J&J withMe can:
- Review your health plan benefits to help answer questions you may have about insurance coverage for OPSYNVI®
- Identify options that may help make OPSYNVI® more affordable, if needed
- Identify and coordinate with a specialty pharmacy to arrange shipment of your J&J medicine
OPSYNVI® Voucher Program
Getting Started with OPSYNVI®
OPSYNVI® is delivered by a specialty pharmacy—it's not something that's kept in stock at your local retail pharmacy. The following is a typical process when starting out with OPSYNVI®, though your experience may vary.
1Prescription
Your doctor selects OPSYNVI® as your new treatment.
- Your healthcare team completes all the forms necessary to start you on the J&J medicine. For OPSYNVI®, these forms include your prescription and, for females, enrollment in a program to make sure you use effective birth control during OPSYNVI® treatment and for 1 month after treatment discontinuation
2Insurance verification
The insurance company may ask your healthcare provider for additional information before they pay for your medicine.
- A Care Coordinator can help with this process by gathering additional information from your healthcare team
3Delivery of medicine
OPSYNVI® is shipped to you by a specialty pharmacy.
- A Care Coordinator will help you connect with a specialty pharmacy that delivers OPSYNVI® in your area
- Each month, the specialty pharmacy will call you to confirm details of the delivery, make sure you've completed a pregnancy test if required, and arrange your refill
- The shipment is usually quick, but the process leading up to your first delivery could take more than 2 weeks
- Before shipping, the specialty pharmacy will call you to confirm some details, including the shipment date and verification that you've completed a pregnancy test (if required). Be sure to answer, or call the specialty pharmacy back if they leave a message
Remember, the call from your specialty pharmacy may come from a phone number that you don't know. If you miss the call, it's important that you call back.
Your Care Coordinator may need additional information from you at the start of treatment
When you speak with a Care Coordinator, they may ask for additional information, including:
- Details of your healthcare plan, including the name and contact information for the insurance company and your policy number
- The name and contact information of your prescribing doctor (including the fax number)
- Further details from your healthcare team, if your initial claim is denied
If you change insurance plans or healthcare providers, speak with your healthcare team and a Care Coordinator in a timely manner to make sure you can continue your treatment.
Contact a Care Coordinator with questions at 866-228-3546, Monday–Friday, .
If your health plan does not approve OPSYNVI® treatment
Support Resources
- Patient education and tools, including internet resources
Need Help? Call a Care Coordinator at 866-228-3546, Monday–Friday, Multilingual phone support is available.
PAH Companion withMe
The right way to manage PAH is personal. That’s why we created PAH Companion withMe*—part of the J&J withMe suite of patient support resources customized for you based on your specific needs, questions, and interests. Did you know that over 94% of patients who have enrolled and engaged with a dedicated PAH Companion would recommend the program to others?1 Join 10,000+2 patients who have enrolled in PAH Companion withMe and receive personalized tools and resources that can help you with the day-to-day challenges of living with PAH. PAH Companion withMe can help you access the support you deserve.
PAH Companion withMe can be your resource for:
- My PAH Companion. One-on-one conversations with a trained, dedicated PAH Companion—someone who specializes in helping people living with PAH. Your PAH Companion will communicate with you and your loved ones via phone, email, or text—whatever works best for you.
- My Resources. Educational resources for you and your loved ones to help with your prescribed J&J PAH medicine, tailored to your specific needs, questions, and interests.
- My Tips. Ongoing support and education on living with PAH to help you partner with your healthcare team and engage with your support network.
- My Community. Connection to current PAH information, peer support groups, and digital tools to help you track and monitor your health and take a more active role in your care.
*PAH Companion withMe requires a completed patient authorization form to enroll. Eligibility for program components may vary.
References:
1. Data on file. Ashfield Post Engagement Survey (IVR and email), 2022.
2. Data on file. J&J Strategic Insights and Analytics Team Dashboard/Data Feed from Ashfield (Companion Vendor).
PAHCompanion.com
People living with PAH and those that support them can obtain free resources at pahcompanion.com. Gain 24/7 access to information like tips to manage your PAH and connections to PAH support groups–all in one place.
If you’ve been prescribed a J&J PAH medicine, you can learn more about PAH Companion withMe by calling 866-300-1818, Monday–Friday, or by visiting pahcompanion.com.
