirements.

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 Care Coordinator to assist you with your benefits investigation. Call Janssen CarePath for STELARA® at 877-CarePath (877-227-3728), Monday-Friday, 8 AM to 8 PM ET.

Learn More

Next Step

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.

STEP 2: Learn About Medication Savings & If Eligible Pay Just $5 A Dose*

Enroll in the Janssen CarePath Savings Program to get savings off your private or commercial health insurance deductible, co-pay, and co-insurance costs for STELARA®.

You can also work with a Care Coordinator or your Specialty Pharmacy, to enroll in the Janssen CarePath Savings Program, and start saving on your prescription today. To learn about other financial options, call Janssen CarePath for STELARA® at 877-CarePath (877-227-3728), Monday-Friday, 8 AM to 8 PM ET or visit our Cost & Insurance page.

Janssen CarePath Savings Program for STELARA® can help save on out-of-pocket costs such as co-pay assistance. Once enrolled, you may be eligible for automatic re-enrollment in the savings program each year.

If you do not have insurance coverage for STELARA®, Janssen Prescription Assistance may be able to help. This program offers information about independent foundations that may have available funding to help lessen drug costs for STELARA®.

Cost Savings & Insurance

Cost Savings & Insurance Coverage

Janssen CarePath has a team of Care Coordinators who have resources that may help you pay just $5 in out-of-pocket medication costs if you are eligible.* Don’t let cost get in the way of your medication if your doctor decides STELARA® is right for you.

You Could Pay Just $5 A Dose*

The Janssen CarePath Savings Program for STELARA® can help lower your out-of-pocket costs, including co-pay, deductible, and co-insurance medication costs. This means in the first year, eligible psoriatic arthritis patients may pay only $30 in out-of-pocket medication costs, including two starter doses and four maintenance doses.*

*$20,000 maximum program benefit per calendar year. Not valid for patients using Medicare, Medicaid, or any other federally funded programs to pay for STELARA®. Click here for full eligibility requirements.

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

Once your insurance benefits have been approved, expect a welcome call from the specialty pharmacy, informing you of your coverage, notifying you of your out-of-pocket costs, and to begin the ordering process.

STELARA® can be delivered to your home or doctor’s office (your doctor will indicate where it should be delivered). If it is shipped to your home, follow the directions on how to store and transport the medication.

Once the delivery timing of your first dose has been confirmed with the specialty pharmacy, the specialty pharmacy will work with the doctor’s office to confirm shipment. Please note your first dose will always be given at the doctor’s office.

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 for STELARA® 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.