STELARA ® may increase the risk of infections and reactivation of latent infections. STELARA ® (ustekinumab) is contraindicated in patients with clinically significant hypersensitivity to ustekinumab or to any of the excipients. Void where prohibited, taxed, or limited by law. Program good only in the United States and its territories.
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Patient cannot submit the value of the free product as a claim for payment to any health plan. Prescriber cannot bill commercial insurance plan for any part of the prescribed subcutaneous treatment. Program covers the cost of therapy only-not associated administration cost.
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Program requires periodic verification of insurance coverage status to confirm continued eligibility. Patient is eligible until commercial insurance covers the medication. Prior authorization is denied due to missing information on coverage determination form, use for a non–FDA-approved indication, or invalid clinical rationale Examples of these programs are Medicare, Medicaid, TRICARE, Department of Defense, and Veterans Administration Patient uses any state or federal government funded healthcare program to cover medication costs. If coverage is denied, Prescriber must also submit a Letter of Formulary Exception, Letter of Medical Necessity or appeal within 90 days of patient becoming eligible for patient to stay in the program. a coverage determination form (i.e., prior authorization or prior authorization with exception) to the commercial insurance. In addition, for patient to be eligible, Prescriber must submit: a delay of more than 5 business days or a denial of treatment from their insurance commercial insurance with biologics coverage a subcutaneous STELARA ® prescription for an on-label, FDA-approved indication In Tennessee, GoodRx is registered as a Prescription Drug Discount Plan Operator.Janssen Link offers eligible patients subcutaneous STELARA ® (ustekinumab) at no cost until their commercial insurance covers the medication.
In all states except Tennessee, GoodRx is considered a marketer of prescription discount cards. Please seek medical advice before starting, changing or terminating any medical treatment.
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All data provided is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment.
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