What is your humira co-pay or total Cost?

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Doc2007
Regular Member


Date Joined Oct 2007
Total Posts : 294
   Posted 4/3/2009 2:02 PM (GMT -6)   
going to be starting Humira, working with Medical group and Insurance to get apporival now. Probably going to take a few weeks..for TB test and Hepatitus Vaccine etc before starting.
What should I expect as far as copay should my insurance decide to cover it? and if it doesnt how much does the medication cost?

Rider Fan
Veteran Member


Date Joined May 2008
Total Posts : 1434
   Posted 4/3/2009 3:15 PM (GMT -6)   
In Canada it costs about $800/injection. Luckily my insurance pays for it.
32 y/o male. Dx'ed in 1999. No surgeries.

Current meds: Humira 2/27/09. 17.5mg prednisone. Udo's Choice Probiotics (30 billion). Can't tolerate any iron supplements.

Tried SCD, didn't work, now avoiding gluten and dairy.


Beth
Regular Member


Date Joined Aug 2003
Total Posts : 303
   Posted 4/3/2009 3:30 PM (GMT -6)   
My co-pay is $20 per 2 pen box. The receipt from Walgreens says something like my insurance saved me $1500.
If your insurance doesn't cover it (and if they balk have your doctor write a letter to them for you) I'm sure the drug company has assistance to help pay for it.
Beth
 
Dx in early 1999
Resection in June 2006
Currently on Humira
 


Doc2007
Regular Member


Date Joined Oct 2007
Total Posts : 294
   Posted 4/3/2009 4:17 PM (GMT -6)   
how scary is that...to need a medication because your body has failed to respond to everything else...and your insurance may not cover it and you most certainly can not afford it...WOW only in America

goldy3
Regular Member


Date Joined Feb 2009
Total Posts : 139
   Posted 4/3/2009 4:45 PM (GMT -6)   
I pay 40 dollars for a 3 month supply....
42 year old woman diagnosed with UC 1991, Jpouch surgery 1992, Crohn's diagnosis 2009
Current meds: 500mg 2x's daily cipro, 800mg xifaxin, 9mg entocort, Humira (started 3/23/09), synthroid
 


LMills
Veteran Member


Date Joined Apr 2008
Total Posts : 1753
   Posted 4/3/2009 4:54 PM (GMT -6)   
My insurance pays for mine. Normally I would be paying $35, but with the copay assistance humira program I don't pay anything for at least the next 4 months.
20 years old, Diagnosed with moderate to severe Crohn's and Colitis in May of 2008.
Currently taking:
Prednisone 10 mg, pentasa 2 pills 4x a day, bentyl as needed, omeprazole in the morning, prenatal multivitamin, humira every other week, and Align probiotics given to me by my GI.
Surgery for ectopic pregnancy most likely the result of severe Crohn's inflammation in July of 2008.
Diet almost completely without refined sugars, wheat, flour, gluten, high lactose dairy, and/or junk food in general.
Learning how to live again.
"He who has a why to live for can bear with almost any how."


Wonderwen
Regular Member


Date Joined Mar 2009
Total Posts : 52
   Posted 4/3/2009 4:54 PM (GMT -6)   
Check the Humira Website, they have assitance programs. After insurance , my co pay would be $180 a month. I am glad that I went on it, it is working!

Ides
Forum Moderator


Date Joined Nov 2003
Total Posts : 6818
   Posted 4/3/2009 6:57 PM (GMT -6)   
The co-pay varies widely depending on the type of insurance plan. I have Tricare and paid $9.00 for a month's supply purchased through an approved pharmacy. If I had used my insurance mail order plan the cost would have been $3.00. Recently another member was asking about assistance because his co-pay was over $300.00 a month. I believe that Humira works out to about $1300 to 1400 a month without insurance. Remember that the initial loading dose is 4 injections which might cost more under some plans.
Moderator Crohn's Disease Forum
CD, Ankylosing Spondylitis, lupus, small fiber peripheral neuropathy, avascular necrosis, peripheral artery disease, degenerative disc disease, and a host of other medical problems.
 


Becky77
Veteran Member


Date Joined Dec 2005
Total Posts : 1768
   Posted 4/3/2009 7:15 PM (GMT -6)   
My copay per month is $35. Like others have said, it varies based on how much your prescription coverage is.
Becky

31 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05
Currently on Humira, Prilosec, Effexor, Seroquel, Calcium, Vit D, sublingual B12; phenergan, ultram, clonazepam as needed


randynoguts
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Date Joined Jan 2003
Total Posts : 5960
   Posted 4/4/2009 4:08 AM (GMT -6)   
-0-

doc2007, only in america? come on , you cant get it some countries at all because its deemed too expensive. you must use the approved cheaper meds. ask how many of the people here have a heck of a time to even get it let alone have insurance cover it.
randynoguts 



     http://www.geocities.com/randynogutsweb/


Anniegetyour gun
Regular Member


Date Joined Mar 2009
Total Posts : 20
   Posted 4/4/2009 10:56 AM (GMT -6)   
Yeah right - believe me its not just in America.  In South Africa the cost works out to approx. R160 000.00 - (+- US$16000.00)  per year for Remicade (Revelex) and the medical aids will not cover the costs.  They approve Crohns as a chronic disease, but will not pay for either Remicade or Humira - Crazy !
 
