On Cimzia? How much do you pay?

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Aimee =)
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Date Joined Jun 2004
Total Posts : 1020
   Posted 7/30/2009 10:52 PM (GMT -6)   
I am waiting on insurance approval to switch to this from Humira. I'm curious about cost... I feel like I'm between a rock and hard place in my options but know there is a limit to what I can pay. I only paid $40 a box for Humira so I'm hoping it'll be a similar price range.
 
Knowing all insurance varies, what do you pay?

GDen
Veteran Member


Date Joined May 2009
Total Posts : 703
   Posted 7/30/2009 10:56 PM (GMT -6)   
If you can get in on a trial your costs will be $0, for 1 to 5 years I've been told. Includes Cimzia, all tests (blood, scopes), etc. Can't remember if it includes doctor visits and other drugs.

Aimee =)
Veteran Member


Date Joined Jun 2004
Total Posts : 1020
   Posted 7/30/2009 10:59 PM (GMT -6)   
GDen said...
If you can get in on a trial your costs will be $0, for 1 to 5 years I've been told. Includes Cimzia, all tests (blood, scopes), etc. Can't remember if it includes doctor visits and other drugs.
how does one get on a trial?

GDen
Veteran Member


Date Joined May 2009
Total Posts : 703
   Posted 7/30/2009 11:05 PM (GMT -6)   
Ask your GE or other GE clinics. Mine is offering trials for Cimzia and ustekinumab. Or maybe the drug producers would know who in your area is offering them.

bluemeanies
Veteran Member


Date Joined Jun 2004
Total Posts : 1372
   Posted 7/31/2009 12:01 PM (GMT -6)   
I was able to qualify for free Cimzia and the home nurse who gave me the injections. Contact Cimplicity, the maker of Cimzia.
 


barnette
Regular Member


Date Joined Feb 2006
Total Posts : 79
   Posted 8/2/2009 4:18 PM (GMT -6)   
There is a program from Cimzia that pays all but 5.00 of your co-pay too! They will help you with it alot>

Iram
Regular Member


Date Joined Jul 2003
Total Posts : 145
   Posted 8/3/2009 9:31 AM (GMT -6)   
check this out, call the number (s) on this page and see if they will help you put on the study

http://clinicaltrials.gov/ct2/show/NCT00771667

GDen
Veteran Member


Date Joined May 2009
Total Posts : 703
   Posted 8/10/2009 4:10 PM (GMT -6)   
So does Cimzia cost about as much as Remicade ($15,000-20,000 / year)?

CrohnsPatient
Regular Member


Date Joined Feb 2008
Total Posts : 314
   Posted 8/10/2009 4:22 PM (GMT -6)   
I dont know why remicade went up so much, the first time I got it about 6 years ago my insurance company was paying the entire thing and that was only $1,600, and by the 5th infusion it was $9,600...to me this is insurance fraud from the makers or hospitals or whoever is upping it, by the way...your insurance company will TELL whoever your getting it from how much they will pay, and no more, and they accept.

not creative
Regular Member


Date Joined Mar 2007
Total Posts : 427
   Posted 8/10/2009 4:45 PM (GMT -6)   
I have Blue Shield HMO and I pay nothing (not even my ususal $15 copay for the Dr visit) to see the nurse for Cimzia.
Laurenne, 25 Graduate from University of California, Davis. BA-Anthropology
Dx'd w/ IBS and CD in 2002. Three abscesses that are now fistulas.
On: 6MP, 20mg Prednisone, Zoloft, Cimzia (working so well, I'm on Miralax too!)
Tried: LDN- Did nothing good, Remicade- allergic, Humira- no reaction


Homeboy
Veteran Member


Date Joined Dec 2005
Total Posts : 575
   Posted 8/12/2009 12:58 PM (GMT -6)   
My g.i. docs's nurse told me that they pay 550$ per 100ml vial for remicade. It is weight based, how many vials you need is dependent upon your weight. How the cost gets up and sometimes over 10,000$ per infusion, has to do with paying the hospital staff, or your doctors' office, to watch and administer the drug via an infusion. Some reading is below, if you want to figure out how many vials you would need.

www.healthscout.com/rxdetail/68/118/7/main.html


smilewinkgrin
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sr5599
Veteran Member


Date Joined Aug 2007
Total Posts : 1202
   Posted 8/12/2009 1:17 PM (GMT -6)   
I've been on Cimzia for almost 7 months and haven't paid anything. The Cimplicity program has covered my copays and the home nurse. I thought that was normal for the first year.
--female dx as UC in '04 (1st symptoms in '03), switched to Crohn's in '05, 1 fistula, crohn's colitis, limited to large intestine  --rejected (reaction/didn't work): Asacol, AZA, 6-MP, MTX, Remicade, Humira, prednisone, Tysabri
--Prochymal in Phase III study (can't wait til it's approved!)
--Compounded budesonide 3mg/daily, Started Cimzia first dose 2/10/09.  Dx Osteoporosis 10/08 started Forteo 1/27/09


ma-in-law
New Member


Date Joined Aug 2009
Total Posts : 10
   Posted 8/15/2009 2:58 AM (GMT -6)   
Cimplicity told us they would cover the first three months, but then we'd have to cover the rest. I asked them "Do you think I'm on Medicaid because I have the financial resources to pay for this???" There was no point in starting treatments that we couldn't follow through with.

GDen
Veteran Member


Date Joined May 2009
Total Posts : 703
   Posted 9/2/2009 11:32 PM (GMT -6)   
I asked my pharmacist today and Cimzia is $1800 per two 200mg self-administering shots. I think she said it's weekly or biweekly for the first 4-6 weeks, then monthly. So $21,600 per year after the ramp-up period.

MAG102886
Veteran Member


Date Joined Jul 2008
Total Posts : 674
   Posted 9/2/2009 11:38 PM (GMT -6)   
I pay nothing.  I also didn't pay anything for Humira, I was supposed to have a 20 dollar copay but the company sent me a "credit card" covering my copay up to $2,000.

Dianogsed with Crohns: At 16 years old. 22 years old now.
Surgeries:2 Bowel Resections, Gallbladder Removed, 3 Abscess Cleanings
Current Meds: Cimzia, Methorexate, Vitamin B12 (injections), Nexium.
Next Surgery: Sept 4, 2009 to Take Down Abdominal Fistula!!  (On hold until current flare is under control, boo!)
 

ZenaWP
Veteran Member


Date Joined Aug 2007
Total Posts : 884
   Posted 9/5/2009 8:14 AM (GMT -6)   
I never even used it, but I got the card from Cimplicity when Cimzia was new to the market and they said it would cover 100% of my copays (up to a certain amount, but their amount was higher than what my copay would have been) for 12 months.  They told me I could apply for the program again after 12 months.  So, it should have been free for at least a year. 

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

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