Kodi Humira amawononga ndalama zingati? Onani mitengo ndi njira zosungira.

Zambiri Zamankhwala

Humira ndi mankhwala akuchipatala omwe amachepetsa zizindikilo za nyamakazi, matenda a Crohn, ndi ankylosing spondylitis. Ndi chotchinga chotulutsa chotupa chotchedwa tumor necrosis factor (TNF) ndipo ndi imodzi mwamankhwala ogulitsa kwambiri padziko lapansi. Tiyeni tiwone momwe Humira amawonongera ndalama zambiri, kaya inshuwaransi imalipira kapena ayi, komanso momwe tingasungire ndalama.

Kodi Humira amawononga ndalama zingati?

Humira (adalimumab) Ndi mankhwala okwera mtengo kwambiri omwe amawononga $ 7,389 pamatumba awiri ochepera (10 mg / 0.1 mL). Zida ziwiri zokhazokha zimakhala ndi Humira mwezi umodzi, zomwe zikutanthauza kuti zitha kutenga $ 84,000 kutenga mankhwalawa chaka chonse.

N'zotheka kulipira Humira zochepa ngati muli ndi khadi lochotsera kapena inshuwaransi yomwe imalipira, koma Humira ndi mankhwala okwera mtengo mosasamala kanthu kuti mungapeze mtengo wotsikirapo kapena ayi. Chimodzi mwazifukwa zomwe Humira ndiokwera mtengo kwambiri ndichakuti ndi mankhwala ovuta kupanga. Ukadaulo wa DNA uyenera kugwiritsidwa ntchito popanga mapuloteni azomwe amamwa - zomwe sizingafanane, mosiyana ndi mankhwala omwe amapangidwa. Humira amagwira ntchito poletsa ndikuchepetsa zovuta zotupa necrosis factor (TNF), zomwe zimayambitsa kutupa. Anthu omwe ali ndi matenda omwe amadzichitira okha ngati nyamakazi kapena Matenda a Crohn amapanga TNF yochuluka kwambiri, chifukwa chake nthawi zambiri amalembedwa Humira.

Humira ndi biologic, yomwe ndi njira ina yonena kuti ili ndi DNA. Chifukwa cha izi, a FDA amafuna kuti afufuze ndikuwunika-chifukwa china chomwe ndiokwera mtengo kwambiri. Palibe njira kuti opanga azilambalala zofunikira za FDA; ngakhale, izi zitha kupanga Humira yotsika mtengo kwa iwo omwe amaifuna.

Kodi inshuwaransi imaphimba Humira?

Nthawi zina mapulani a inshuwaransi amathandizira kulipira mtengo wa Humira, zomwe zimapangitsa kuti zikhale zosavuta kwa iwo omwe amafunikira mankhwalawo. Humira imaphimbidwa ndi mapulani ambiri a inshuwaransi, koma mapulani ake amatha kusiyanasiyana ndi momwe amawonongera. Inshuwaransi itha kutsitsa mtengo wamthumba wa Humira kuyambira $ 7,389 mpaka pafupifupi $ 5,000 pamwezi.

Anthu ena omwe amalandila chithandizo chamankhwala omwe amalemba pantchito / opuma pantchito adzakhala oyenera kulandira Humira Complete Savings Card. Khadi la Humira Complete Savings limangopezeka kwa anthu omwe ali ndi inshuwaransi yachinsinsi kuchokera kwa owalemba ntchito kapena kwa anthu omwe agula inshuwaransi mwachindunji kuchokera kumakampani a inshuwaransi. Thandizo la Copay silipezeka kwa anthu omwe amalandila ndalama zobwezeredwa ndi mankhwala kudzera kuboma, boma, kapena mapulogalamu a inshuwaransi omwe boma limapereka.

Kodi Medicare imaphimba Humira?