We are busy with a case at the moment and its just sad that at the end of the day one's health and healing can be dependent on finances.  I am still trying to work out what will we do if the final decision is rejected. 
 
Is there other medication to go on or not? 
 
shocked
Concerned and loving Mom
Johannesburg - South Africa


Doc2007
Regular Member


Date Joined Oct 2007
Total Posts : 294
   Posted 4/4/2009 11:09 AM (GMT -6)   
what concerns me the most is this is it for me...The other drugs I have used for 15 years no longer work...so (shrugs shoulders) What am I to do I cant afford a crazy copayment or to cover the total cost.

spookyh
Veteran Member


Date Joined Oct 2008
Total Posts : 1342
   Posted 4/4/2009 4:37 PM (GMT -6)   
I get Humira for free through their patient assistance program. Thank goodness, because it's been a very good drug for me.

OriginalAreU2
Regular Member


Date Joined May 2007
Total Posts : 89
   Posted 4/4/2009 4:43 PM (GMT -6)   
 I was told when looked into it...that my 20% ( which is what I pay on out BC/BS Federal Plan) prescription cost that I would pay $ 850 per 2 pack of the pens. So needless to say with having no income and still waiting on SS to decide something, I had to pass on that.
 
Remicade I paid $250 as a copay....but cant take that.
 
 
Diagnosed 4 years ago. been  a helluva ride since.  If there is a side issue to this dd I can find it.  I suffer with Pyoderma Gangrosum and horriffic mouth ulcers that get to the point I can't open my jaws.  Last one was nice enough to create a fistula and  add to my list of fun things to deal with.
Been on all kinds a things, currently on Imuran 50 mgs and it at least give me some confidence in leaving my home.
Allergic to Remicade. Promethius test shows my body fights it.  Also suspected to have PBC or PSC  autoimmune liver disease.
 


FitzyK23
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Date Joined May 2005
Total Posts : 4219
   Posted 4/4/2009 4:58 PM (GMT -6)   
Actually, Anniegetyourgun, the remicaide cost then is WAY cheaper in Africa than in the US. Here I think people pay $10,000 or so PER INFUSION, not yearly. It is ridiculous any way you slice it, I'm just saying that the overall cost there is cheaper. Are medical aids federal health plans? Is there private insurance available? Just curious.

Randy - from what I have followed on these boards is that biologics are not forbidden to crohns patients in countries w/ socialized medicine but rather you have to see a specially trained specialist to prescribe them and they are reserved for the most sick patients. Shouldn't that be the way it is done!!! Not every crohns patient needs biologics. So far I don't. But if I was that ill I would hope I was seeing a doctor trained not just as a GI but as a crohns specialist who was intimately familiar with prescribing biologics. I think it would take away any worry about drug reps using incentives to get doctors to overprescribe. Do you ever wonder if there are people just diagnosed and put on the "big guns" that might have responded to some of the less harsh LESS EXPENSIVE treatments? Call me a cynic but I think sometimes they may be over prescribed. While I agree that "only in America" is an overbroad statement, we most certainly don't have it perfect either.
27 Year old married female law student (last year!!). Diagnosed w/ CD 4 years ago, IBS for over 10 years before that, which was probably the CD. I am sort of lactose intollerant too but can handle anything cultured and do well w/ lactose pills and lactaid. For crohns I am currently on Pentasa 4 pills/4x day and hysociamine prn. I also have bad acid reflux and have been on PPI's since age 13. I have been through prilosec, prevacid, and nexium. Currently I am on Protonix in the morning and Zantac at night.  I take xanax prn for situational anxiety (aka no easy bathroom access). 


MAG102886
Veteran Member


Date Joined Jul 2008
Total Posts : 674
   Posted 4/4/2009 8:13 PM (GMT -6)   
I paid nothing for my Humira.  My prescription covered it, and my co-pay was paid by Humira, they sent me a card in the mail with up to 2000 dollars on it to go towards my co-pays.  If I didnt have the card my co-pay would have been 20 dollars for 2 pens.

Dianogsed with Crohns: At 16 years old. 22 years old now.
Surgeries:2 Bowel Resections, Gallbladder Removed.
Current Meds: Imuran 50mg, Vitamin B12 (injection), D, and C tablets. Fish Oil Tablets, Cats Claw, Slippery Elm, and Reishi.
 

randynoguts
Veteran Member


Date Joined Jan 2003
Total Posts : 5960
   Posted 4/4/2009 11:29 PM (GMT -6)   
yeah i know fitzy, i was just taking exception to the blanket statement.:0)..i wonder too though that if the treatments were found to work why not start out with them and maybe prevent surgeries, complications and such.. but what you said about the 'only the sickest" get the drugs, thats very scary to me and others. do you want a government to decide if your sick enough? not me.
randynoguts 



     http://www.geocities.com/randynogutsweb/


mkl11
Regular Member


Date Joined Jul 2007
Total Posts : 429
   Posted 4/5/2009 7:17 PM (GMT -6)   
$20???? $35????? This is blowing my mind. I pay $160 per 2 pens and the price keeps going up. This is INFURIATING. Especially for a company that took over 6 months to approve me, simultaneously approving and rejecting me. I had no idea other people paid such low prices.

