Stelara withMe Savings Program

Not Funded

About

The Stelara withMe Savings Program offers significant financial assistance for patients using the drug Stelara. Designed to support individuals with commercial insurance, this program reduces out-of-pocket expenses to a manageable $5 copay per dose, bolstering access to the effective treatment Stelara provides. With the Stelara withMe Savings Program, patients can enroll via multiple convenient methods, ensuring broad accessibility for those in need.

Insurance requirements: Commercially insured

As low as: $5 per fill

Enrollment Forms

Enrollment Form

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Must be 18 years of age or older

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: Yes

Program Details

•Patients pay $5 copay per dose

•Maximum program benefit per calendar year shall apply, and varies depending on patient's commercial prescription coverage

•Patients can enroll online, by phone (8444948463), or by faxing/mailing completed forms to: 18442507193 / Janssen CarePath Savings Program, 2250 Perimeter Park Drive, Suite 300, Morrisville, NC 27560. Physical form: https://www.stelarawithme.com/sites/www.stelarawithme.com/files/stelarapatientenrollmentform.pdf

•Offer may not be combined with any other coupon, discount, prescription savings card, free trial, or other offer

•Before the calendar year ends, patients will receive information and eligibility requirements for continued participation in the program

Enrollment Forms

Enrollment Form