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Johnson & Johnson withMe — TREMFYA withMe Access Program fax number

(800) 600-7226

TREMFYA withMe Enrollment/Access Program

Used for: Faxed Patient Enrollment Form submission for the TREMFYA withMe program.

Fax destination details

Department
TREMFYA withMe Enrollment/Access Program
Purpose
Faxed Patient Enrollment Form submission for the TREMFYA withMe program.
Form
Patient Enrollment Form — TREMFYA withMe Patient Enrollment Form

Before you send

  • Confirm that this exact department handles your document or request.
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  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Complete the required fields (patient and prescriber information, consents as applicable) and fax to 800-600-7226 to enroll in the TREMFYA withMe program.

Review official form instructions

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