Expanded Coverage for STELARA® in Crohn’s Disease*
| 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 |
Need to verify more than one plan? View all national plans
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
A step-by-step guide for prescribing STELARA® for Crohn's disease.
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.
Annotated Benefit Investigation and Prescription Form
Helpful instructions on how to fill out the Benefit Investigation and Prescription Form.
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.