You want to save money on HUMIRA.
We want to help.
HUMIRA is dedicated to helping you
get the treatment you've been prescribed.
Our insurance specialists can help you save on your co-payThe amount you pay each time you fill a prescription. and find out if your current insurance plan covers HUMIRA. We understand that health insurance changes can be challenging. That’s why we offer guidance to help you save on HUMIRA, whether you’re employed or unemployed, insured or uninsured. And, when it’s that time of year to consider changing your insurance (what many insurance providers refer to as the "open enrollment period"), our experts are available to help answer your questions. Use the links above to learn more.
For insurance questions ranging from co-pays to HUMIRA coverage, call 1.800.4HUMIRA (1.800.448.6472).
*Eligibility: Available to patients with commercial prescription insurance coverage for HUMIRA. Co-pay assistance program is not available to patients receiving prescription reimbursement under any federal, state or government-funded insurance programs (for example, Medicare, Medicaid, TRICARE, Department of Defense or Veteran’s Affairs programs) or where prohibited by law. Offer subject to change or discontinuance without notice. Restrictions, including monthly maximums, may apply. This is not health insurance.
Co-pay savings: Get HUMIRA
for as little as $5.*
With the rising cost of health care, it's nice to find a break wherever you can—and we’re happy to help.
With the HUMIRA Co-pay Savings Card,A savings card that helps eligible patients save on their out-of-pocket costs, or co-pay for each HUMIRA prescription. the majority of commercially insured HUMIRA patients are eligible to pay
as little as $5 a month for each HUMIRA prescription.
Find out if you can lower the cost
of your HUMIRA co-pay:
Or call 1.800.4HUMIRA.
What’s your current insurance status?
Keeping up with changes to your insurance can be difficult, but we’re here to help if you’re unsure
of your status. If you have questions, please give us a call at 1.800.4HUMIRA (1.800.448.6472)
to speak with one of our insurance specialists.
- EMPLOYED WITH PRESCRIPTION INSURANCEIf you are eligible, you may be able to use the HUMIRA Co-pay Savings Card and reduce your co-pay to $5 a month.*
- UNEMPLOYED AND UNINSUREDHUMIRA may be available to you at no additional cost through an independent foundation such as the AbbVie Patient Assistance Foundation.
- MEDICAREIf you are receiving Medicare, a range of savings options may be available depending on your coverage.Expand
If you have:
Medicare Part D and are eligible† for a low-income subsidy:
Medicare offers support by lowering your treatment co-pay to $6.60 or less
Medicare Part D, but are NOT eligible for a low-income subsidy:
You may still qualify for financial help from the AbbVie Patient Assistance Foundation, or an independent
Employer/Retiree commercial prescription coverage:
The HUMIRA Co-pay Savings Card may reduce your co-pay to as little as $5 a month*
†Eligibility restrictions apply. Eligibility determined by Medicare; not eligible for assistance with HUMIRA Co-pay Savings Card.
Steps to making sure
your HUMIRA is covered.
If it's that time of year when you're thinking about changing your
insurance, or your insurance is changing on you, know that HUMIRA is
here to offer you support and guidance. The following steps may help
you determine if your HUMIRA treatment is covered and save on costs.
If you have any questions, call our insurance specialists
at 1.800.4HUMIRA (1.800.448.6472).
Glossary of insurance terms.
It’s important to understand the prescription coverage of your insurance plan. Click on the common insurance
terms below for a definition. This information may help as you review your coverage options. Each insurance
plan may vary, so it’s good to understand the differences.
A cap on the benefits your insurance plan will pay in a year. These caps are sometimes placed on particular services such as medications or hospitalizations. After you reach the annual limit, you must pay all health care costs for the rest of the year.
A notification that summarizes the coverage you can expect for medications from your insurance plan.
You pay a percentage of the medication’s retail cost (the price before insurance benefits) each time you refill your prescription. For example, you may pay 25% of the retail cost.
The amount you pay each time you fill a prescription.
Explanation of benefits (EOB)
A form you may receive that explains what costs your insurance plan has covered after you’ve used a health care service, or received a medication.
