Helping Patients Afford XARELTO®
- HCP Resource GuideA comprehensive summary of support tools for your office to help patients start and stay on treatment.
- Letter of ExceptionA template that you can fill out and submit to a patient’s health insurance provider asking them to cover a medication that is not on formulary.
- Letter of Medical NecessityA template that you can fill out and submit to a patient’s health insurance provider. You may use it to explain why XARELTO® is medically necessary for your patient.
- Patient Affordability OptionsDiscover options that can make XARELTO® more affordable for your patients.
- Savings Program OverviewEligible patients using commercial or private insurance can save on out-of-pocket costs for XARELTO®
- Savings Program Rebate FormA form the patient can submit if the pharmacy isn’t able to process the Janssen CarePath Savings Program card.
Helping Patients Afford XARELTO®
Select your patient’s coverage status for relevant resources.
For Patients with Commercial or Private Insurance
Savings Card
There is a limit to savings per fill. Savings may apply to co-pay, co-insurance, or deductible.
Patients may participate without sharing their income information. Patients' final out-of-pocket cost after Savings Card is applied will depend on their insurance plan and pharmacy. Not valid for patients using Medicare, Medicaid, or other government-funded programs to pay for their medications. Patients prescribed XARELTO® 10 mg because of a recent non-surgical hospital discharge or because they have recently undergone hip or knee replacement surgery are not eligible.
We provide cost support directly to patients through the XARELTO withMe Savings Card. 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 XARELTO withMe Savings Card, please have them contact us at 888-XARELTO (888-927-3586).
- Sign Patients Up for the Janssen CarePath Savings Program and Get a Savings Card
- Sign Patients Up for the XARELTO withMe Savings Card
- View Savings Card Transactions
- Get Prior Authorization Support
- Create Medical Necessity and Exception Letters
- Request Exceptions and Appeals Information
- View Patient Dashboard
- Get Timely Notifications
- 24-hour Online Access to Your Account
Mobile Enrollment for the XARELTO withMe Savings Card for Patients
Your patients can use their mobile phone to enroll in the Savings Card. They can visit MyJanssenCarePath.com to receive an electronic card that can be saved to their mobile wallet.
At Janssen, we know that it can be hard for your patients to stay on treatment when their out-of-pocket costs increase during a coverage gap (eg, commercial high deductibles or the Medicare Part D coverage gap, formerly known as the “Donut hole”). That’s why we’ve created XARELTO withMe Coverage Gap Support.
Through XARELTO withMe Coverage Gap Support your patients can:
- Pay $89 monthly for a 30-day supply or $250 for a 90-day supply, plus sales tax if applicable, for XARELTO®.
- Participate without paying a membership fee or sharing their income information.
- Register beginning April 1 and get refills until December 31, and they can discontinue anytime.
Terms expire at the end of each calendar year and may change.
To register, patients must have insurance covering a portion of the cost of XARELTO® and are being asked to pay more than $89 monthly for XARELTO® through their insurance.
Patients can learn more about the program requirements and register at XARELTOwithMe.com.
For more information, patients can call 888-XARELTO (888-927-3586), Monday–Friday 8 AM– 8 PM ET.
In addition to the programs above, 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.
At Janssen, we know that it can be hard for your patients to stay on treatment when their out-of-pocket costs increase during a coverage gap (eg, commercial high deductibles or the Medicare Part D coverage gap, formerly known as the “Donut hole”). That’s why we’ve created XARELTO withMe Coverage Gap Support.
Through XARELTO withMe Coverage Gap Support your patients can:
- Pay $89 monthly for a 30-day supply or $250 for a 90-day supply, plus sales tax if applicable, for XARELTO®.
- Participate without paying a membership fee or sharing their income information.
- Register beginning April 1 and get refills until December 31, and they can discontinue anytime.
Terms expire at the end of each calendar year and may change.
To register, patients must have insurance covering a portion of the cost of XARELTO® and are being asked to pay more than $89 monthly for XARELTO® through their insurance.
Patients can learn more about the program requirements and register at XARELTOwithMe.com.
For more information, patients can call 888-XARELTO (888-927-3586), Monday–Friday 8 AM– 8 PM ET.
- 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
Savings Card
There is a limit to savings per fill. Savings may apply to co-pay, co-insurance, or deductible.
Patients may participate without sharing their income information. Patients' final out-of-pocket cost after Savings Card is applied will depend on their insurance plan and pharmacy. Not valid for patients using Medicare, Medicaid, or other government-funded programs to pay for their medications. Patients prescribed XARELTO® 10 mg because of a recent non-surgical hospital discharge or because they have recently undergone hip or knee replacement surgery are not eligible.
We provide cost support directly to patients through the XARELTO withMe Savings Card. 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 XARELTO withMe Savings Card, please have them contact us at 888-XARELTO (888-927-3586).
- Sign Patients Up for the Janssen CarePath Savings Program and Get a Savings Card
- Sign Patients Up for the XARELTO withMe Savings Card
- View Savings Card Transactions
- Get Prior Authorization Support
- Create Medical Necessity and Exception Letters
- Request Exceptions and Appeals Information
- View Patient Dashboard
- Get Timely Notifications
- 24-hour Online Access to Your Account
Mobile Enrollment for the XARELTO withMe Savings Card for Patients
Your patients can use their mobile phone to enroll in the Savings Card. They can visit MyJanssenCarePath.com to receive an electronic card that can be saved to their mobile wallet.
At Janssen, we know that it can be hard for your patients to stay on treatment when their out-of-pocket costs increase during a coverage gap (eg, commercial high deductibles or the Medicare Part D coverage gap, formerly known as the “Donut hole”). That’s why we’ve created XARELTO withMe Coverage Gap Support.
Through XARELTO withMe Coverage Gap Support your patients can:
- Pay $89 monthly for a 30-day supply or $250 for a 90-day supply, plus sales tax if applicable, for XARELTO®.
- Participate without paying a membership fee or sharing their income information.
- Register beginning April 1 and get refills until December 31, and they can discontinue anytime.
Terms expire at the end of each calendar year and may change.
To register, patients must have insurance covering a portion of the cost of XARELTO® and are being asked to pay more than $89 monthly for XARELTO® through their insurance.
Patients can learn more about the program requirements and register at XARELTOwithMe.com.
For more information, patients can call 888-XARELTO (888-927-3586), Monday–Friday 8 AM– 8 PM ET.
In addition to the programs above, 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