Expanded Coverage for STELARA® in Crohn’s Disease*

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Commercial Plan Medical IV Coverage Medical SubQ Coverage Pharmacy SubQ Coverage
Aetna 1st Line Biologic 1st Line Biologic 1st Line Biologic
Alliant Health Plans 1st Line Biologic 1st Line Biologic 1st Line Biologic
Alliant Health Plans Covered Covered Covered
AmeriHealth Administrators 1st Line Biologic 1st Line Biologic 1st Line Biologic
AmeriHealth Pennsylvania 1st Line Biologic 1st Line Biologic 1st Line Biologic
Anthem 1st Line Biologic 1st Line Biologic 1st Line Biologic
Anthem Blue Cross and Blue Shield Essential Drug List 1st Line Biologic 1st Line Biologic 1st Line Biologic
Anthem Blue Cross of California 1st Line Biologic 1st Line Biologic 1st Line Biologic
Asuris Northwest Health 1st Line Biologic 1st Line Biologic 1st Line Biologic
AultCare 1st Line Biologic 1st Line Biologic 1st Line Biologic
Avera Health Plans Covered Covered Covered
BCBS Federal Employee Program (Basic) 1st Line Biologic 1st Line Biologic 1st Line Biologic
BCBS Federal Employee Program (Standard) 1st Line Biologic 1st Line Biologic 1st Line Biologic
Blue Cross & Blue Shield of Rhode Island 1st Line Biologic 1st Line Biologic 1st Line Biologic
Blue Cross and Blue Shield of Georgia 1st Line Biologic 1st Line Biologic 1st Line Biologic
Blue Cross and Blue Shield of Illinois 1st Line Biologic Not Covered by Plan 1st Line Biologic
Blue Cross and Blue Shield of Kansas 1st Line Biologic 1st Line Biologic 1st Line Biologic
Blue Cross and Blue Shield of Louisiana 1st Line Biologic Not Covered by Plan 1st Line Biologic
Blue Cross and Blue Shield of Montana 1st Line Biologic Not Covered by Plan 1st Line Biologic
Blue Cross and Blue Shield of New Mexico 1st Line Biologic Not Covered by Plan 1st Line Biologic
Blue Cross and Blue Shield of North Carolina 1st Line Biologic 1st Line Biologic 1st Line Biologic
Blue Cross and Blue Shield of Oklahoma 1st Line Biologic Not Covered by Plan 1st Line Biologic
Blue Cross and Blue Shield of Texas 1st Line Biologic Not Covered by Plan 1st Line Biologic
Blue Cross Blue Shield of Arizona 1st Line Biologic 1st Line Biologic 1st Line Biologic
Blue Shield of California Biologic Trial Required Biologic Trial Required Biologic Trial Required
Blue Shield of California CalPERS Biologic Trial Required Biologic Trial Required Biologic Trial Required
Capital District Physicians' Health Plan (CDPHP) 1st Line Biologic 1st Line Biologic Biologic Trial Required
Capital Health Plan 1st Line Biologic 1st Line Biologic 1st Line Biologic
Chinese Community Health Plan (CCHP) Covered Covered Covered
Cigna 1st Line Biologic 1st Line Biologic 1st Line Biologic

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Your One Source for Access, Affordability, and Treatment Support For Your Patients

Janssen CarePath helps verify insurance coverage for your patients, provides reimbursement information, helps find financial assistance options for eligible patients, and provides ongoing support to help them start and stay on STELARA® as prescribed.

Call a Janssen Care Coordinator at 877-CarePath (877-227-3728) Monday to Friday, 8 am to 8 pm ET

The information provided represents no statement, promise, or guarantee of Janssen Biotech, Inc., concerning levels of reimbursement, payment, or charge. Please consult your payer organization with regard to local or actual coverage, reimbursement policies, and determination processes. Information is subject to change without notice. Nothing herein may be construed as an endorsement, approval, recommendation, representation, or warranty of any kind by any plan or insurer referenced herein. This communication is solely the responsibility of Janssen Biotech, Inc.

Janssen CarePath | 877-CarePath (877-227-3728) Monday to Friday, 8 am to 8 pm ET

Quick Steps to Start STELARA

A step-by-step guide for prescribing STELARA® for Crohn's disease.

Download

Benefit Investigation and Prescription Form

Completing the Benefit Investigation and Prescription Form eliminates the need to write 2 prescriptions and perform 2 separate benefit investigations.

Download

Annotated Benefit Investigation and Prescription Form

Helpful instructions on how to fill out the Benefit Investigation and Prescription Form.

Download

Please note: Prior authorization may be required.

*First-line biologic: brand name drugs that do not require trial on another biologic product prior to utilization. Biologic trial required: brand name drugs that require trial on another biologic product prior to utilization. First-line biologic tier 2: brand-name drugs that are covered at a lower copayment, and/or with fewer restrictions, than higher-tiered brands in the same pharmacologic class.