Helpful Resources for OPSYNVI®
OPSYNVI® Website
OPSYNVI.com
This website contains information about treatment with OPSYNVI®. On this website, you can also get helpful information about your condition.
Authorization
Patient Authorization Form [PDF]Patient Authorization Form [PDF] (en Español)
Allows you to authorize your Healthcare Providers to use and share your medical information with the patient support programs offered by Johnson & Johnson.
Patient Support
OPSYNVI® Voucher Program [PDF]
A free trial offer is available for eligible patients to help you become familiar with OPSYNVI®.
Steps to Getting Your Medicine [PDF]
A patient-friendly guide to the verification and delivery process. (English and Spanish)
Cost Support
J&J withMe Oral PAH Savings Program Overview [PDF]
Provides information on the J&J withMe Savings Program and eligibility requirements for enrolling in the program.
Coverage
Health Insurance Open Enrollment Guide [PDF] Health Insurance Open Enrollment Guide [PDF] (en español)
Even if you keep the same health plan, your benefits can change. This guide can help you review your coverage and make changes if needed during the open enrollment period so you can stay on treatment in the new benefit period.
Medicare Resource Guide [PDF] Medicare Resource Guide [PDF] (en español)
Provides information on sources for cost support that may be available to patients enrolled in Medicare.
Medicare Low-Income Subsidy (LIS) Brochure [PDF]
Offers information about extra help with prescription drug costs that is available to low-income residents of the United States enrolled in Medicare Prescription Drug Plans.