Support for BALVERSA®
Specialty Distributor and Specialty Pharmacy Flashcard
See specialty distributor and specialty pharmacy information for access to BALVERSA®, in addition to services provided by US Bioservices.
To help you get your patients started on BALVERSA®, the following resources may be helpful to your patients and your practice:
Supporting Appropriate Payer Coverage Decisions
This brochure has been developed to help healthcare providers understand how to work with payers for coverage of medically necessary drug therapies.
Extra Help with Prescription Drug Costs: Medicare Low-Income Subsidy (LIS) Overview
Learn about extra help available to low-income residents of the United States who are enrolled in Medicare Prescription Drug Plans.
Know Your State Interactive Tool
This interactive tool provides information on affordability options for patients at the state level.
Sample Exception Letter
Each payer follows a different process when filing exceptions and appeals. Submit an exception letter when requesting an exception for BALVERSA®.
Sample Letter of Medical Necessity
Submit a letter to support the medical necessity of treatment with BALVERSA® either with the initial claim or when requesting reconsideration of a denied claim.
Prior Authorization Considerations Checklist
Learn more about general Prior Authorization processes including items and information that may be requested from your patient’s insurer.
Appeal Considerations Checklist
If your patient’s insurer denies coverage for your patient, learn more about general insurance appeals processes.
Exception Considerations Checklist
General information on exception processes for your patient’s coverage of medically necessary drug therapies.
Affordability Options for Prescription Drugs – This summary presents resources that may assist patients with their prescription drug costs based on their primary insurance status.
Support for patients using commercial or private insurance to pay for medication
Janssen CarePath Savings Program for BALVERSA® can help eligible patients receive instant savings on their out-of-pocket medication costs for BALVERSA®. Depending on their health insurance plan, savings may apply toward co-pay, co-insurance, or deductible. Your eligible patients will pay $5 per fill with a $25,000 maximum program benefit per year. 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 Balversa.JanssenCarePathSavings.com.
Providers can check patients’ eligibility and enroll them in the Janssen CarePath Savings Program for BALVERSA® at JanssenCarePathPortal.com/express. There is a "Print a Card" feature to provide the patient with a card.
Your patients and their caregivers can enroll the patient in the Janssen CarePath Savings Program for BALVERSA® at MyJanssenCarePath.com/express.
Support for patients using government-funded healthcare programs or patients without insurance coverage
Patients without commercial or private health insurance may find help from the programs and resources found on JanssenPrescriptionAssistance.com.
AdvocacyConnector.com is a Janssen-sponsored resource that connects patients and caregivers to national and state-specific advocacy groups that offer resources.
Cancer.com Web Site
Cancer.com is an online resource designed to connect patients to educational, emotional, and community support they may need through their cancer journey. Tailored content provided by leading advocacy organizations, together with a suite of tools that may help users navigate life with cancer, including My Care Activator, The Advocacy Connector, and The Survivorship Guide.
US Bioservices is an AmerisourceBergen specialty pharmacy.
The Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF) is an independent, nonprofit organization that is committed to helping eligible patients without insurance coverage receive prescription products donated by Johnson & Johnson operating companies. To see if they might qualify for assistance, please have your patient contact a JJPAF program specialist at 1-800-652-6227 (Monday−Friday, 9 AM to 6 PM ET) or visit the foundation website at www.JJPAF.org.