Anthu omwe alibe inshuwaransi yachinsinsi amatha kupeza Humira pamtengo wotsika kudzera ku Medicare kapena Medicaid. Medicare ndi pulogalamu ya inshuwaransi yazaumoyo kwa akulu akulu kuposa zaka 65 komanso anthu olumala. Kuphunzira kwa mankhwala kumapezeka kudzera mu Mapulani a Medicare Advantage (Gawo C) ndi Mapulani Owonjezera (Gawo D).

Mapulani a Medicare Advantage amapereka chithandizo cha Medicare Part A ndi B (chipatala ndi inshuwaransi ya zamankhwala), ndipo nthawi zina amatha kuphatikizira mankhwala. Medicare Part D itha kuwonjezeredwa ku Medicare Part A ndi B kuti mupatsidwe mankhwala ena.

Ambiri mwa mapulani a Medicare amalembetsa Humira ngati mankhwala 5 chifukwa ndi mankhwala apadera, ndipo mankhwala a tier 5 nthawi zambiri amawononga ndalama zopitilira 1-4. Chifukwa Medicare amalembetsa Humira ngati mankhwala 5, anthu ambiri adzafunika Medicare Part D kuphatikiza pa Medicare Part C, koma ndizotheka kuti Gawo C lingapangire Humira pawokha.

Anthu ena omwe ali ndi chiphaso cha Medicare adzapatsidwa thandizo lowonjezera, lomwe lingachepetsenso mtengo wa Humira. Kuyenerera kwa ndalamayi kumatsimikiziridwa ndi Medicare, ndipo ndalamayi siyingaphatikizidwe ndi Humira Complete Savings Card. Mutha kuchezera mankhwala kapena itanani nambala yomwe ili pa khadi lanu la inshuwaransi ya Medicare kuti muwone ngati mukuyenera kulandira ndalama zowonjezera.

Kodi Medicaid imaphimba Humira?

Medicaid imagwira ntchito mosiyana pang'ono kuposa Medicare. Imayendetsedwa ndi boma la feduro komanso mayiko ena, ndipo imapereka chithandizo chamankhwala kwa anthu omwe amapeza ndalama zochepa komanso mabanja. Ngakhale kupezeka kwa mankhwala ndi mwayi wothandizidwa ndi Federal Medicaid Law, mapulogalamu ena a Medicaid atha kulipira mtengo wa Humira, koma kufalitsa kumasiyana malinga ndi mayiko. Pitani mankhwala.gov kuti mudziwe zambiri za Humira kapena ayi zomwe zingakuthandizireni kutengera komwe mumakhala.

Njira yabwino yowonera ngati inshuwaransi yanu ikuphimba Humira ndikuwunika inshuwaransi yanu. Webusayiti ya kampani yanu ya inshuwaransi itha kukupatsani zomwe mukufuna, kapena mungafunikire kuyitanitsa omwe amakupatsani inshuwaransi mwachindunji. Webusayiti ya Humira, humira.com , alinso ndi zinthu zina zabwino, ndipo ali nazo akatswiri a inshuwaransi mutha kuyimbira omwe angakuthandizeni kudziwa ngati inshuwaransi yanu ingakhudze Humira.

Njira 4 zosungira pa Humira

Kupeza mtengo wabwino pa Humira kungafune kuchita kafukufuku pang'ono kuti muwonetsetse kuti mukusunga momwe mungathere. Nazi njira zisanu zabwino kwambiri zopezera Humira pamtengo wotsika mtengo.

1. Inshuwalansi

Kugwiritsa ntchito zabwino za inshuwaransi yazaumoyo wanu ndi imodzi mwanjira zabwino zopulumutsira Humira. Monga tanenera poyamba, mapulani ena a inshuwaransi amalipira mtengo wa Humira, kapena kuchepetsa mtengo wanu wotuluka m'thumba. Anthu omwe ali ndi inshuwaransi yachinsinsi atha kukhala ndi mwayi wopeza Humira Complete Savings Card. Medicare ndi Medicaid zitha kuchepetsanso mtengo wa Humira kutengera dongosolo lomwe muli nalo komanso / kapena komwe mumakhala. Sizingatheke, komabe, kukhala pa Medicare, Medicaid, Medigap, TRICARE, Medicare Advantage, kapena mapulogalamu a Veterans Affairs ndikupeza Humira Complete Savings Card.

