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Benefits investigation and prescription form. Complete this form to enroll in the stelara withme savings program, which offers a rebate card to help pay for stelara medication. Sign up below and your own dedicated stelara withme nurse navigator* will reach out to you. Enroll now in stelara withme. Info about injectingnurse navigator program Info about injectingnurse navigator program Stelara withme benefits investigation and prescription form oct2022. You can also get the process started by visiting the website and signing up your patients after prescribing stelara®. This form is for patients and prescribers who want to enroll in stelara withme, a savings program for stelara®, a biologic medication for. Stelara withme is a program that offers support for patients prescribed stelara®, a medication for psoriasis and psoriatic arthritis.