Helping Patients Afford AKEEGA™
- Benefits Investigation FormA way to find out if AKEEGA™ is covered by the patient's insurance plan, including requirements for coverage or prior authorization, any out-of-pocket costs, and approved pharmacies.
- Business Associate AgreementComplete a Business Associate Agreement for your practice only once. No individual patient authorizations are required.
- Exception Considerations ChecklistA guide to submitting a formulary exception request.
Exception Considerations Checklist (en español) - Janssen CarePath Resource GuideA comprehensive summary of support tools for your office to help patients start and stay on treatment.
- Letter of Medical Necessity and ExceptionA template that you can fill out and submit to a patient’s health insurance provider. You may use it to explain why AKEEGA™ is medically necessary for your patient or to request a formulary exception.
- Patient Affordability OptionsDiscover options that can make AKEEGA™ more affordable for your patients.
- Patient Authorization FormIndividual patient form for offices without a Business Associate Agreement.
Patient Authorization Form (en español) - Patient Authorization Form (en español)Individual patient form for offices without a Business Associate Agreement.
- Prescribing Information and Medication Guide (en español)Product information for AKEEGA™. En español.
- Prior Authorization Considerations ChecklistA checklist to guide you through the prior authorization process.
Prior Authorization Considerations Checklist (en español) - Reimbursement & Access GuideA comprehensive summary of important medication information including uses, Important Safety Information, access, and reimbursement.
- Savings Program (Overview)Eligible patients using commercial or private insurance can save on out-of-pocket costs for AKEEGA™.
- Savings Program Rebate FormA form the patient can submit if the pharmacy isn’t able to process the Janssen CarePath Savings Program card.
- Specialty Information Overview
- Verification of Benefits Guide (Pharmacy)A guide to understanding the Verification of Benefits for your patient’s pharmacy benefits.
Helping Patients Afford AKEEGA™
Select your patient’s coverage status for relevant resources.
For Patients with Commercial or Private Insurance
There is a limit to savings each year. Savings may apply to co-pay, co-insurance, or deductible.
Patients may participate without sharing their income information.
We provide cost support directly to patients through the Janssen CarePath Savings Program. This benefit is intended to help eligible patients afford their out-of-pocket obligations as set by their health plans. The cost support is meant solely for patients—not health plans and/or their partners.
If your patients are having any difficulty accessing cost support through the Janssen CarePath Savings Program, please have them contact us at 877-CarePath (877-227-3728).
Sign your patients up for the Janssen CarePath Savings Program:
JanssenCarePathPortal.com/express
For Your Patients
In addition to the Janssen CarePath Savings Program, here are some independent programs that may be right for your patients.
Additional Affordability Support from Janssen
For Patients with Government Coverage
Even if your patients have government coverage like Medicare, we can identify programs that may help them afford their medications. Here are some independent programs that may be right for them.
- Pay their monthly premiums
- Reduce or eliminate their deductible
- Reduce or eliminate their co-insurance and co-payments
- Have no gap in coverage
Additional Affordability Support from Janssen
For Patients with No Insurance Coverage
If your patients need help with drug costs, we can identify programs that may help them afford their medications.
Here are some programs that are not offered by Janssen. Each program has its own eligibility rules.
Take a look and see which ones may be right for your patients.
Uninsured Patients May Be Eligible for Additional Support
There is a limit to savings each year. Savings may apply to co-pay, co-insurance, or deductible.
Patients may participate without sharing their income information.
We provide cost support directly to patients through the Janssen CarePath Savings Program. This benefit is intended to help eligible patients afford their out-of-pocket obligations as set by their health plans. The cost support is meant solely for patients—not health plans and/or their partners.
If your patients are having any difficulty accessing cost support through the Janssen CarePath Savings Program, please have them contact us at 877-CarePath (877-227-3728).
Sign your patients up for the Janssen CarePath Savings Program:
JanssenCarePathPortal.com/express
For Your Patients
In addition to the Janssen CarePath Savings Program, here are some independent programs that may be right for your patients.
- Pay their monthly premiums
- Reduce or eliminate their deductible
- Reduce or eliminate their co-insurance and co-payments
- Have no gap in coverage