Enbrel Cost?

[stargirl]

I had to bypass the way my Dr was going to get me enbrel (reimbursement concierge program) It would have taken too long ( I had less then 2 days for the lowest cost) since as of today since my co payment went from $6 per prescription(for 2 months supply) to 20% of the cost (only injectable drugs are 20% copay). getting my insurance to cover enbrel was never an issue, except needing to get a prior authorization from filled out. I was able to get it approved in 1 hour from the time I finally got the Dr to fax it direct to the insurance trust place.

Now my worry is after my 2 months of enbrel runs out how am I going to come up with the 20% co pay. I am about to call the # I found at needymeds.com to see if I qualify for any help (I doubt I will). my husband has only been back to work for a month. He had been on strike (over health care no less) for 5 months prior. so finances are a big issue for us. everything related to our health care has gone up.

Is their a source that is cheaper since it is almost $3000 for 2 months at my local pharmacy.


ok enough rambling lol

[chaimFL]

The maker of enbrel themselves can approve you for free meds, but you will have to qualify financially there as well.

You can also try and locate a clinical trial in your area, which will at least buy you the amount of time that the trial is running.

[makeitgoaway]

I use a mail order pharm. called Chronimed. They bill my insurance company $1188 per month. Thats about $600 less on your 2 month supply. It might be worth a shot to see if they participate with your insurance.

http://www.chronimed.com

[Allie]

Check your insurance to make sure you don't have a Max co-pay.

My insurance is....
Retail Pharm..... (1 mo. supply)
Generic 15% w/$5 min & $20 max
Preferred Brand-Name 30% w/$15 min & $40 max
Non-Preferred Brand-Name 40% w/$30 min & $80 max

Mail Order Pharm.... (3 mo. Supply)
Generic $15
Preferred Brand-Name $40
Non-Preferred Brand-Name $55

Enbrel is a little different due to the extreme cost of it, I pay $40 a month regardless if I go to the Retail Pharm or do Mail Order......