The set or fixed amount your insurance plan requires you to pay for each medication, such as $50.
A list of medications covered by a prescription drug plan, or another insurance plan.
Health Insurance Marketplace
The Health Insurance Marketplace, sometimes known as the health insurance "exchange", helps people find health coverage. Most people are eligible to use the Marketplace. If you have a job-based health plan, you don't need to buy a Marketplace plan. Open Enrollment for 2015 coverage starts November 15, 2014. Please visit www.healthcare.gov to learn more, including the latest enrollment information for the current coverage year, and to learn how to apply for coverage through the Marketplace. Open enrollment for 2014 coverage in the Marketplace ended March 31, 2014 but some people are still eligible to buy 2014 health plan coverage in the Marketplace after this date if they qualify for a special enrollment period. You can also apply for Medicaid and Children's Health Insurance Plan (CHIP) at any time during each coverage year. To find out if you qualify for a Special Enrollment Period or Medicaid and CHIP, please visit www.healthcare.gov. This description is provided for your convenience and is only a brief overview about the Marketplace - please visit www.healthcare.gov for complete information and restrictions.
HUMIRA Co-pay Savings Card
A savings card that helps eligible patients save on their out-of-pocket costs, or co-pay for each HUMIRA prescription.
A cap on the total lifetime benefits you may get from your insurance plan. Once you have reached the lifetime maximum benefit, the plan will no longer pay for covered services.
The time of year when you need to select your insurance plan for the coming year. Patients can also enroll in a new insurance plan at other times—for example, when starting a new job.
The most you would pay during a policy period (usually a year) before your health insurance or plan begins to pay 100% of the allowed amount for your prescriptions. If the plan has an out-of-pocket maximum, it may limit the amount you have to pay during the plan year.
The amount that you pay for your insurance plan. The premium is typically paid monthly, quarterly, or yearly.
Your out-of-pocket costs before your insurance plan begins to pay for your medications. For example, if your deductible is $1,000, you would need to pay that amount before your plan starts paying for your medication. You may still be responsible for co-pay costs for your medication even after you have met your deductible.
An approval that the insurance plan requires before your plan will cover your prescription. When an insurance company requires a prior authorization, it is typically because more information is needed to determine if the medication is covered. Sometimes, if a prior authorization is not completed, you may pay more for the medication, or it may not be covered.
Questions about paying for HUMIRA? Questions about insurance?
We’ve listed some of the most frequently asked questions regarding insurance and other payment options for HUMIRA.
Select the questions that you want to ask, and the answers will display below.
Insurance reimbursement services available through myHUMIRA
My pharmacy does not accept the HUMIRA Co-pay Savings Card. What should I do?If the pharmacy that your insurance company works with does not accept the HUMIRA Co-pay Savings
Card, call 1.800.4HUMIRA (1.800.448.6472). Our insurance specialists will give you information about
another way to take advantage of the benefits you’ve come to expect with the HPP Rebate form. This way
you can continue to take HUMIRA as prescribed by your doctor and get reimbursed. AbbVie is committed
to ensuring that out-of-pocket cost doesn’t come between you and HUMIRA. Always talk to your doctor
first before making any changes to your treatment plan.
My physician prescribed HUMIRA for me. Can you tell me if my health insurance company will cover it?myHUMIRA reimbursement counselors can help determine coverage for HUMIRA and identify your
out-of-pocket costs. You will need your insurance card ready when speaking with the counselor.
What services are available through myHUMIRA Reimbursement Services?myHUMIRA reimbursement counselors at 1.800.4HUMIRA (1.800.448.6472) can assist you with insurance
coverage issues related to HUMIRA. Reimbursement counselors can contact your health insurance
company to verify your benefits and determine whether HUMIRA is covered by your plan. In addition, they
can provide prior authorization support, if needed. For patients with inadequate insurance coverage for
HUMIRA, reimbursement counselors can search for alternate coverage options that may provide access to
HUMIRA. In some situations, this could include referrals to the AbbVie Patient Assistance Foundation's
HUMIRA Patient Assistance Program or other independent assistance programs.
