What is your humira co-pay or total Cost?

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RxCrohnie
Regular Member


Date Joined Sep 2006
Total Posts : 145
   Posted 4/8/2009 7:56 PM (GMT -6)   
My copayment is $200.00 for a 90 day supply on mail order.
35 yo--Crohns since 2000, Granuloma cysts in mouth-oral surgery X2 in 2000, Fistula colon 2006, Rectovaginal Fistula 2008, 2 Ulcers Rectum, Joint pain. Kidney Stones. Dx with Migraines in 2002 and Ovarian Cysts with Endometrosis 2001.  Dx with Fibromyalgia in 2007 and IC in 2008.  Now receiving Cimzia, Topamax 300mg daily, Cymbalta 60mg daily, Prevacid 30mg, Maxalt, Vicodin as needed, Fish Oil, and Multivits   
 
RxCrohnie 


Doc2007
Regular Member


Date Joined Oct 2007
Total Posts : 294
   Posted 4/8/2009 9:35 PM (GMT -6)   
The insurance approved me at no copay thank you who ever is up there looking out for me...lol
Tommorrow is the big day I get my loading dose in the am...

randynoguts
Veteran Member


Date Joined Jan 2003
Total Posts : 5960
   Posted 4/8/2009 11:32 PM (GMT -6)   
woo hooo!! great doc
randynoguts 



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


Mihee
Regular Member


Date Joined Jan 2005
Total Posts : 155
   Posted 4/9/2009 2:23 PM (GMT -6)   
This might help some Humira users, it came to me in an email today:
 

In these economic times, you – like many others – might be wondering how you're going to pay for your prescriptions. If your doctor has decided to prescribe HUMIRA (adalimumab) for you, don't let your financial concerns prevent you from getting started. The HUMIRA Protection Plan may be able to help, regardless of whether you're insured or uninsured, employed, unemployed, or even retired.

Please click here for HUMIRA Uses and Important Safety Information, including risk of Serious Infections. HUMIRA is not right for everyone. Only your doctor can decide if HUMIRA is right for you.

Get started today!

VIEW IMAGE

Once your doctor has prescribed HUMIRA, obtain a HUMIRA Protection Plan card from him/her, or click HERE to order one.

 

VIEW IMAGE

Activate your card at HUMIRAHelp.com or by calling 1-877-5HUMIRA (1-877-548-6472).

 

 

VIEW IMAGE

 

*This program is not valid for co-pay assistance amounts are subject to predetermined limits.


The HUMIRA Protection Plan offers financial assistance options for just about everyone:

 

 

 

WHO?

WHAT?

Employed with Rx Insurance

You can reduce your co-pay to $5 month*

Unemployed and Uninsured

You may be able to get HUMIRA at no cost to you through the Abbott Patient Assistance Foundation

Medicare
Part D

You may be able to get help from an independent co-pay foundation


HUMIRA Advocates are available from 8:00 AM – 8:00 PM E.S.T. to help you.

* This program is not valid for prescriptions reimbursed under Medicare, Medicaid, or similar federal or state programs or private insurance in the Commonwealth of Massachusetts . Monthly co-pay assistance amounts are subject to predetermined limits.

Please see the Medication Guide for HUMIRA at http://rxabbott.com/pdf/humira_medguide.pdf and discuss it with your doctor.


justinb
New Member


Date Joined Sep 2009
Total Posts : 1
   Posted 9/10/2009 2:33 PM (GMT -6)   
As Mihee posted above, I had to enroll in the protection plan to afford it. Every insurance is different, but I paid $350 for my first month's dose, the protection plan covered I think another 600 beyond that which went towards my deductible. After that first payment, it costs me 5 bucks a month (2 pens), and so worth the money. My skin is finally clear after 3 months of using it, and my psoriatic arthritis felt better nearly immediately after using it (2-3 days after the first dose I noticed tremendous relief). Definitely sign up for the protection plan, they'll find a way for you to afford this. It was a headache, but so worth it in the end.

Sloth
Regular Member


Date Joined Sep 2004
Total Posts : 188
   Posted 9/10/2009 2:47 PM (GMT -6)   
With my insurance, my copay is $30 a month, regardless of the dose ($30 copay for the Crohn's starter kit of 6 pens, $30 copay for the box with 2 pens).  My GI doctor's nurse recommended signing up for the Humira Protection Plan when we first decided to give Humira a try...I had to wait awhile to get the card, but now I only play $5 a month ($30 copay, $25 of that paid through the protection plan).
 
I still had to jump through hoops to get it approved through my insurance, though (they kind of had to approve it, since I've been on pretty much everything other than the other TNF-blockers).
 
