Once you and your healthcare provider have decided OPSUMIT® is right for you, Janssen CarePath will help you find the resources you may need to get started and stay on track, including:
Janssen CarePath can explain your potential out-of-pocket costs and identify cost support options that may help with managing your out-of-pocket costs—whether you have commercial or private health insurance, government-funded healthcare coverage such as Medicare or Medicaid, or have no insurance coverage:
Eligible patients using commercial or private insurance can save on out-of-pocket medication costs for OPSUMIT®. Depending on the health insurance plan, savings may apply toward co-pay, co-insurance or deductible. Eligible patients pay $5 per prescription fill for OPSUMIT® with a $20,000 maximum program benefit per calendar year across all oral PAH therapies in the program. Not valid for patients using Medicare, Medicaid, or other government-funded programs to pay for their medications. Terms expire at the end of each calendar year and may change. There is no income requirement. See full eligibility requirements at OPSUMIT.JanssenCarePathSavings.com.
Janssen CarePath can provide information about other resources that may be able to help with your out-of-pocket medication costs for OPSUMIT®.
Call a Janssen CarePath Care Coordinator at 866-228-3546 866-228-3546 or visit JanssenCarePath.com for more information about affordability programs and independent foundations† that may have funding available.
A personally assigned Janssen CarePath Care Coordinator will work closely with you and your doctor to help you get started by:
A free 30-day trial offer is available for eligible patients to help you become familiar with OPSUMIT®.
At the conclusion of the program, you and your healthcare provider decide if it is appropriate to continue treatment. Subject to 1 (one) use per lifetime for the first 30-day supply of OPSUMIT®. Terms expire at the end of each calendar year and may change. This Voucher Program is open to patients who have commercial insurance, government coverage, or no insurance coverage; however, there is no guarantee of continuous accessibility after the program ends. Ask your doctor about the OPSUMIT® Voucher Program.
We understand how important it is for you to take the OPSUMIT® your healthcare provider prescribed. That’s why we’ve created some tools to help you stay on your treatment:
Need Help? Call a Janssen CarePath Care Coordinator at 866-228-3546, Monday−Friday, 8:00 AM to 8:00 PM ET. Multilingual phone support is available.
†Independent co-pay assistance foundations have their own rules for eligibility. We cannot guarantee a foundation will help you. We only can refer you to a foundation that supports your disease state. This information is provided as a resource for you. We do not endorse any particular foundation.
About Cheryl: Cheryl was diagnosed with PAH in 2011. She is a mother, grandmother, and photographer who loves exploring the outdoors. Cheryl is focused on looking forward, setting goals with her doctor, and knowing when to "sit out" and rest.
About Karla: Karla was diagnosed with PAH in 2003. She finds the greatest joy in spending time with family and loves anything that involves the theater. Karla knows the importance of setting goals with her "new normal" in mind.