My insurance plan requires prior authorization before I can obtain HUMIRA. Can you provide assistance?myHUMIRA reimbursement counselors can research prior authorization requirements and help facilitate
the process for your physician on your behalf.
I have coverage for HUMIRA but am unable to afford my co-payment. Can you provide assistance?myHUMIRA reimbursement counselors can provide you with information about co-pay assistance
options. In some situations, they can even provide a HUMIRA Co-pay Savings Card that provides
co-pay assistance to eligible patients or refer appropriate patients to independent, public charities
for financial assistance.
Can myHUMIRA help me submit a claim for HUMIRA?Typically, your pharmacy submits a claim to your insurance plan on your behalf. However, if you are
required to submit a claim for reimbursement for HUMIRA, myHUMIRA Reimbursement Services can
provide information about the claim submission process. myHUMIRA is not able to submit claims to
insurance plans on your behalf.
I heard that my health insurance company is not covering HUMIRA. Can you help?myHUMIRA reimbursement counselors can offer assistance with unfavorable coverage decisions. We
can contact your insurance plan to determine why HUMIRA is not covered, research options to obtain
coverage, and help facilitate this process with your physician. In the event that coverage for HUMIRA is
still unavailable, reimbursement counselors can search for alternate coverage options that may provide access to HUMIRA. In some situations, this could include referrals to the AbbVie Patient Assistance Foundation's
HUMIRA Patient Assistance Program or other independent assistance programs.
What services are available to patients with no insurance coverage?In some situations, the services of the AbbVie Patient Assistance Foundation may be available. The
AbbVie Patient Assistance Foundation provides HUMIRA at no additional cost to eligible patients who are
typically uninsured and unemployed. In addition, independent third-party charities may be able to help.
Do you have a patient assistance program for HUMIRA?Yes, AbbVie donates to the AbbVie Patient Assistance Foundation, which, in some situations, provides
HUMIRA at no additional cost to eligible patients who are typically uninsured or unemployed.
Accessing myHUMIRA reimbursement services
How can I get in touch with myHUMIRA Reimbursement Services?You can reach a myHUMIRA reimbursement counselor by calling 1.800.4HUMIRA (1.800.448.6472)
Monday through Friday, 8 AM to 8 PM Eastern Time.
What are the hours of operation for myHUMIRA Reimbursement Services?myHUMIRA reimbursement counselors are available to assist you Monday through Friday, 8 AM to 8 PM
Do I have to register with myHUMIRA prior to treatment?No. You are not required to register with myHUMIRA in order to begin treatment with HUMIRA.
However, you will be required to provide myHUMIRA with information about your insurance plan
if you would like help in understanding your insurance coverage for HUMIRA.
Enrolling in the myHUMIRA patient support program once you begin treatment with HUMIRA could
provide you with services, tools, and support to get the most from your HUMIRA treatment plan.
When do I enroll for reimbursement assistance?You can obtain reimbursement assistance through myHUMIRA prior to treatment or at any point
How do I obtain assistance through myHUMIRA Reimbursement Services?You can obtain assistance through myHUMIRA Reimbursement Services by calling
1.800.4HUMIRA (1.800.448.6472) or by completing and submitting an enrollment form available at your physician's office.
My physician has indicated that there are 2 HUMIRA enrollment forms. Which enrollment form
should I complete?Patients who have insurance coverage that may provide coverage for HUMIRA should complete the
myHUMIRA Benefit Verification and Statement of Medical Necessity for Insured Patients form. Patients
who have no insurance coverage or who have confirmed that their insurance plan will not provide
coverage for HUMIRA should complete the AbbVie Patient Assistance Foundation's HUMIRA Patient
Assistance Application. You will need to work with your physician to complete the appropriate enrollment
form. For questions about the myHUMIRA enrollment form and the enrollment process, please contact a
reimbursement counselor at 1.800.4HUMIRA (1.800.448.6472). For questions about the HUMIRA Patient
Assistance Program form, please contact a patient assistance counselor at 1.800.222.6885.