 
Diagnosed with Crohn's in April 2003 (first symptoms in 2001).
Current Medications: Imuran 125mg/day, Humira, Pred 2.5mg/day, Phenergan as needed for nausea, Bentyl as needed for cramping (have previously taken Asacol, Entocort, Flagyl, Cipro, and Cortifoam)
Dietary Supplements: Flax seed oil, Folic Acid, B12, Culturelle, Glucosamine/Chondroitin, Calcium +D


dragonfly137927
Veteran Member


Date Joined Sep 2006
Total Posts : 2527
   Posted 9/10/2009 10:51 PM (GMT -6)   
On United Healthcare I had to get preauthorization every year and my copay was $40 per month (I take 1 shot a week but copay was the same if I took 2 per month or 4)...the insurance payed near 3500.00 a month. I am now on Medicare part A, B and D and I get additional assistance since my disability check is so small that now I will pay $6.00 a month and the insurance covers the 3500
Dx with Crohn's 1987, symptoms as early as 1984.
Temp iliostomy February 2007, reversed June 2007, Ovarian cysts, migraines, allergies (incl food allergies) , oral allergy syndrome (diff than true food allergies), Asthma, Gall Bladder removed 1999, Inguenal hernia 1987
 
 
 


J Blakely
New Member


Date Joined Oct 2014
Total Posts : 3
   Posted 10/15/2014 3:45 PM (GMT -6)   
Ugggh! My pharmacist just called, FINALLY HUMANA (my med part D for Medicare) approved my perscription, after fighting with them for a month about prior authorization, denial, etc. The pharmacist told me my co-pay is $2300! This is for the 28 day starter kit perscription!! I told her that there is NO WAY I can afford that being on SS. She said, that Humira would not accept lower pricing for it, since I am on Medicare, that I would need to have to apply for a grant or something to get the funds to cover this. I have been fighting crones for years, and only jsut this year finally had two colonoscopies to diagnose it. I am sick of fighting with insurance companies to pay for my perscriptions! They sure like having their premiums paid every month, but deny about every medication the doc orders. One med, they made me try first, put me in the hospital! I wish you luck.. MUCH better luck than I have had! (they-ins companies-wonder why people go "postal" and shoot up a place)

starreyedgyrl
Regular Member


Date Joined May 2013
Total Posts : 82
   Posted 10/15/2014 5:16 PM (GMT -6)   
My GI's office handled the paperwork for getting me set up with the Humira patient assistance plan- which is amazing. Due to student health insurance, there was only one mail order specialty pharmacy that could fill the prescription (Briova. I absolutely do not recommend using them for anything, unless you're in my shoes and have no other options). On student insurance, with the manufacturer's patient assistance program, my copay was $40/month (for two pens). Once I got onto spouse's insurance with his new job, my copay was $5 (still on the patient assistance program). Also as a headsup with the patient assistance program- you have to wait til you're completely out of refills before your GI can write you a new prescription. This is annoying,but at least my GI's office was used to it, and was helpful.

Ides
Forum Moderator


Date Joined Nov 2003
Total Posts : 6818
   Posted 10/15/2014 6:15 PM (GMT -6)   
J Blakely - Does your Humana Part D policy use Right Source Mail order pharmacy? Right Source has their own pharmacy and I am betting mail order would lower your cost a lot. Also, you cannot use Humira Patient Assistance program because they don't extend it to anyone covered by a government type of insurance including Medicare.
Moderator Crohn's disease, Osteoarthritis and Irritable Bowel Forums

CD, Ankylosing Spondylitis, small fiber peripheral neuropathy, avascular necrosis, peripheral artery disease, pulmonary hypertension, degenerative disc disease, asthma, severe allergy and a host of other medical problems.

dorri
Veteran Member


Date Joined Feb 2003
Total Posts : 1660
   Posted 10/16/2014 11:53 PM (GMT -6)   
I would be better off with our private insurance if our Provincial Government didn't cover it because they require a deductible, over $2000 and since our Private insurance works alongside the government program, they won't cover it either until I pay the deductible, and then they say they will cover it, but at that point who needs them because the province will pay after I meet the deductible. What are these private insurances in place for?

J Blakely
New Member


Date Joined Oct 2014
Total Posts : 3
   Posted 10/17/2014 7:27 AM (GMT -6)   
IDES- no... it does not. :-(

J Blakely
New Member


Date Joined Oct 2014
Total Posts : 3
   Posted 10/17/2014 7:31 AM (GMT -6)   
when I called Humana, the lady there was nice to me, but said the 28 day cost for Humira is over $7,000! Now tell me why any medication would cost this much?!??!! My wife had cancer 4 years ago, and NONE of the meds for her treatments were over $7,000!!!! The medication and insurance industries are absolutely disgusting! They ALL need to be thrown in the trash, as far as I am concerned!

When we pay the absorbant insurance rates, they should NOT have the right to deny ANY treatment options a medical doctor perscribes to his patient! this loophole needs to be closed by LAWS!
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