Janssen carepath tremfya enrollment form

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Summary of resources to help you pay for TREMFYA ®

Patient Authorization Form

Allows you to authorize the use of your personal information for Janssen Patient Support Programs.

Health Insurance Open Enrollment Guide

Review your coverage and make necessary changes so you can stay on treatment in the new benefit period.

IMPORTANT SAFETY INFORMATION

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WHAT IS TREMFYA ® (guselkumab)?

TREMFYA ® is a prescription medicine used to treat adults with moderate to severe plaque psoriasis who may benefit from taking injections or pills (systemic therapy) or phototherapy (treatment using ultraviolet or UV light).

TREMFYA ® is a prescription medicine used to treat adults with active psoriatic arthritis.

IMPORTANT SAFETY INFORMATION

What is the most important information I should know about TREMFYA ® ?

TREMFYA ® is a prescription medicine that may cause serious side effects, including:

• Serious Allergic Reactions. Stop using TREMFYA ® and get emergency medical help right away if you develop any of the following symptoms of a serious allergic reaction:

• fainting, dizziness, feeling lightheaded (low blood pressure)
• swelling of your face, eyelids, lips, mouth, tongue or throat

• trouble breathing or throat tightness
• chest tightness
• skin rash, hives
• itching

• Infections. TREMFYA ® may lower the ability of your immune system to fight infections and may increase your risk of infections. Your healthcare provider should check you for infections and tuberculosis (TB) before starting treatment with TREMFYA ® and may treat you for TB before you begin treatment with TREMFYA ® if you have a history of TB or have active TB. Your healthcare provider should watch you closely for signs and symptoms of TB during and after treatment with TREMFYA ® .

Tell your healthcare provider right away if you have an infection or have symptoms of an infection, including:

• fever, sweats, or chills
• muscle aches
• weight loss
• cough
• warm, red, or painful skin or sores on your body different from your psoriasis

• diarrhea or stomach pain
• shortness of breath
• blood in your phlegm (mucus)
• burning when you urinate or urinating more often than normal

Do not take TREMFYA ® if you have had a serious allergic reaction to guselkumab or any of the ingredients in TREMFYA ® .

Before using TREMFYA ® , tell your healthcare provider about all of your medical conditions, including if you:

• have any of the conditions or symptoms listed in the section “What is the most important information I should know about TREMFYA ® ? ”
• have an infection that does not go away or that keeps coming back.
• have TB or have been in close contact with someone with TB.
• have recently received or are scheduled to receive an immunization (vaccine). You should avoid receiving live vaccines during treatment with TREMFYA ® .
• are pregnant or plan to become pregnant. It is not known if TREMFYA ® can harm your unborn baby.
• are breastfeeding or plan to breastfeed. It is not known if TREMFYA ® passes into your breast milk.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

What are the possible side effects of TREMFYA ® ?

TREMFYA ® may cause serious side effects. See “What is the most important information I should know about TREMFYA ® ? ”

The most common side effects of TREMFYA ® include: upper respiratory infections, headache, injection site reactions, joint pain (arthralgia), diarrhea, stomach flu (gastroenteritis), fungal skin infections, herpes simplex infections, and bronchitis.

These are not all the possible side effects of TREMFYA ® . Call your doctor for medical advice about side effects.

Use TREMFYA ® exactly as your healthcare provider tells you to use it.

Please read the full Prescribing Information, including Medication Guide for TREMFYA ® , and discuss any questions that you have with your doctor.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

The support and resources provided by RYBREVANT withMe are not intended to provide medical advice, replace a treatment plan you receive from your doctor or nurse, or serve as a reason for you to start or stay on treatment.

The support and resources provided by RYBREVANT withMe are not intended to provide medical advice, replace a treatment plan you receive from your doctor or nurse, or serve as a reason for you to start or stay on treatment.

© Johnson & Johnson Health Care Systems Inc. 2024

TREMFYA withMe via Janssen CarePath is run by Johnson & Johnson Health Care Systems Inc. on behalf of Janssen Biotech, Inc.

SPRAVATO withMe via Janssen CarePath is run by Johnson & Johnson Health Care Systems Inc. on behalf of Janssen Biotech, Inc.

RYBREVANT withMe and J&J withMe are run by Johnson & Johnson Health Care Systems Inc.

RYBREVANT withMe and J&J withMe are run by Johnson & Johnson Health Care Systems Inc.

This site is published by Johnson & Johnson Health Care Systems Inc., which is solely responsible for its contents. The material on this site is intended only as informational or as educational and it is not intended to be taken as medical advice. The ultimate responsibility for patient care resides with a healthcare professional.

This information is intended for the use of patients and caregivers in the United States and its territories. Laws, regulatory requirements, and medical practices for pharmaceutical products vary from country to country. Third-party trademarks used herein are trademarks of their respective owners.