My Remicade, because it was an in-hospital treatment, didn't cost my anything in copays, most likely because I am covered under a primary and secondary insurance plan.


But $20??? Jeeeeez I wish I had that.
20 y/o, diagnosed 6/2007. On Humira, no wheat or corn syrup, low sugar, low dairy.


Aimee =)
Veteran Member


Date Joined Jun 2004
Total Posts : 1020
   Posted 4/5/2009 11:03 PM (GMT -6)   
I pay $40 for a box of 2 syringes. I'm now on weekly doses, so I pay $80 or so a month to be on it. I am applying for help with the copay through the Humira patient asst plan, though. With DH unemployed, and going to weekly injections, $80 is a chunk of money for us. If they have help, might as well look into it. *shrug*

ZenaWP
Veteran Member


Date Joined Aug 2007
Total Posts : 884
   Posted 4/6/2009 11:30 AM (GMT -6)   
mkl11, I'm with you...how is everyone getting it so cheap?  My normal co-pay would be $200 for a 3 month supply but I currently am getting part of this paid for through the Co-Pay Plus program through Humira.  They are changing the program, though, so I am waiting on my new card to find out how much it will cost me.  Right now, I am supposed to be paying half of the co-pay for a few more months, then it was supposed to go to full price.  Those of you who are paying "normal" co-pays like $25 - $40 should consider yourselves very lucky.  I supposedly have very good insurance through UPS and it still costs $200 for 3 months (or $100 a month, if I only get a one month supply at a time).   

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


LisaBL
New Member


Date Joined Apr 2009
Total Posts : 1
   Posted 4/6/2009 12:07 PM (GMT -6)   
I pay $35/month as co-pay and my insurance covers the rest. One thing I will mention, recently I mistakenly injected myself the wrong way and lost 1 injection. My doctor was on the phone with them for over an hour arguing because my doctors order never mentioned "Human Error" or maybe my insurance doesnt cover human error (I have United Healthcare). The insurance refuse to cover it and wanted me to pay $1400 for it. Luckily my doctor had an extra one in his office that he was able to give me. Its something to look into incase you ever have any problems. I later learned that Humira would have provided me with one for free, this is after my doctor argued with the pharmaceutical rep. Good luck.

tenbaseg
Regular Member


Date Joined Aug 2005
Total Posts : 32
   Posted 4/6/2009 1:57 PM (GMT -6)   
I pay $375 for a 90 day supply.  My rx plan covers me at 80% of the cost of the medication until I hit a max of $375 per refill.  So, I pay the max every time.
 
Oh...BTW...I work for an insurance company too.  confused

Jenn4dex
Regular Member


Date Joined Mar 2006
Total Posts : 487
   Posted 4/6/2009 4:57 PM (GMT -6)   
I have to pay a $300 deductible and that's on KAISER!  I am getting my first injection today.

Jennifer
Diagnosed Crohns 1/06
CD of Terminal Ileum
Taking Pentasa. Adverse reactions to Remicade. Also take Forteo Injections, Actonel, Calcium and Vitamin D, B12 injections.


mkl11
Regular Member


Date Joined Jul 2007
Total Posts : 429
   Posted 4/6/2009 5:44 PM (GMT -6)   
LisaBL: In that instance you probably could have called Abbott Labs. They will send you one free replacement due to "human error." I recently traveled with my medication but did not do so properly and was told by Abbott Medical Info I couldn't use the meds. They said if my insurance (also United HealthCare) couldn't do an "override" (and they wouldn't) they send you a replacement one time. If you get in that situation again I'd definitely give them a call.
20 y/o, diagnosed 6/2007. On Humira, no wheat or corn syrup, low sugar, low dairy.


Veronica Ballerina
Regular Member


Date Joined Nov 2007
Total Posts : 67
   Posted 4/8/2009 10:08 AM (GMT -6)   
Doc2007 not only in USA that's for sure! Here in Brazil a box with 2 pens costs around U$$3500.00, so as I have not won the lottery yet... The thing is, no health insurance here pays for Humira, no one at all, not even 10%, so if you need it, you better prepare yourself to either sue your insurance or the govern and of course you have to spend some money on it!
Abbott has a program here that they give you the treatment for 3 months and then you have to follow one of the options that I gave above.
The govern is putting Humira on the list os meds that they will distribute free of charge to people, but this take a very long time, it is already approved for Rheumatoid Arthritis, so I believe it is just a matter of time to be approved for Crohn's, I know that Remicade is already approved.
Veronica Nunes - 27 years - Brazil

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