Once you and your doctor have decided HUMIRA is the right treatment for you, you may have concerns about whether your prescription insurance will cover the cost. See how your HUMIRA prescription gets filled from start to finish.
You should know that most people with prescription insurance have access to HUMIRA, and, if eligible, you could pay as little as $5* a month for your prescription with the HUMIRA Complete Savings Card.
You can check your insurance coverage online now to learn what your estimated out-of-pocket costs will be and whether your plan has specific requirements to access HUMIRA.
Every patient’s situation is different, and prescription drug plans vary widely. So, be sure to talk with your plan’s representatives or a HUMIRA Complete insurance specialist† about the prescription drug benefit on your plan.
No matter what your situation is, a HUMIRA Complete insurance specialist is ready to help at 1.800.4HUMIRA (1.800.448.6472).
Filling your HUMIRA Rx from start to finish.
See how your HUMIRA prescription gets filled, from your doctor’s office to your front door.
Understand your current prescription coverage options for HUMIRA.
If you are receiving employer/retiree commercial prescription coverage…
If you or a family member purchased insurance privately or through an employer, savings on HUMIRA are available. Most people with prescription coverage have access to HUMIRA and the HUMIRA Complete Savings Card may reduce out-of-pocket cost for HUMIRA to as little as $5 a month, every month.*
If you are receiving coverage through Medicare…
Medicare allows patients 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.
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 and are NOT eligible for a low-income subsidy, you may still qualify for financial help from the AbbVie Patient Assistance Foundation or an independent foundation
To learn more about Medicare and what it can mean for you, please visit www.medicare.gov or call 1.800.4HUMIRA (1.800.448.6472).
If you are receiving coverage through Medicaid…
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).
If you are unemployed or uninsured…
HUMIRA may be available to you at no additional cost through an independent foundation such as the AbbVie Patient Assistance Foundation, or help you find another foundation
The AbbVie Patient Assistance Foundation provides HUMIRA at no additional cost to eligible patients who are typically uninsured and unemployed. When applying for assistance through the HUMIRA Patient Assistance Program, you will need to submit proof of income through tax returns, paycheck stubs, or Social Security statement
You may be able to utilize the Health Insurance Marketplace. Sometimes known as the health insurance “exchange,” the Marketplace helps people find health coverage. Most people are eligible to use the Marketplace. 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
Insurance changing or open enrollment period? Check to see if your HUMIRA is covered.
There are lots of reasons why you may be changing or starting a new insurance plan—like starting a new job or during an open enrollment period. No matter whether you're thinking about changing your insurance, or your insurance is changing on you, you should ask your insurance provider if HUMIRA is covered and what your out-of-pocket cost would be.
Use the Insurance Comparison Chart to write down answers to the key questions about the insurance providers you’re considering, like whether your doctor is in the plan’s network or whether your HUMIRA prescription is covered.
Still have questions? Our insurance specialists are here to help.
You can depend on an insurance specialist to:
Check your insurance coverage and determine your insurance benefits
Check to see if your insurance plan requires prior authorizationAn approval that the insurance plan requires before your plan will cover your prescription. If a prior authorization is not completed, you may pay more for the medication, or it may not be covered. for HUMIRA or if you need to fill your HUMIRA prescription at a specific specialty pharmacySpecialty pharmacies have experience handling and delivering medications like HUMIRA.
Get help if your pharmacy won't process the HUMIRA Complete Savings Card and find out about HUMIRA Reimbursement Services
Help you find savings options for your treatment
Provide advice on claims processes
Insurance specialists are available Monday through Friday from 8:00 AM to 8:00 PM Eastern Time, except for holidays. To speak with an insurance specialist, call 1.800.4HUMIRA (1.800.448.6472).
Your safety is important to us.
Learn about our Important Safety Information.
IMPORTANT SAFETY INFORMATION
ABOUT HUMIRA® (adalimumab)1
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.
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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, even if your TB test was negative. If your doctor feels you are at risk, you may be treated with medicine for TB.
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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.
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. These infections may happen or become more severe if you use HUMIRA. Ask your doctor if you are unsure if you have lived in these areas.
- 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. Children should be brought up to date on all vaccines before starting HUMIRA.
- Are allergic to rubber, latex, or any HUMIRA ingredients
- Are pregnant, planning to become pregnant, breastfeeding, or planning to breastfeed
- Have a baby and you were using HUMIRA during your pregnancy. Tell your baby’s doctor before your baby receives any vaccines
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).
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 (decreased blood cells that help fight infections or stop bleeding). 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). These problems can lead to liver failure and death.
- 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 (pain, 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.
- Fever, sweats, or chills
- Muscle aches
- Cough
- 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.
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 certain other medications. 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.
- Moderate to severe hidradenitis suppurativa (HS) in adults.
- 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.
- To treat non-infectious intermediate (middle part of the eye), posterior (back of the eye) and panuveitis (all parts of the eye) (UV) in adults.
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