Once a decision has been made to prescribe SPRAVATO®
SPRAVATO withMe can help navigate access and affordability processes efficiently so you can focus on your patients
SPRAVATO withMe can help navigate access and affordability processes efficiently so you can focus on your patients.
SPRAVATO withMe Case Managers provide you with educational support to help your patients start and stay on track.
Learn how to minimize delays in the approval process and get your patients on treatment quickly with the help of our Case Managers.
Enrolling your patients in SPRAVATO withMe allows them to receive the following, regardless of insurance coverage:
- SPRAVATO withMe Care Navigators, mental health professionals* who can offer one-to-one dedicated support
- Basic product information
- Motivational encouragement
- Affordability support
*Care Navigators do not provide medical advice.
1-844-4S-WITHME (1-844-479-4846),
Monday through Friday, 8 AM to 8 PM ET.
Information about your patients’ insurance coverage, cost support options, and treatment support is given by service providers for SPRAVATO withMe. The information you get does not require you or your patient to use any Janssen product. Because the information we give you comes from outside sources, SPRAVATO withMe cannot promise the information will be complete. SPRAVATO withMe cost support is not for patients in the Johnson & Johnson Patient Assistance Foundation.
Get a full view of your patients’ insurance to help get them on treatment quickly by minimizing approval delays
Have drug and observation access and reimbursement information to help minimize denials and delays when getting your patients on treatment.
Once your patient is enrolled, as part of the benefits investigation, we’ll evaluate:
Help simplify the Prior Authorization (PA) process to get patients on treatment quickly*
We'll help provide information and updates about the prior authorization and appeals process.
Our team can educate you on the prior authorization process by providing:
- Payer-required documentation for submissions to support patients who have medical benefits
- Tracking of submissions status
- Support for appeals
- Prior re-authorization notifications
To help minimize timing delays and frustration due to coverage denials, SPRAVATO withMe has contracted with CoverMyMeds to offer electronic prior authorization support for pharmacy benefit access. As a result, you will be able to access your existing CoverMyMeds account and patients' history in the SPRAVATO withMe Provider Portal. This will help give you visibility into the process and allow you to track your patients' progress.
*We do not fill out any information that requires the medical judgment of the prescriber, and only the prescriber can determine whether to pursue a prior authorization.
Count on our Case Managers to identify pharmacy options for your patients.
You'll receive pharmacy options that have been verified for REMS certification and payer-mandated requirements. You will also be informed/know if the pharmacy accepts your patients' medical insurance or pharmacy drug benefits.
SPRAVATO® service code reimbursement support
SPRAVATO withMe, alongside the Patient Access Specialist (PAS) team, can help educate you and your staff on which codes are accepted by your patients’ insurance plans.
- Specific E/M Codes accepted by the payer
- Codes accepted for Medicare and Non-Medicare Plan Coverage
- BHO and employee-subsidized plan coverage
- Appeals Process Educational Support
- Your Case Manager can contact the payer on your patient's behalf to help you understand the reason for the denial and to help you move forward with the process
Information about your patients’ insurance coverage, cost support options, and treatment support is given by service providers for SPRAVATO withMe. The information you get does not require you or your patient to use any Janssen product. Because the information we give you comes from outside sources, SPRAVATO withMe cannot promise the information will be complete. SPRAVATO withMe cost support is not for patients in the Johnson & Johnson Patient Assistance Foundation.
SPRAVATO withMe Care Navigators—dedicated support for your patients
In addition to the support you provide, a SPRAVATO withMe Care Navigator will support your patients to help them start and stay on track throughout their treatment journey.
The treatment journey can be challenging for some patients. This is why the SPRAVATO withMe offers a dedicated Care Navigator with mental health experience.* Within 24 hours of enrollment,† a Care Navigator will be assigned to every patient, regardless of insurance coverage.
*Care Navigators do not provide medical advice.
†Or within the next business day.
They’ll offer one-to-one support and:
Most importantly, SPRAVATO withMe Care Navigators will be there with emotional support and encouragement at every step.
Care Navigators are available Monday through Friday, 8:00 AM to 8:00 PM ET. They will return your patients’ calls within the same day or the next business day.
1-844-4S-WITHME (1-844-479-4846),
Monday through Friday, 8:00 AM to 8:00 PM ET.
The SPRAVATO withMe Savings Program could help your eligible patients save
Eligible commercially insured patients could pay $10 per treatment for SPRAVATO® out-of-pocket medication costs.
Eligible patients with commercial insurance pay as little as $10 per treatment for their SPRAVATO® medication. There are quantity limits and a savings limit each year. Program does not cover the cost of treatment observation. Patients may participate without sharing their income information. See program requirements.
1-844-4S-WITHME (1-844-479-4846) or visit JanssenCarePathPortal.com/express to express enroll your patients in the Savings Program.
SPRAVATO withMe can provide information about other resources that may be able to help your patients with their out-of-pocket medication costs:
- State Pharmaceutical Assistance Programs (SPAPs)
- State Health Insurance Programs (SHIPs)
- Medicare Savings Program
- Medicare Part D Extra Help Low-Income Subsidy
The Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF) is an independent, nonprofit organization. JJPAF gives eligible patients free prescription medicines donated by Johnson & Johnson companies. Patients may be eligible if they don’t have insurance.
Do you have patients who may need help?
They can see if they are eligible and get an application at JJPAF.org or call 800-652- 6227 (Monday through Friday, 8:00 AM to 8:00 PM ET).
Enrolling patients in SPRAVATO withMe is simple
There are 2 ways to help your patients get started with their enrollment:
Download and fill out the Patient Enrollment Form and send it via fax to 844-577-7282
If you have any questions about enrolling your patients, give us a call at 1-844-4S-WITHME (1-844-479-4846), Monday through Friday, 8:00 AM to 8:00 PM ET.