? Re: Cost of Remicade Vs Humira

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sukay
Veteran Member


Date Joined Feb 2003
Total Posts : 1421
   Posted 7/10/2008 7:55 AM (GMT -6)   
Hi everyone,
 
Does anyone know the difference in out of pocket costs for Remicade vs Humira? I am on Remicade and it is very expensive. I now have new insurance that won't be covering it as much as my other insurance and I was wondering what the cost of Humira is compared to it.
~sukay~
 Bipolar - August 2004
     Crohns disease - 1995 
Arthritis & Fibromyalgia 
 
Leo Buscaglia


karendee
Veteran Member


Date Joined Mar 2007
Total Posts : 1642
   Posted 7/10/2008 9:12 AM (GMT -6)   

My insurance covered Humira much better as well. So, I did not consider Remicade at all.

Remicade was not an option. I called and asked about Humira and checked the cop-pay price. I pay $40 a month for Humira when I would have to pay 10% of Remicade. From reading here Remicade was expensive and the 10% was too much for me. Plus it is done in a hospital here and the fess for nurses etc are bound to make the $$$ more.

I suggest trying to go to your insurance website and check their drug formulary. Since Humira is a higher cost drug sometimes they up the copay. My regular brand name copay is $20 but for Humira it is $40 since it is in a higher class of drugs with higher cost.

If you can't get to the website then call the ins company and ask. I try to use the website first usually. Since you are on Remicade I bet the insurance won't have a problem with humira since it turns out to be much cheaper.

good luck

Karen

 


 ...

Karen (Karendee)

Diagnosed w/ Crohn’s Disease  March 2007 On 150mg Azathioprine (generic Imuran), Pentasa, & Entocort Switching to Humira June 2008 will wean off Pentasa and Entocort

Diagnosed w/  Fibromyalgia May 2007 also on Soma - Also on Prilosec for reflux.

 

 


RedAdmin
Veteran Member


Date Joined Aug 2003
Total Posts : 1017
   Posted 7/10/2008 9:37 AM (GMT -6)   
Sometimes it matters how it is billed. When I go to the infusion center they charge it as a doc appt and I currently only pay my copay of $20. The humaria would run me $150 a month if I switched.

On my previous insurance it cost me 10% up to my max out of pocket of $2500 (including deductiable) and then it was paid at 100%.

I would suggest you call your insurance and talk to them. That is why they have help lines.
Red (Lee Ann)
 Happy Bunny 
      When life gives you lemons, squirt juice in your enemy's eyes.


hspenser
Veteran Member


Date Joined Dec 2005
Total Posts : 544
   Posted 7/10/2008 10:11 AM (GMT -6)   

I am told that remicade would be higher on my plan since I would have to cover of the infusion center costs and since the drug would be from a pharmacy it could get very pricey...maybe 300 or 400 dollars per session out of pocket.

 

My Humira if bought at the pharmacy would cost 40% or $300 per shot ( I need the equiv of 1 per week)  if i purchase through my insurance companies mail order program my out of pocket is $100 for a 90 day supply....

 

have fun figuring this out.....everyones plan is so different...your best bet is to call your company and ask for all options.


dx IBS 1999   UC 2000   CD 2001
Tested BIOGEN TYSABRI (gave me 2 years of remission)
currently on Low Dose Netroxene (started Jan. 19, 2007)...against Dr's wishes, he was pushing for Remicade.  Stopped the Naltrexone July 28th...started Humira Aug 31st, 2007...current dose two shots every other week.
Crohns is currently active and has been since April of 2005
51 yrs old


ZenaWP
Veteran Member


Date Joined Aug 2007
Total Posts : 884
   Posted 7/10/2008 11:26 AM (GMT -6)   
When I was on Remicade, it was billed through insurance.  My first transfusion would be about $500-something (done at home with a nurse) but I would hit my $1000 out of pocket max during the second one and not have to pay anything the rest of the year.  Now they say they aren't supposed to bill it that way, so the Humira is being billed through the mail order pharmacy and my copay is $100/month.  But, I am using the Co-Pay Plus program through Humira that covers 100% of my copays for 6 months and all but $50 for another 6 months.

Crohn's Disease, Acid Reflux/Gastritis, Hypothyroidism, Endometriosis, Arthritis, Depression/Anxiety.  Too many meds to list them all.  =) 

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