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Were you prescribed XARELTO® 10 mg after a recent non-surgical hospitalization?
Were you prescribed XARELTO® (10 mg) after being in the hospital for any reason other than surgery?
Do you agree NOT to submit any costs paid by the XARELTO withMe Savings Card program as a claim for payment to any health plan, patient assistance foundation, flexible spending account, or healthcare savings account?
Will you not seek payment for the value received from the XARELTO withMe Savings Card from any health plan, patient assistance foundation, flexible spending account, or healthcare savings account?
I was prescribed XARELTOⓇ 10 mg for a recent knee or hip replacement surgery
Were you prescribed XARELTO® (10 mg) after a recent knee or hip replacement surgery?
Do you agree NOT to ask any government-funded healthcare program to cover any of your XARELTO® costs?
Will you not be seeking payment from any government-funded healthcare program for XARELTO®? Examples of government-funded programs are Medicare Parts A, B, C (also known as Medicare Advantage Plan), D, and Medicare Supplement, Medicaid, TRICARE, Department of Defense, or Veterans Administration.
Commercial
Insurance you get through your job or your spouse's job. You can also purchase it from an insurance carrier, Healthcare.gov, or an insurance broker. It is not offered by the government.
Other
This could include other federally funded healthcare programs like Medicare Part A, B and C, Medicaid, Children's Health Insurance Program (CHIP), the Department of Defense TRICARE (DoD TRICARE), the Veterans Health Administration (VHA) program, and the Indian Health Service (IHS) program.
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Cost Support Sign-Up
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Coverage Gap Support Sign-Up
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Why do we ask this?
We recognize that someone’s assigned sex at birth isn’t always the same as their gender identity.
We’re asking for this information because it helps us verify your coverage with your insurance company.
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To accept, please read all the Terms and Conditions by scrolling to the bottom
Program Requirements
XARELTOwithMe is only available for people who are taking XARELTO® as prescribed for FDA-approved, on-label use. It is not valid for any prescription written with off-label dosing.
XARELTOwithMe is not insurance and should not take the place of insurance.
XARELTOwithMe Coverage Gap Support Program Requirements
XARELTOwithMe Coverage Gap Support is only available for people who are taking XARELTO® as prescribed for FDA-approved, on-label use. It is not valid for any prescription written with off-label dosing.
To register, you must have insurance covering a portion of the Cost of XARELTO®, and you are being asked to pay more than $89 monthly for XARELTO® through your insurance. The Cost ($89 or $250*, plus sales tax if applicable) will not count toward your deductible or cumulative out-of-pocket spend. The Cost may not be submitted as a claim for payment to any third-party payer or pharmaceutical patient assistance foundation.
If you choose, you may submit the Cost to a Flexible Spending Account (FSA) or a Health Savings Account (HSA). Check with your employer if the Cost may be submitted to a Health Reimbursem*nt Account (HRA).
Registration begins April 1 each year and refills are available through December 31. Terms expire at the end of each calendar year and may change.
Before you register for XARELTOwithMe Coverage Gap Support, it is important you understand that you will be asked to provide personal information that may include your name, address, phone number, email address, and information related to your prescription insurance and treatment. This information will be used by the mail-order pharmacy for Coverage Gap Support, in accordance with their privacy practices, to determine your eligibility, enroll you in Coverage Gap Support, and administer Coverage Gap Support. The information will also be used to learn more about the people who use Coverage Gap Support and improve the information we give them. It will be shared with companies supporting Coverage Gap Support and your insurance provider, as required by law.
XARELTOwithMe Coverage Gap Support may not be used with any other coupon, discount, prescription savings card, free trial, or other offer. Offer good only in the United States and Puerto Rico. Void where prohibited or limited by law.
You may end your participation in XARELTOwithMe at any time by calling 888-XARELTO (888-927-3586), Monday-Friday, 8 AM to 8 PM ET.
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Please note that this third-party website is not controlled by Janssen Pharmaceuticals, Inc. or subject to our privacy policy.
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Do you have insurance covering a portion of the cost of XARELTO®?
Once you meet your deductible, will your insurance pay for some of the cost of your prescription for XARELTO®? If you're not sure, your pharmacist or insurance company may be able to help answer this for you.
Are you being asked to pay more than $89 monthly for XARELTO® through your insurance?
This may happen when you're in a coverage gap—a temporary period where your prescription drug plan limits how much they pay toward your medication. Your pharmacist or insurance company can help confirm what you are paying for your monthly XARELTO® prescription.
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XARELTO withMe Savings Card Program Requirements
You may be eligible for the XARELTO withMe Savings Card if you:
Use commercial or private health insurance to pay for your XARELTO® prescription
Are being treated with XARELTO®, except if you are prescribed XARELTO® 10mg because of a recent non-surgical hospital discharge or because you have recently undergone hip or knee replacement surgery
Other Requirements
The XARELTO withMe Savings Card is only for people using commercial or private health insurance for XARELTO®. This includes plans from the Health Insurance Marketplace. The XARELTO withMe Savings Card is not for people who use any state or federal government-funded healthcare program. Examples of these programs are Medicare, Medicaid, TRICARE, Department of Defense, and Veterans Administration. You may not seek payment for the value received from XARELTO withMe from any health plan, patient assistance foundation, flexible spending account, or healthcare savings account. You must meet the Savings Card requirements every time you use the card. Terms will expire at the end of each calendar year. The XARELTO withMe Savings Card may change or end without notice, including in specific states.
To use the XARELTO withMe Savings Card, you must follow any health plan requirements, including telling your health plan how much co-payment support you get from XARELTO withMe. By using the Savings Card, you confirm that you have read, understand, and agree to the requirements on this page.
Before you enroll for the XARELTO withMe Savings Card, you will be asked to provide personal information that may include your name, address, phone number, email address, and information related to your prescription medication insurance and treatment. This information is needed for Johnson & Johnson Health Care Systems Inc. and our service providers to enroll you for the XARELTO withMe Savings Card. We may also use the information you give us to learn more about the people who use XARELTO® and to improve the information we give them. Johnson & Johnson Health Care Systems Inc. will not share your information with anyone else except where legally allowed.
This offer may not be used with any other coupon, discount, prescription savings card, free trial, or other offer. Offer good only in the United States and its territories, including Puerto Rico. Void where prohibited, taxed, or limited by law.
You may end your participation in XARELTO withMe at any time by calling 888-XARELTO (888-927-3586), Monday-Friday, 8 AM to 8 PM ET.
What do these insurance types mean?
Commercial insurance is insurance you get through your job or your spouse’s job. You can also purchase it from an insurance carrier, Healthcare.gov, or an insurance broker. It is not offered by the government.
Government coverage is coverage from government-funded healthcare programs like Medicare, Medicaid, the Department of Defense TRICARE (DoD TRICARE), or VA Health Care from the Veterans Health Administration.
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Do you have insurance covering a portion of the cost of XARELTO®?
Once you meet your deductible, will your insurance pay for some of the cost of your prescription for XARELTO®? If you’re not sure, your pharmacist or insurance company may be able to help answer this for you.
Are you being asked to pay more than $89 monthly for XARELTO® through your insurance?
This may happen when you’re in a coverage gap—a temporary period where your prescription drug plan limits how much they pay toward your medication. Your pharmacist or insurance company can help confirm what you are paying for your monthly XARELTO® prescription.
Need additional help?
Call us at 888-927-3586
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