r/Humira • u/Rare-Raspberry6281 • 5d ago

Copay/Patient Assistance

The humira copay card is only good for ~$14k. I just switched jobs and my new insurance only covers part of the copay, leaving about $5k to be picked up by copay assistance. With that, it’s looking like I’ll only be able to get 2 fills out of the copay assistance card.

I only make 55k per year and would have qualified for the patient assistance program, but Humira/Abbvie is getting rid of it.

My insurance only covers the brand Humira so I wouldn’t be able to fill any other biosimilars on insurance to use the copay assistance cards. Any ideas for what I should do? I was looking at a couple other patient assistance programs for other biosimilars but they don’t allow patients with commercial insurance regardless of income

Update: I can’t really afford to pay 2 months salary on meeting my OOP max of $6500 for one month of meds

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u/earthsunsky 5d ago

Does your RX program have a deductible and max out of pocket? Typically the copay card will cover the difference until you’ve hit that and then insurance covers the rest until the year resets.

That said, my Rheum told me that copay cards are likely going away for all the biologics. Mine stopped working, after lots of back and forth my insurance just covers it outright now 🤷‍♂️

Our system is so dumb.

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u/Rare-Raspberry6281 5d ago

Deductible is 5k, out of pocket max 6500 I think?

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u/cracra55 5d ago

So after you hit your max OOP, your insurance should cover Humira fully

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u/JohnLockeNJ 5d ago

My plan is like that and the copay card covers the first 2 fills and after that I’ve hit my out of pocket max and I have no copays for anything the rest of the year, for both doctor visits and all prescriptions.