I am applying for assistance through the HUMIRA Patient Assistance Program. What documents should I
submit for proof of income?The HUMIRA Patient Assistance Program can accept tax returns, paycheck stubs, and Social Security
statements for proof of income. Reimbursement counselors can provide additional information about
acceptable proof of income documents.
Open enrollment and your HUMIRA coverage
What is open enrollment?Open enrollment is the time of year when you need to select your insurance plan for the coming year. Patients can also enroll in a new insurance plan at other times—for example, when starting a new job.
How will I know when it’s time for open enrollment?Your employer should inform you when it’s time to select your benefits for the coming year. In many
companies, open enrollment is typically anywhere from September to December, but it can vary,
so check with your employer. If you start a new job, ask your employer when you can enroll—as this
varies by company. If you need information on the Affordable Care Act open enrollment period
and policies, please visit healthcare.gov.
How can I find out if my current insurance plan, or a new plan, will cover HUMIRA?We have insurance specialists who can help you with that. Call 1.800.4HUMIRA (1.800.448-6472).
Of course, you can contact the insurance company on your own, but our experts will be glad to speak
to these providers on your behalf.
I'm staying with the same insurance as last year. Do I still need to check if HUMIRA is covered?Yes. Even if you’re keeping the same insurance plan, your coverage may change from one year to the next. Give our insurance specialists a call at 1.800.4HUMIRA (1.800.448-6472) and we can help you understand if your HUMIRA treatment is covered.
I’m changing insurance companies. How do I know if my HUMIRA is covered?Changes to your insurance may seem overwhelming, but we have resources to help you through the
process. We’ve created a benefits verification checklist to help you understand insurance coverage for
your HUMIRA treatment. Download the checklist for reference and if you still have questions, please call
our insurance specialists at 1.800.4HUMIRA (1.800.448-6472).
Is there a way for me to compare my insurance options and HUMIRA coverage?We’ve created an insurance comparison chart for just that reason. Download the chart and use it to
gather the information you need from the insurance providers you’re considering. Then call our
insurance specialists at 1.800.4HUMIRA (1.800.448-6472) and we can help you understand if
your HUMIRA is covered and explore ways to save on HUMIRA.
Will I need to get any kind of prior approval from my insurance company to take HUMIRA?Some insurance providers require prior authorization for HUMIRA every year. So whether you’re new
to HUMIRA or you’ve already been taking the medication, you may be required to get prior
authorization for the new coverage year. Call our insurance specialists at 1.800.4HUMIRA (1.800.448-6472)
and they can assist you.
I spoke to my insurance company about my HUMIRA coverage for next year. Who can I call
if I still have questions?Your insurance company may have a specific process that they recommend, but you can also call our
insurance specialists at 1.800.4HUMIRA (1.800.448-6472). We can answer your questions and help
you understand your insurance coverage and ways you may be able to save on your HUMIRA treatment in the
Will I have to change doctors if I change health insurance plans?You’ll want to check with the insurance providers you’re considering to see if the doctors you currently
see accept their insurance plans.
I missed the open enrollment period. Can I still save on HUMIRA?We’re dedicated to making sure everyone who needs help paying for HUMIRA gets the help they need.
So even if you are uninsured, you may qualify for other ways to save on the medication. Call our
insurance specialists at 1.800.4HUMIRA (1.800.448-6472) and they can tell you about other ways you
may be able to save on HUMIRA.
Insurance coverage information
Do health insurance companies provide coverage for HUMIRA?Some health insurance companies may provide coverage for HUMIRA. However, some managed care
organizations may require prior authorization for patients to obtain HUMIRA. myHUMIRA reimbursement
counselors are available to help patients evaluate coverage options for HUMIRA.
Does Medicaid cover and reimburse for HUMIRA?State Medicaid programs can provide coverage for HUMIRA. To find out the specific coverage policy and
guidelines for a particular state Medicaid program, please contact 1.800.4HUMIRA (1.800.448.6472) to
speak with a HUMIRA reimbursement counselor.