Ndikofunika kuzindikira kuti mapulani ambiri a inshuwaransi adzafunika kuti mumalize fomu yololeza kapena njira yothandizira asanavomereze mtengo wa Humira. Fomu yamalamulo isanachitike ndikuvomereza kuti kampani yanu ya inshuwaransi ipezeke yomwe imagwiritsidwa ntchito kuthandizira kuti mankhwala omwe mukugula ndi mankhwala oyenera komanso osafuna ndalama omwe akugwiritsidwa ntchito. Njira yothandizira pakufuna kuti mankhwala ena ayesedwe kwakanthawi asanapite ku Humira. Izi zimatsimikizira kuti mankhwala otchipa amayesedwa koyamba pochiza matenda anu. Zoletsa zimatha kukupangitsani kukhala kovuta kupeza inshuwaransi ya Humira, koma nthawi zonse mutha kufunsa dokotala wanu ngati akufuna kuti inshuwaransi yanu isaphimbe Humira.

2. Humira makuponi

Kugwiritsa ntchito makuponi kungakhale njira yabwino yolipira Humira. AbbVie Inc., wopanga Humira, amapereka Humira Complete Savings Card koma si aliyense amene ali woyenera kulandira khadi iyi. Kwa iwo omwe sioyenera, kugwiritsa ntchito coupon yapaintaneti ndi njira yachiwiri yabwino. Ngati mugwiritsa ntchito Coupon ya SingleCare kwa Humira, mutha kulipira $ 5,273 m'malo mwa $ 7,389 pa bokosi lililonse la syringe lodzaza kale. Makuponi apaintaneti ngati awa atha kugwiritsidwa ntchito kuma pharmacies omwe akutenga nawo mbali monga Walgreens, Rite Aid, Walmart, CVS, ndi ena.

3. Zopanga zaopanga

Nthawi zina ogulitsa mankhwala sangavomereze Humira Complete Savings Card, yomwe ingakusiyireni ndalama zambiri. Mutha kukhalabe otsika mtengo wa Humira pogwiritsa ntchito Humira Complete Prescription Rebate. Malipiro amapezeka kwa anthu omwe ali ndi chithandizo chamankhwala kapena odwala omwe ali ndi inshuwaransi. Ngati mungakwaniritse izi, mutha kutenga ndalama zanu kuchokera ku Humira ndikulandila cheke kuchokera ku Opus Health. Ngati mukufuna kuphunzira zambiri zakusunga ndalama ku Humira kudzera pakubweza, pitani patsamba la wopanga.

4. Ndondomeko Yothandizira Odwala AbbVie

Odwala omwe alibe ntchito kapena opanda inshuwaransi atha kukhala oyenerera pulogalamu ya AbbVie Patient Assistance Program. Pulogalamuyi imapereka thandizo kwaulere kwa iwo omwe akwaniritsa njira zina zopeza ndalama. Ndi zaulere kulembetsa ku pulogalamuyi, ndipo omwe akuyenerera amalandira mankhwala awo kwaulere. Pitani patsamba la AbbVie kuti muwone ngati mukuyenera kulandira Humira kwaulere.

Kodi pali mtundu wamba wa Humira?

Nthawi zambiri pamakhala mitundu yamaina amtundu wamankhwala omwe ndiotsika mtengo kwa ogula. Tsoka ilo, palibe mtundu wamba wa Humira kapena mankhwala osokoneza bongo pamsika ku United States omwe anthu amatha kugula pamtengo wotsika.

