Reduce the Cost of your Crohn’s Disease Medication

There’s no avoiding it: managing the financial impact of Crohn’s disease is stressful. Obtaining financial aid or finding the right health insurance for covering the cost of your Crohn’s meds and other disease-related expenses can be challenging. Studies examining the cost of Crohn’s disease have calculated that U.S. patients spend an average of almost $9000 per year on direct costs such as medication and hospitalizations.
If you’d like to lower the cost of your medical treatment for Crohn’s disease, here are some places to get started.

Participate in Clinical Trials

Have you considered participating in a clinical trial? Many people assume that clinical trials only test new medicine for Crohn's disease, but this is not the case. While some trials are testing the latest treatment for Crohn’s, an enormous number of clinical trials for Crohn’s are evaluating familiar medications already on the market. For example, the trial might be examining a new dosing regimen or studying its long-term effects in a particular population.

Every clinical trial for Crohn’s medication is different, but overall they’ll offer the medication at a reduced cost (or free of cost) while you’re participating in the trial and may even offer a reduced rate after the trial has completed. Additionally, travel expenses may also be covered too!

Browse the Crohn’s clinical trial directory to see if there’s a trial near you.

Crohn’s Medication Pharmaceutical Assistance Programs

Many pharmaceutical companies that make medications used to treat Crohn’s disease provide financial assistance programs. You can sign up for these online through the pharmaceutical companies’ websites. Many of these programs are often for patients who are underinsured, uninsured, or on private insurance.
If you are taking one of the more common Crohn’s medications (most are anti-TNFs or integrin receptor antagonists) you may be eligible to enroll in one of these Crohn’s co-pay support programs through the pharmaceutical company.

Reduce Humira Cost - AbbVie

Program name: Humira Complete Savings Card
Savings: Get Humira for as little as $5/month, depending on eligibility.
Details: Patient must have commercial insurance. Patients with government-funded insurance are not eligible.
More info: Humira Complete Savings Card website

Find Your Treatment

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Crohn's Disease Ulcerative Colitis

Reduce Remicade Cost - Janssen

Program name: Janssen CarePath Savings Program for Remicade
Savings: Pay $5 for each infusion with a $20,000 maximum program benefit each calendar year
Details: Patients paying for Remicade with government-funded programs are not eligible. There is no income requirement. The Janssen CarePath Savings Program site also lists several additional resources for funding your Remicade treatment.
More info: Janssen CarePath Savings Program for Remicade website

Reduce Stelara Cost - Janssen

Program name: Janssen CarePath Savings Program for Stelara
Savings: Pay $5 for each dose with a $20,000 maximum program benefit each calendar year
Details: Patients paying for Remicade with government-funded programs are not eligible. There is no income requirement. The Janssen CarePath Savings Program site also lists several additional resources for funding your Stelara treatment.
*More info:
Janssen CarePath Savings Program for Stelara website

Reduce Simponi Cost - Janssen

Program name: Janssen CarePath Savings Program for Simponi
Savings: Pay $5 for each dose with a $20,000 maximum program benefit each calendar year
Details: Patients paying for Remicade with government-funded programs are not eligible. There is no income requirement. The Janssen CarePath Savings Program site also lists several additional resources for funding your Simponi treatment.
More info: Janssen CarePath Savings Program for Simponi website

Reduce Entyvio Cost - Takeda

Program name: Entyvio Connect
Savings: Pay as little as $5 per dose.
Details: Patients with commercial insurance (PPO or HMO) can enroll in the co-pay program to pay as little as $5 per dose. Patients with government insurance may be eligible for financial assistance from an independent co-pay foundation. Patients with no insurance may be eligible for assistance from the
Takeda Patient Assistance Program.
More info: Entyvio Connect website

Reduce Cimzia Cost - UCB

Program name: CIMplicity Savings Program
Savings: Covers up to $15,000 per calendar year.
Details: The program is available only to insured patients who meet eligibility criteria. Individuals with government-funded insurance are not eligible.
More info: CIMplicity Savings Program website

Reduce Inflectra Cost - Pfizer

Program name: Pfizer enCompass Co-Pay Assistance Program for Inflectra
Savings: Covers up to $20,000 per calendar year.
Details: The program offers various types of support, including support with insurance reimbursement, assistance with co-pays or coinsurance if you have commercial insurance, and assistance with providing free medicine if you do not have insurance.
More info: Pfizer enCompass Co-Pay Assistance Program website

Private and Non-Profit Crohn’s Assistance

Many nonprofit organizations offer financial assistance, drug discount cards, co-pay assistance and exposure to other resources:
NeedyMeds and RX Assist: both online directories where you can type in your Crohn’s meds to see the available patient assistance programs, generic drug options, co-pay support programs, coupons, and more.

Patient Advocate Foundation (PAF): offers the PAF Co-Pay Relief Program. This provides financial assistance to eligible insured patients to help pay for prescriptions and treatments they need, helping to cover the out-of-pocket costs for these items.
Healthwell Foundation: a non-profit that assists underinsured patients with grants for covering copays, premiums, deductibles and out-of-pocket expenses.
Patient Access Network Foundation (PAN): a non-profit offering assistance paying for out-of-pocket costs for prescriptions. This foundation helps both federally and commercially insured patients with life-threatening, chronic, and rare diseases.

Government Insurance

Most people are already somewhat familiar with the two main public programs in the U.S., Medicare and Medicaid.
Of all the Crohn’s disease treatment options, the common brand-name drugs (Stelara, Humira, Remicade, Simponi, Entyvio, Inflectra, Cimzia) are all ranked in the highest tier—tier 5—consisting of high-cost, specialty drugs. Depending on your income, it’s possible to have these included in a Prescription Drug Program as part of Medicare, but most often they require special approval prior to coverage.
Medicare offers an addition program called Low-Income Subsidy (LIS), or “Extra Help” program that helps pay prescriptions for people with limited income. Visit the Extra Help webpage to for details on eligibility.

References

(2013). Humira. AbbVie. https://www.humira.com/humira-complete/cost-and-copay
(2017) Janssen Prescription Assistance. Johnson & Johnson Health Care Systems Inc. http://www.janssenprescriptionassistance.com/remicade-cost-assistance
(2018) Stelara Cost and Insurance. Janssen Biotech Inc. https://www.stelarainfo.com/stelara-cost-insurance-information
(2016) Janssen CarePath Savings Program. Janssen Biotech Inc. https://simponi.janssencarepathsavings.com/Coupon/Simponi
(2018). Entyvio Connect. Takeda Pharmaceuticals USA Inc. https://www.entyvio.com/financial-support
(2018). Your Treatment May Be Available at No Out of Pocket Cost. UCB Inc. https://www.cimzia.com/co-pay-program
(2018) A patient’s Guide to Pfizer enCompass Support Programs for Inflectra. Pfizer, Inc. https://www.pfizerencompassonline.com/StreamResource.ashx?v7zigbqpSXQDrujo4CoL6+iEF8xmvptvD19QUESvA/ScWkROvsQTM8AAULfvw7xh

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