Does Medicare cover and reimburse for HUMIRA used for ongoing therapy?Medicare allows patients the opportunity to enroll in prescription drug plans that may help pay for the cost of self-injectable biologic medicines like HUMIRA. Most Medicare Part D plans provide coverage for HUMIRA. However, whether you qualify for a low-income subsidy or not will affect if Medicare, the AbbVie Patient Assistance Foundation, or an independent co-pay foundation offers you financial help. To learn more about these changes to Medicare and what they can mean for you, please visit www.medicare.gov or call 1.800.4HUMIRA (1.800.448.6472).
Sign up today for myHUMIRA support services.
Get the most from your HUMIRA treatment plan with everything myHUMIRA has to offer, including:
Become more familiar with the injection process with training tools and visual aids.
HUMIRA On-the-Go Kit
Don’t forget your On-the-Go Kit when traveling. Keep your HUMIRA at the right temperature during a short trip.
HUMIRA Co‐pay Savings Card
If you're eligible, you may be able to get HUMIRA for as little as $5.*
HUMIRA Pen and Syringe Disposal
Dispose of used HUMIRA Pens or syringes the right way with sharps containers delivered to your door.
On-Call Nurse Support
When you have questions about HUMIRA, there's somebody to call.
Get phone, text, or e-mail messages to help you remember when it’s time for your next dose.
Your safety is important to us.
Learn about our Important Safety Information.
IMPORTANT SAFETY INFORMATION
ABOUT HUMIRA® (adalimumab)1
What is the most important information I should know about HUMIRA?
You should discuss the potential benefits and risks of HUMIRA with your doctor. HUMIRA is a TNF blocker medicine that can lower the ability of your immune system to fight infections. You should not start taking HUMIRA if you have any kind of infection unless your doctor says it is okay.
Serious infections have happened in people taking HUMIRA. These serious infections include tuberculosis (TB) and infections caused by viruses, fungi, or bacteria that have spread throughout the body. Some people have died from these infections. Your doctor should test you for TB before starting HUMIRA, and check you closely for signs and symptoms of TB during treatment with HUMIRA. If your doctor feels you are at risk, you may be treated with medicine for TB.
Cancer. For children and adults taking TNF blockers, including HUMIRA, the chance of getting lymphoma or other cancers may increase. There have been cases of unusual cancers in children, teenagers, and young adults using TNF blockers. Some people have developed a rare type of cancer called hepatosplenic T-cell lymphoma. This type of cancer often results in death. If using TNF blockers including HUMIRA, your chance of getting two types of skin cancer (basal cell and squamous cell) may increase. These types are generally not life-threatening if treated; tell your doctor if you have a bump or open sore that doesn’t heal.
What should I tell my doctor BEFORE starting HUMIRA?
Tell your doctor about all of your health conditions, including if you:
- Have an infection, are being treated for infection, or have symptoms of an infection
- Get a lot of infections or infections that keep coming back
- Have diabetes
- Have TB or have been in close contact with someone with TB, or were born in, lived in, or traveled where there is more risk for getting TB
- Live or have lived in an area (such as the Ohio and Mississippi River valleys) where there is an increased risk for getting certain kinds of fungal infections, such as histoplasmosis, coccidioidomycosis, or blastomycosis
- Have or have had hepatitis B
- Are scheduled for major surgery
- Have or have had cancer
- Have numbness or tingling or a nervous system disease such as multiple sclerosis or Guillain-Barré syndrome
- Have or had heart failure
- Have recently received or are scheduled to receive a vaccine. HUMIRA patients may receive vaccines, except for live vaccines
- Are allergic to rubber, latex, or any HUMIRA ingredients
- Are pregnant, planning to become pregnant, breastfeeding, or planning to breastfeed
Also tell your doctor about all the medicines you take. You should not take HUMIRA with ORENCIA® (abatacept), KINERET® (anakinra), REMICADE® (infliximab), ENBREL® (etanercept), CIMZIA® (certolizumab pegol), or SIMPONI® (golimumab). Tell your doctor if you have ever used RITUXAN® (rituximab), IMURAN® (azathioprine), or PURINETHOL® (mercaptopurine, 6-MP).
