STELARA withMe offers eligible patients subcutaneous STELARA^®(ustekinumab) at no cost until their commercial insurance covers the medication. See program requirements below.

1. a subcutaneous STELARA^® prescription for an on-label, FDA-approved indication
2. commercial insurance with biologics coverage
3. a delay of more than 5 business days or a denial of treatment from their insurance
In addition, for patient to be eligible, Prescriber must submit:
4. a program enrollment form*
5. a coverage determination form (i.e., prior authorization or prior authorization with exception) to the commercial insurance.

1. patient uses any state or federal government funded healthcare program to cover medication costs. Examples of these programs are Medicare, Medicaid, TRICARE, Department of Defense, and Veterans Administration
2. prior authorization is denied due to missing information on coverage determination form, use for a non–FDA-approved indication, or invalid clinical rationale

1. conduct a benefits investigation and confirm prior authorization requirements
2. provide prior authorization form assistance and status monitoring, including the exceptions and appeals processes
3. refer eligible patients to Wegmans Specialty Pharmacy for further program support and shipment of medication
4. support the transition of patients to commercial product if the medication is covered
5. check insurance coverage status during the program.