Once a decision has been
made to prescribe IMAAVY

Help your patients
start and stay with confidence

IMAAVY withMe offers customized support to help your patients start and stay on IMAAVY

Download and submit a PEF to unlock the free support and resources your patients may be eligible for.

Commercially insured IMAAVY patients:

Eligible patients pay as little as $0 per infusion through the IMAAVY withMe Savings Program*

IMAAVY at no cost for up to 3 years or until their commercial insurance covers the medicine†

All IMAAVY patients:

Dedicated Nurse Navigator‡

Insurance Benefits Investigation

Tailored Treatment Resources

  1. *Program consists of Medicine Cost Support for the cost of IMAAVY medicine and Treatment Administration Cost Support for certain IMAAVY
    infusion administration and related monitoring costs. Maximum program benefit per calendar year shall apply. Offer subject to change or end without notice. Patients may participate without sharing their income information. See program requirements.
  2. †When commercial insurance coverage is delayed more than 5 business days or denied, IMAAVY withMe offers eligible patients their IMAAVY medicine at no cost for up to 3 years or until their commercial insurance covers the medicine. See program requirements for the
    IMAAVY withMe Access Program at IMAAVYwithMeAccess.com.
  3. ‡Nurse Navigators do not provide medical advice.

Enrolling and Starting Patients

1

Initiate enrollment

There are 3 ways to enroll:

Download a PEF
2

Benefits
investigation (BI)
and prior
authorization
support

Your dedicated Case Manager provides support to help get patients started:

  • A streamlined BI will be performed
  • Patient eligibility for support programs will be evaluated
  • When commercial coverage is delayed >5 business days or denied, eligible patients can enroll in the IMAAVY withMe Access Program
  • Prior authorization support and status monitoring are available
  • Information on the
    exceptions and appeals process will be provided
3

Choose an infusion location

Advise your patients and their caregivers about where they can receive infusions:

Infusion Center Finder
4

Getting started

Once the PEF is submitted, here’s what you can expect:

  • Your Case Manager performs the BI and matches patients to the right support
  • A dedicated Nurse Navigator‡ reaches out to patients for treatment onboarding and preparing for infusions
  • Patients receive tailored resources to help orient them and set treatment expectations
  • IMAAVY withMe Infusion Services helps deliver a streamlined fulfillment experience through a contracted network of Infusion Service Providers and Infusion Centers ||
    • A submitted PEF is not required for access to IMAAVY withMe Infusion Service Providers

The patient support and resources provided by IMAAVY withMe are not intended to give medical advice, replace a treatment plan from the patient’s healthcare provider, offer services that would normally be performed by the provider’s office, or serve as a reason to prescribe IMAAVY.

  1. §The inclusion of an infusion center in the locator tool does not represent an endorsement from Johnson & Johnson. The locator tool is for informational purposes only. All users agree that use of the locator tool is at their own risk.
  2. ||The contracted ISPs and Infusion Centers are not the only ISPs and Infusion Centers available, and Johnson & Johnson does not endorse the use of any infusion service providers in particular. The information provided represents no statement, promise, or guarantee of
    Johnson & Johnson concerning levels of reimbursement, payment, or charge. Please consult specific payer organizations with regard to local or actual coverage, reimbursement policies, and determination processes.

Access and affordability support to help your patients start quickly and stay on treatment

For eligible, commercially insured patients

IMAAVY withMe
Access Program

At no cost for up to3 years

When commercial insurance coverage is delayed more than 5 business days or denied, IMAAVY withMe offers eligible patients their IMAAVY medicine at no cost for up to 3 years or until their commercial insurance covers the medicine. See program requirements.

IMAAVY withMe
Savings Program

Pay
as little as$0per infusion

Program consists of Medicine Cost Support for the cost of IMAAVY medicine and Treatment Administration Cost Support for certain IMAAVY infusion administration and related monitoring costs. Maximum program benefit per calendar year shall apply. Offer subject to change or end without notice. Patients can participate without sharing their income information. See program requirements.

For patients enrolled in government-funded healthcare programs or with no insurance coverage

IMAAVY withMe can provide information about other resources that may be able to help your patients with their out-of-pocket costs. Learn more at JNJwithMe.com.

Additional affordability support from Johnson & Johnson

Patient assistance from Johnson & Johnson is available if your patient is uninsured or has commercial, employer-sponsored, or government coverage that does not fully meet their needs. Your patient may be eligible to receive their medicine from J&J at no cost for up to one year if they meet the eligibility and income requirements for the Johnson & Johnson Patient Assistance Program. See terms and conditions at PatientAssistanceInfo.com/IMM or en español at PatientAssistanceInfo.com/IMM/
ES, or call 844-494-8463.

The patient support and resources provided by IMAAVY withMe are not intended to give medical advice, replace a treatment plan from the patient’s healthcare provider, offer services that would normally be performed by the provider’s office, or serve as a reason to prescribe IMAAVY.

One dedicated team with one goal

The IMAAVY withMe team works together to deliver customized support for IMAAVY patients.

Case ManagerCase Manager

Case Manager Team

Your Case Manager is the primary point of contact for your office. They are highly trained across all programs and skilled at matching patients to the right support.