What should I watch for AFTER starting HUMIRA?
HUMIRA can cause serious side effects, including:
- Serious infections. These include TB and infections caused by viruses, fungi, or bacteria. Symptoms related to TB include a cough, low-grade fever, weight loss, or loss of body fat and muscle.
- Hepatitis B infection in carriers of the virus. Symptoms include muscle aches, feeling very tired, dark urine, skin or eyes that look yellow, little or no appetite, vomiting, clay-colored bowel movements, fever, chills, stomach discomfort, and skin rash.
- Allergic reactions. Symptoms of a serious allergic reaction include hives, trouble breathing, and swelling of your face, eyes, lips, or mouth.
- Nervous system problems. Signs and symptoms include numbness or tingling, problems with your vision, weakness in your arms or legs, and dizziness.
- Blood problems. Symptoms include a fever that does not go away, bruising or bleeding very easily, or looking very pale.
- Heart failure (new or worsening). Symptoms include shortness of breath, swelling of your ankles or feet, and sudden weight gain.
- Immune reactions including a lupus-like syndrome. Symptoms include chest discomfort or pain that does not go away, shortness of breath, joint pain, or rash on your cheeks or arms that gets worse in the sun.
- Liver problems. Symptoms include feeling very tired, skin or eyes that look yellow, poor appetite or vomiting, and pain on the right side of your stomach (abdomen).
- Psoriasis (new or worsening). Symptoms include red scaly patches or raised bumps that are filled with pus.
Call your doctor or get medical care right away if you develop any of the above symptoms.
Common side effects of HUMIRA include injection site reactions (redness, rash, swelling, itching, or bruising), upper respiratory infections (sinus infections), headaches, rash, and nausea. These are not all of the possible side effects with HUMIRA. Tell your doctor if you have any side effect that bothers you or that does not go away.
Remember, tell your doctor right away if you have an infection or symptoms of an infection, including:
- Fever, sweats, or chills
- Muscle aches
- Shortness of breath
- Blood in phlegm
- Weight loss
- Warm, red, or painful skin or sores on your body
- Diarrhea or stomach pain
- Burning when you urinate
- Urinating more often than normal
- Feeling very tired
HUMIRA is given by injection under the skin.
This is the most important information to know about HUMIRA. For more information, talk to your health care provider.
HUMIRA is a prescription medicine used:
- To reduce the signs and symptoms of:
- Moderate to severe rheumatoid arthritis (RA) in adults. HUMIRA can be used alone, with methotrexate, or with certain other medicines. HUMIRA may prevent further damage to your bones and joints and may help your ability to perform daily activities.
- Moderate to severe polyarticular juvenile idiopathic arthritis (JIA) in children 2 years of age and older. HUMIRA can be used alone, with methotrexate, or with certain other medicines.
- Psoriatic arthritis (PsA) in adults. HUMIRA can be used alone or with certain other medicines. HUMIRA may prevent further damage to your bones and joints and may help your ability to perform daily activities.
- Ankylosing spondylitis (AS) in adults.
- Moderate to severe Crohn's disease (CD) and to achieve and maintain clinical remission in adults who have not responded well to conventional treatments. HUMIRA is also used to reduce signs and symptoms and to achieve clinical remission in these adults who have lost response to or are unable to tolerate infliximab.
- Moderate to severe Crohn's disease (CD) and to achieve and maintain clinical remission in children 6 years of age and older when certain other treatments have not worked well enough.
- In adults, to help get moderate to severe ulcerative colitis (UC) under control (induce remission) and keep it under control (sustain remission) when certain other medicines have not worked well enough. It is not known if HUMIRA is effective in people who stopped responding to or could not tolerate anti-TNF medicines.
- To treat moderate to severe chronic plaque psoriasis (Ps) in adults who are ready for systemic therapy or phototherapy, and are under the care of a doctor who will decide if other systemic therapies are less appropriate.