AccessOne® for STELARA™ cannot accept any information or honor any request for coordination of nursing services without an executed Business Associate Contract (BAC) with no Limitation of Services, or a Patient Authorization (PA) form on file. The Patient Authorization (PA) for STELARA™ can be found on the Prescription Information, Nursing Order and STELARA™ Support Enrollment Form. In addition, a completed Prescription Information, Nursing Order and STELARA™ Support Enrollment Form must be submitted for each patient for whom coordination of medication delivery and coordination of nursing services for treatment with STELARA™ is requested.
A Prescription Information, Nursing Order and STELARA™ Support Enrollment Form, with sections completed for coordination of medication delivery and nursing services, must be submitted to AccessOne® by the prescriber in order to activate AccessOne® Nurse Coordination. No other forms for request of AccessOne® Nurse Coordination will be accepted. AccessOne® Nurse Coordination cannot be requested directly by the patient.
AccessOne® Nurse Coordination is not available to patients participating in a Patient Assistance Program (PAP), because STELARA™ is shipped to the physician's office. Certain restrictions on program availability may apply.
INDICATION AND IMPORTANT SAFETY INFORMATION