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How much does Humira cost without insurance?

Medically reviewed by Leigh Ann Anderson, PharmD Last updated on Apr 18, 2020.

Official Answer

by Drugs.com

The average cash price of Humira without insurance is around $8,000 for 1 carton (2 pens) of 40 mg/0.4 mL, but most people never pay this price. Using an online coupon, the retail price can come down to around $5,800. Your actual cost will depend upon which Humira product you need and the strength, if you have insurance and your specific type of insurance.

Online coupons or copay cards may be useful if you are paying cash and not using insurance to cover your prescription. Keep in mind these prices are always subject to change.

Cash prices vary greatly among US pharmacies, even in the same city. It may be helpful to check the prices at several pharmacies if you are paying cash for your Humira prescription.

If you are receiving Humira (generic name: adalimumab) from a specialty pharmacy, be sure to also ask about using any copay cards, coupons or other discounts. This may lower your out-of-pocket costs, like copays. Specialty pharmacies often handle complex biologics like Humira. Specialty drugs may need special handling such as refrigeration, fast shipping, or additional monitoring by a health care provider for side effects.

Who can I call about getting Humira?

AbbVie provides insurance specialists from their Humira website to help guide you through coverage and access if you are prescribed Humira and do not have insurance.

To get further information about how to obtain Humira, you can call AbbVie at 1-800-448-6472.

Can I get Humira if I don’t have insurance?

No insurance or unemployed

  • If you do not have insurance or are unemployed, you may be eligible to receive Humira at no cost from the AbbVie Patient Assistance Program (myAbbVie Assist) or another foundation if you meet certain income criteria.
  • According to AbbVie, financial need requirements will vary by medicine. Your eligibility may be based on your insurance coverage, household income, and projected out-of-pocket medical expenses.
  • Other groups, such as nonprofit organizations, may be able to provide financial support for your medications. Talk to your health care provider about ways to afford your medication.

Does Medicaid cover Humira?

Medicaid

  • Medicaid is a US government-run health insurance program that provides medical assistance for low-income individuals and families.
  • It is jointly run by the federal government and individual US states. State Medicaid programs may provide coverage for Humira but it can vary based on your state. 
  • To find out specific Humira coverage for a particular state Medicaid program, you can contact AbbVie at 1-800-448-6472.

Does Medicare cover Humira?

Medicare

Medicare is a US federal health insurance program for people 65 and older and those with certain disabilities. With Medicare, prescription coverage for Humira is available through many Medicare Advantage Plans and Medicare Supplemental Plans but you must enroll for these add-on plans separately.

  • Medicare Advantage Plans (Part C) - Medicare Advantage Plans provide hospital and medical insurance, and generally includes prescription coverage.
  • Supplemental Plans (Part D) - A separate prescription coverage option that you can add to Medicare. You may be eligible to receive a low income subsidy (Extra Help) as well to help pay for Humira.
  • If you have Medicare Advantage or Medicare Part D, most plans will cover Humira with a copay.

Does my insurance cover Humira?

Commercial Insurance

  • The manufacturer of Humira, AbbVie, has a Copay Savings Card program in place to help you afford Humira if you have commercial insurance (i.e., through your employer or purchased through the Affordable Care Act). 
  • While your insurance may cover a portion of Humira cost, your copay may be unaffordable for you. In these circumstances the copay card can be used to help lower these costs.
  • The Humira Copay Savings card may reduce your out-of-pockets expenses to a little as $5 per prescription, with a maximum annual savings of $16,000. These copay cards do not have an expiration date but you may need to re-enroll each year.

What is Humira?

Humira is a biologic injectable protein known as a monoclonal antibody. It is used to treat many different autoimmune-types of diseases where inflammation leads to symptoms. It's classified as a Tumor Necrosis Factor (TNF) alpha inhibitor, and binds to and blocks the action of TNF in our body to lower inflammation.

Humira has been developed through genetic engineering, and that is one reason it is so expensive. Humira has been one of the world’s best selling drugs for many years. It is given as a self-administered subcutaneous injection (under the skin).

Because Humira blocks the inflammatory process, it has a place in many autoimmune conditions with inflammation as a central mechanism, including:

  • Rheumatoid arthritis
  • Juvenile arthritis
  • Ankylosing spondylitis
  • Crohn's disease
  • Plaque psoriasis
  • Ulcerative colitis
  • Psoriatic arthritis
  • Hidradenitis Suppurativa
  • Uveitis

Is there a generic (or biosimilar) for Humira?

There is not a commercially available biosimilar option for Humira at this time. Several biosimilars have been approved by the FDA for Humira but are not yet on the market.

In late 2016, the original Humira original patent expired opening doors for biosimilar development. Due to patents and other legal issues, these lower cost biosimilar products are not expected to become commercially available until 2023.

If you need further information about how to obtain Humira, you can call AbbVie at 1.800.4HUMIRA (1.800.448.6472).

See also: Humira: One Drug, Nine Uses, Billions of Dollars

References
  • Humira Injection [package insert]. North Chicago, IL: AbbVie Inc. Accessed April 17, 2020 https://www.humira.com/humira-complete/insurance-coverage-explained
  • Humira Price Guide. Drugs.com. Accessed April 17, 2020 https://www.drugs.com/price-guide/humira

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