Keith, is insurance covering Cimzia even though it is not approved for UC yet?
Yes, my insurance is covering it but I'm not exactly sure why, but my 2 guesses are:
1) My GI wrote it up as CD because I have Chronic Pouchitis which is basically inflammation of the small intestine of which my j-pouch is built from. Sort of like what I suggested in being creative about
the diagnosis to get the Simponi covered. Sometimes when I am talking to my GI he interchanges the words Pouchitis and Crohns in the same conversation.
2) I have used most of the other approved UC biologicals except for Entyvio. So maybe they approved it because I've used most of the others.
They treat pouchitis like the way they treat CD and no meds have ever been approved for pouchitis. I'm kind of in medical limbo with the dx of chronic pouchitis.
By the way, I notice results from the Cimzia within about
24 hours and it works really well for me. My pouch is working the best that it has since my surgery.
DX'd with Severe Pancolitis June 2005
Previous Meds: 5ASAs, Predisone, 6-MP. Remicade, Humira, Simponi, Cyclosporine -- Twice
3-step J-Pouch surgery: 2013 & 2014
Current Condition: Chronic Pouchitis -- Not as bad as I thought it would be
Current Meds: Cimzia and Sulfasalazine
Post Edited (ks1905) : 11/15/2015 1:28:26 PM (GMT-7)