HUMIRA (adalimumab) Protection Plan HUMIRA Protection Plan


HUMIRA (adalimumab) Protection Plan

The majority of commercially insured HUMIRA patients are eligible* to get HUMIRA for as little as $5 with this savings card.

Regardless of your current status — employed, unemployed, insured, or uninsured — HUMIRA offers guidance and support to help you access the treatment your doctor has prescribed.

Sign up for the HUMIRA Protection Plan now or call 1.800.4.HUMIRA.

FAQs regarding insurance reimbursement

What's your current status?

Unemployed and uninsured - You may be able to get HUMIRA at no additional cost to you through an independent foundation such as the AbbVie Patient Assistance Foundation*
Medicare Part D - You may be able to get help from an independent co-pay foundation*
Employed with Rx Insurance - You may be able to reduce your co-pay to $5 a month*
Unsure of Your Status - Call 1.800.4HUMIRA (1.800.448.6472)

*Eligibility restrictions apply. See card for details. This program is not valid for prescriptions reimbursed under Medicare, Medicaid, or similar federal or state programs. Program may be changed or discontinued at any time without notice.

Be Sure Your Plan Offers Access to HUMIRA

The majority of people with prescription-drug coverage have access to HUMIRA, so ask your insurance provider what your cost will be if you are prescribed HUMIRA. If you're considering switching insurance plans, be sure to find out what your new plan covers before you enroll.

Our insurance specialists at 1.800.4.HUMIRA are available from 8AM to 8PM ET.

Get Started With myHUMIRA

Join myHUMIRA now to receive support and services for getting the most from your HUMIRA® treatment plan.

You can also join myHUMIRA by calling 1.800.4.HUMIRA .



FAQs regarding insurance reimbursement

Frequently Asked Questions about Reimbursement

Click on the questions below to receive answers about insurance reimbursement. Plus, learn if the HUMIRA Protection Plan could help make your medication more affordable.

Insurance Reimbursement Services Available through myHUMIRA


A: If the pharmacy that your insurance company works with does not accept the HUMIRA Protection Plan co-pay 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.

A: 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.

A: myHUMIRA reimbursement counselors at 1.800.4.HUMIRA (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.

A: myHUMIRA reimbursement counselors can research prior authorization requirements and help facilitate the process for your physician on your behalf.

A: myHUMIRA reimbursement counselors can provide you with information about co-pay assistance options. In some situations, they can even provide a HUMIRA Protection Plan card that provides co-pay assistance to eligible patients or refer appropriate patients to independent, public charities for financial assistance.

A: 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.

A: 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.

A: In some situations, the AbbVie Patient Assistance Foundation may be available. The AbbVie Patient Assistance Foundation provides HUMIRA at no cost to eligible patients who are typically uninsured and experiencing financial difficulties. In addition, independent third party charities may be able to help.

A: Yes, AbbVie donates to the AbbVie Patient Assistance Foundation, which, in some situations, provides HUMIRA at no cost to eligible patients who are typically uninsured and experiencing financial difficulties.

Accessing myHUMIRA Reimbursement Services


A: You can reach a myHUMIRA reimbursement counselor by calling 1.800.4.HUMIRA (1.800.448.6472) Monday through Friday, 8 a.m. to 8 p.m. Eastern Time.

A: myHUMIRA reimbursement counselors are available to assist you Monday through Friday, 8 a.m. to 8 p.m. Eastern Time.

A: 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.

A: You can obtain reimbursement assistance through myHUMIRA prior to treatment or at any point during treatment.

A: You can obtain assistance through myHUMIRA Insurance and Coverage Services by calling 1.800.4.HUMIRA (1.800.448.6472) or by completing and submitting an enrollment form available at your physician's office.

A: 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 1.800.4.HUMIRA (1.800.448.6472). For questions about the HUMIRA Patient Assistance Program form, please contact a patient assistance counselor at 1-800-222-6885.

A: 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.

Payer Questions


A: Many health insurance companies 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.

A: Most state Medicaid programs provide coverage for HUMIRA. To find out the specific coverage policy and guidelines for a particular state Medicaid program, please contact 1.800.4.HUMIRA (1.800.448.6472) to speak with a HUMIRA reimbursement counselor.

A: 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. To learn more about these changes to Medicare and what they can mean for you, please visit www.medicare.gov or call 1.800.4.HUMIRA (1.800.448.6472).

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
  • 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.


This is the most important information to know about HUMIRA. For more information, talk to your health care provider.

 

Uses

 

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 4 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 for these adults who have lost response to or are unable to tolerate infliximab.
  • 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.

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Please see the Full Prescribing Information, including the Medication Guide, for HUMIRA.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

If you cannot afford your medication, contact: www.pparx.org or call the toll-free phone number (1-888-4PPA-NOW) for assistance.

Safety Considerations1

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. HUMIRA may increase the chance of getting lymphoma, including a rare kind, or other cancers. HUMIRA can cause serious side effects including hepatitis B infection in carriers of the virus, allergic reactions, nervous system problems, blood problems, heart failure, certain immune reactions including a lupus-like syndrome, liver problems, and new or worsening psoriasis.

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