Expanded Coverage for STELARA® in Crohn’s Disease*

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Commercial Plan Medical IV Coverage Medical SubQ Coverage Pharmacy SubQ Coverage
Health Alliance Medical Plans 1st Line Biologic 1st Line Biologic 1st Line Biologic
Health Alliance Plan (HAP) Biologic Trial Required Biologic Trial Required Biologic Trial Required
Health Delegates Covered Covered Covered
Health First Health Plans Biologic Trial Required Biologic Trial Required Biologic Trial Required
Health Net of Arizona Biologic Trial Required Biologic Trial Required Biologic Trial Required
Health Net of Washington Biologic Trial Required Biologic Trial Required Biologic Trial Required
Health New England Biologic Trial Required Biologic Trial Required Biologic Trial Required
Health Plan of Nevada (HPN) 1st Line Biologic 1st Line Biologic 1st Line Biologic
HealthChoice Oklahoma - Oklahoma State & Education Employees Covered Covered Biologic Trial Required
HealthNow New York 1st Line Biologic 1st Line Biologic 1st Line Biologic
Highmark 1st Line Biologic 1st Line Biologic 1st Line Biologic
Highmark Delaware 1st Line Biologic 1st Line Biologic 1st Line Biologic
Highmark West Virginia 1st Line Biologic 1st Line Biologic 1st Line Biologic
Hometown Health Covered Covered Covered
Horizon BCBSNJ 1st Line Biologic 1st Line Biologic 1st Line Biologic
Humana 1st Line Biologic 1st Line Biologic Biologic Trial Required
Independent Health 1st Line Biologic 1st Line Biologic 1st Line Biologic
Indian Health Service (IHS) Biologic Trial Required Biologic Trial Required Biologic Trial Required
LifeWise Health Plan of Washington 1st Line Biologic 1st Line Biologic 1st Line Biologic
Medical Associates Health Plan Covered Covered Covered
Medical Mutual of Ohio 1st Line Biologic 1st Line Biologic 1st Line Biologic
MercyCare Health Plans Covered Covered Covered
Moda Health Biologic Trial Required Biologic Trial Required Biologic Trial Required
MVP Health Care Biologic Trial Required Biologic Trial Required Biologic Trial Required
Neighborhood Health Plan Biologic Trial Required Biologic Trial Required Biologic Trial Required
Network Health Plan Covered Covered Covered
North Carolina Teachers' and State Employees' Comprehensive Major Medical Plan 1st Line Biologic 1st Line Biologic Biologic Trial Required
Optima Health 1st Line Biologic 1st Line Biologic 1st Line Biologic
OptumRx National Formulary N/A N/A 1st Line Biologic
PacificSource Health Plans PDL/VDL Covered Covered Covered

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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.

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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.