Kuyambira 2002, AbbVie yakhazikitsa ma patent mosamala kuti awonetsetse kuti Humira amatetezedwa ku mpikisano wa biosimilar. Mu 2016, wopanga Amgen adapanga mankhwala otchedwa Amjevita, omwe adakhala woyamba kukhala biosimilar kwa Humira kuti avomerezedwe ndi Food and Drug Administration (FDA). Amgen anapatsidwa ufulu woyambitsa biosimilar zake ku Europe mu 2018 ndipo azimasula ku United States mu 2023. Mndandanda wotsatira wa Humira biosimilars ipezeka ku US mu 2023:

• Epulo wolemba Pfizer
• Amjevita ndi Amgen
• CHS-1420 ndiCoherus BioSciences
• Cyltezo ndiBoehringer Ingelheim
• Hadlima byMerck / Samsung Bioepis
• Hulio byMylan
• Hyrimoz ndiNovartis / Sandoz
• MSB11022 ndiFresenius Kabi

Mpaka kutulutsidwa kwa biosimilars zopangidwa ndi makampani ena opanga mankhwala, nzika zaku U.S. zipitilizabe kugula Humira pamtengo wonse ngati sichikulipiridwa ndi inshuwaransi yawo kapena ngati sangakwanitse kuchipeza pamtengo wotsika.

Palinso mankhwala ena ogulitsidwa pamsika omwe amatha kuchiza nyamakazi, matenda a Crohn, hidradenitis suppurativa, ndi zina zomwe Humira amachiza. Chifukwa mankhwala enawa ndi mankhwala a biologic ngakhale, azikhala ofanana ndi Humira. Zotsatira zoyipa za Humira zimakhala zochulukirapo kwa wina, atha kufunafuna mankhwala ena. Nazi zotsatira zoyipa kwambiri za Humira kudziwa:

• Kupweteka mutu
• Kutupa
• Nseru
• Zochita zatsamba la jekeseni
• Matenda a mkodzo
• Matenda opatsirana apamwamba
• Ululu wammbuyo

Omwe akufuna njira zina m'malo mwa Humira atha kukambirana ndi dokotala za izi.

Njira za Humira
	Ntchito	Avereji ya malonda	Kusungidwa kwa SingleCare	Zina Zowonjezera
Zowonjezera (etanercept)	Matenda a nyamakazi Matenda a Psoriatic Matenda a polyarticular juvenile idiopathic arthritis (JIA) Ankylosing spondylitis. Chidziwitso: Enbrel sangathe kuchiza matenda a Crohn ndi ulcerative colitis monga Humira angathe.	$ 6,100 pa 4, 50 mg / ml yankho la jakisoni	Pezani coupon	Dziwani zambiri
Remicade (infliximab)	Matenda a Crohn, ulcerative colitis Matenda a nyamakazi Matenda a Psoriatic Chikhomo cha psoriasis Ankylosing spondylitis	$ 11,502 popereka mbale 10, 100 mg	Pezani coupon	Dziwani zambiri
Simponi (golimumab)	Matenda a Psoriatic Matenda a nyamakazi Ankylosing spondylitis Zilonda zam'mimba	Oposa $ 7,000 pa jakisoni wapamwezi	Pezani coupon	Dziwani zambiri

Biologic yoyenera kupereka imadalira momwe wodwalayo alili komanso zinthu zina monga mbiri yazachipatala, kutalika kwa matendawa, kuopsa kwa vutoli, mankhwala am'mbuyomu, ndi zolinga zamankhwala, akuti Anna H. Chacon , MD, dermatologist wotsimikiziridwa ndi board yaku U.S. yochokera ku South Florida.

Ichi ndichifukwa chake ndikofunikira kuti mukambirane ndi dokotala wanu ngati Humira akukuyenerani kapena ayi. Dokotala wanu atha kukupatsani upangiri wazachipatala womwe ndiwofunikira kwa inu, komanso atha kukuthandizani kupeza njira yopulumutsira pa mankhwala anu a Humira.