Field Reimbursement ManagerField Reimbursement Manager

Field Reimbursement Manager (FRM)*

Your FRM provides access and reimbursement education and partners with your Case Manager team to help eligible patients who have been prescribed IMAAVY get started on therapy as quickly as possible.

Dedicated Nurse NavigatorDedicated Nurse Navigator

Dedicated Nurse Navigator†

A dedicated Nurse Navigator is a registered nurse who is available to support your patients with treatment education and disease management resources.

To connect with the right field team member for your inquiries, visit JNJwithMe.com/hcp/IMAAVY or call 844-4withMe
(844-494-8463), Monday−Friday, 8:00 AM to 8:00 PM ET.

The patient support and resources provided by IMAAVY withMe are not intended to give medical advice, replace a treatment plan from the patient’s healthcare provider, offer services that would normally be performed by the provider’s office, or serve as a reason to prescribe IMAAVY.

  1. *Protected Health Information cannot be exchanged without a Business Associate Agreement or Patient Authorization on file.
  2. †Nurse Navigators do not provide medical advice.

Your Johnson & Johnson representative is your liaison who can help connect your office with the team members, information, and resources from
IMAAVY withMe.

Request a representative

For more information, call 844-4withMe (844-494-8463), Monday–Friday, 8:00 AM–8:00 PM ET.

Links to Helpful Resources

Office Resources

IMAAVY withMe Patient Enrollment FormJ&J withMe Provider PortalIMAAVY withMe Savings Program FlashcardIMAAVY Prior Authorization Checklist

Reimbursement, Billing, and
Coding Resources

Billing and Coding GuideBilling and Coding Webpage

Sample Letters

IMAAVY withMe Sample Letter of Medical NecessityIMAAVY withMe Sample Letter of ExceptionIMAAVY withMe Sample Letter of Appeal

Patient Resources

Infusion Center FinderIMAAVY Patient BrochureIMAAVY withMe Patient Affordability Brochure

Enroll your patients into IMAAVY withMe today.

Download and fax/eFax a PEF

For more information, call 844-4withMe (844-494-8463), Monday–Friday, 8:00 AM–8:00 PM ET.

Frequently Asked Questions

IMAAVY withMe is a free support program that provides your patients who have been prescribed IMAAVY access to a Nurse Navigator,* tailored resources, and access and affordability options to help patients start and stay on track with treatment.

*Nurse Navigators do not provide medical advice.

Patients 12 or older who have been prescribed IMAAVY for an FDA-approved, on-label use are eligible for this program. For patients under 18 years of age, Nurse Navigator support is only available for the minor patient’s parent/legal guardian or legally authorized representative. For those eligible, IMAAVY withMe is completely free. Eligibility for program components may vary.

You can enroll your patients in IMAAVY withMe on the Provider Portal, by submitting a Patient Enrollment Form (PEF). For more information, call
844-4withMe (844-494-8463), Monday–Friday, 8:00 AM–8:00 PM ET.

Your main points of contact at IMAAVY withMe will include:

  • The Case Manager team. The Case Manager team provides customized support to help patients start and stay on therapy:
    • Case Manager is the primary point of contact for patients, HCPs, and office staff
    • Highly trained across all
      programs and skilled at matching patients to the right support
    • Here to help with commercial prescription triage to mandated specialty pharmacies
  • Your local Field Reimbursement Manager (FRM). By offering in-office educational support, an FRM can help your patients by:
    • Working directly with your Case Manager team to help patients who have been prescribed IMAAVY get started on therapy
      as quickly as possible*
    • Viewing patient-case details to help minimize delays*
    • Delivering patient-case education to help patients start and stay on therapy*
    • Contacting specialty pharmacies directly to inquire about specific patient cases*

Request a Representative to connect with an FRM

*Protected Health Information cannot be exchanged without a Business Associate Agreement or Patient Authorization on file.

IMAAVY withMe supports your patients by educating you and your office so you can:

  • Understand your patients’
    insurance coverage for IMAAVY
  • Learn about cost support options for your patients
  • Download up-to-date forms for prior authorization and get status
    of requests
  • Understand the exceptions and appeals process
  • Get coding and billing information for buy-and-bill
  • Locate an infusion center, if needed

IMAAVY withMe supports your patients and their caregivers throughout the treatment journey with help that includes:

  • Information on the patient’s insurance coverage and
    cost support—no matter what type of coverage the patient has
  • Nurse Navigator* outreach at key moments of the treatment journey
  • Tailoring support resources for your patient’s unique needs

*Nurse Navigators do not provide medical advice.

The J&J withMe Provider Portal is a secure online platform for healthcare professionals to manage patient access to IMAAVY and other Johnson & Johnson medicines. You can request and review benefits investigations, enroll eligible patients in the IMAAVY withMe Savings Program, and view Savings Program transactions as requested by the patient.

Sign in or create your account at Account.JNJwithMe.com/hcp.

The patient support and resources provided by IMAAVY withMe are not intended to give medical advice, replace a treatment plan from the patient’s healthcare provider, offer services that would normally be performed by the provider’s office, or serve as a reason to prescribe IMAAVY.