Posted 2/18/2021 10:51 PM (GMT -7)
Hi, I am on Medicare and take Stelara injections. But I did purchase a separate Medicare drug plan. Are you on such a plan? If you are maybe that plan doesn’t have it in their formulary. That drug plan is what actually covers the Stelara. And yes it is still very expensive. I just got my first short for 2021 and it was $2,700. Each after that every other month wil be about $1,300. Medicare is hamstrung by antiquated rules and the copayment assistance is one of this that is not allowed in those old rules. Hopefully soon this can all change. I asked my GI about having Stelara injection done at his office and he said absolutely not. I agree as I can go my own injections. I told my GI at last visit i am not sure how much longer I can afford this drug. And to start thinking about something else. Unfortunately I have been on everything else among nothing works after a yr or less. I hope this helps. But ask away if you have questions.