CUSTOMER ENROLLMENT & ORDERING STEPS GUIDE
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1 CUSTOMER ENROLLMENT & ORDERING STEPS GUIDE December 2016 Version 1.0 Janssen Pharmaceuticals, Inc All rights reserved. Page 1 of 11
2 1 Enroll 1.1 Returning User? Step 1 Access the Free Trial Program (FTP) Home Page Go to Step 2 Log In Read the program rules. Enter your address, then click Submit. Enter your password, then click Sign In. Step 3 Enroll Now Click on the Enroll Now button. Follow the steps to enroll yourself, inpatient hospital pharmacy(ies), inpatient hospital(s), and inpatient hospital prescriber(s) supporting the program. Step 4 Review & Accept Program Rules & Execute Your Electronic Signature Review and accept the program rules. Execute your electronic signature. Click on the Enroll Now button to proceed to the next page. Janssen Pharmaceuticals, Inc All rights reserved. Page 2 of 11
3 Step 5 Confirmation Page A thank you page will display advising that your enrollment application will be processed within 7 business days. Click on the Proceed to Order Placement button to continue. Janssen Pharmaceuticals, Inc All rights reserved. Page 3 of 11
4 Step 6 Update/Review Enrollment If you would like to update or review the enrollment information submitted, you can do so by accessing the My Account Profile page and clicking on Update or Review Enrollment. If updates are needed, follow the steps to update your enrollment. 1.2 New User? Step 1 Access the FTP Home Page Go to Step 2 Log In Read the program rules. Enter your address, then click Submit. Step 3 Pharmacist Registration Enter all required information. Review & accept the program rules. Click on the Submit Request button to complete registration. Janssen Pharmaceuticals, Inc All rights reserved. Page 4 of 11
5 Janssen Pharmaceuticals, Inc All rights reserved. Page 5 of 11
6 Step 4 Step 5 Enroll Enter the required enrollment information. Follow the steps to enroll yourself, inpatient hospital pharmacy(ies), inpatient hospital(s), and inpatient hospital prescriber(s) supporting the program. Review & Accept Program Rules & Execute Your Electronic Signature Review and accept the program rules. Execute your electronic signature. Click on the Enroll Now button to proceed to the next page. Janssen Pharmaceuticals, Inc All rights reserved. Page 6 of 11
7 Step 6 Confirmation Page A thank you page will display advising that your enrollment application will be processed within 7 business days. Step 7 Update/Review Enrollment If you would like to update or review the enrollment information submitted, you can do so by accessing the My Account Profile page and clicking on Update or Review Enrollment. If updates are needed, follow the steps to update your enrollment. Step 8 Ready to Place Orders? Once your enrollment application has been approved, you will be notified via . At that time, you may begin to request free trial units directly online. Janssen Pharmaceuticals, Inc All rights reserved. Page 7 of 11
8 2 Order Placement Step 1 Access the FTP Home Page Go to Step 2 Log In Enter your address & password. Step 3 Access the View/Order Products Page Select the correct inpatient hospital pharmacy Ship To Address. You may request one free trial unit per order. Click on the Add to Cart button to proceed to the next page. Janssen Pharmaceuticals, Inc All rights reserved. Page 8 of 11
9 Step 4 Place Order Review shipping information. Indicate best days for delivery. Execute your electronic signature. Review & accept the program rules and proceed to submit your request. Janssen Pharmaceuticals, Inc All rights reserved. Page 9 of 11
10 Janssen Pharmaceuticals, Inc All rights reserved. Page 10 of 11
11 Step 5 Order Confirmation Once your order has been successfully created, an order confirmation page will display. You will receive an confirming your order has been placed and another once your order has shipped. Step 6 View Order Status & History Once you have successfully placed orders online, you can view your order status and history by accessing the "My Order Status & History" page. You will be able to view all orders placed online as well as details within each order. Janssen Pharmaceuticals, Inc All rights reserved. Page 11 of 11
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