Helpful resources for REMICADE
*Savings Program for patients with commercial or private insurance coverage.
REMICADE website
Remicade.com
This website contains additional information about treatment with REMICADE. On this website, you can also get helpful information about your condition.
Authorization
Patient Authorization Form [PDF]
Allows you to authorize your Healthcare Providers to use and share your medical information with the patient support programs offered by Johnson & Johnson.
Cost support
J&J withMe Savings Program Overview [PDF]
Provides information on the J&J withMe Savings Program for REMICADE and eligibility requirements for enrolling in the program.
Immunology Savings Program Rebate Form [PDF] Immunology Savings Program Rebate Form [PDF] (en español)
Allows you to request a rebate if you paid out-of-pocket for your medicine or your pharmacy or provider can’t process your Savings Program card. Rebate requests can also be submitted in your online account at Account.JNJwithMe.com or at Account.JNJwithMe.com/submit-rebate if you do not have an account.
Patient Affordability Options for REMICADE [PDF]
Gives information on options that can make your treatment more affordable.
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.
Medicare Low-Income Subsidy (LIS) "Extra Help" Resource for Patients [PDF] Medicare Low-Income Subsidy (LIS) "Extra Help" Resource for Patients [PDF] (en español)
Helps you learn if you qualify for this Medicare program.