Expanded Coverage for STELARA® in Crohn’s Disease*

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Commercial Plan Medical IV Coverage Medical SubQ Coverage Pharmacy SubQ Coverage
Physicians Health Plan of Michigan 1st Line Biologic 1st Line Biologic 1st Line Biologic
Physicians Health Plan of Northern Indiana 1st Line Biologic Not Covered by Plan 1st Line Biologic
Physicians Plus 1st Line Biologic Not Covered by Plan 1st Line Biologic
Premera Blue Cross 1st Line Biologic 1st Line Biologic 1st Line Biologic
Presbyterian Health Plan Biologic Trial Required Biologic Trial Required Biologic Trial Required
Prevea360 Biologic Trial Required Not Covered by Plan Biologic Trial Required
Priority Health 1st Line Biologic 1st Line Biologic 1st Line Biologic
Providence Health Plan 1st Line Biologic 1st Line Biologic 1st Line Biologic
QualChoice Basic 1st Line Biologic 1st Line Biologic 1st Line Biologic
Regence Blue Cross Blue Shield of Oregon 1st Line Biologic 1st Line Biologic 1st Line Biologic
Regence BlueCross BlueShield of Utah 1st Line Biologic 1st Line Biologic 1st Line Biologic
Regence BlueShield of Idaho 1st Line Biologic 1st Line Biologic 1st Line Biologic
Regence BlueShield Washington 1st Line Biologic 1st Line Biologic 1st Line Biologic
Samaritan Choice Plans Covered Covered Covered
Security Health Plan Biologic Trial Required Not Covered by Plan Biologic Trial Required
SelectHealth Biologic Trial Required Biologic Trial Required Biologic Trial Required
Sharp Health Plan 1st Line Biologic 1st Line Biologic 1st Line Biologic
Sierra Health and Life 1st Line Biologic 1st Line Biologic 1st Line Biologic
The Health Plan 1st Line Biologic 1st Line Biologic 1st Line Biologic
TRICARE East Biologic Trial Required Biologic Trial Required Biologic Trial Required
TRICARE Overseas Biologic Trial Required Biologic Trial Required Biologic Trial Required
TRICARE West Biologic Trial Required Biologic Trial Required Biologic Trial Required
Triple-S Salud Covered Covered 1st Line Biologic
Triple-S Salud FEHB Covered Covered 1st Line Biologic
Tufts Health Plan 1st Line Biologic Not Covered by Plan 1st Line Biologic
U.S. Department of Veterans Affairs Biologic Trial Required Biologic Trial Required Biologic Trial Required
UnitedHealthcare 1st Line Biologic 1st Line Biologic 1st Line Biologic
UnitedHealthcare Golden Rule 1st Line Biologic 1st Line Biologic 1st Line Biologic
UnitedHealthcare Oxford Health Plans 1st Line Biologic 1st Line Biologic 1st Line Biologic
UnitedHealthcare Plan of the River Valley 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.