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Cost of Enbrel

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My insurance company would only agree to cover the cost of Enbrel after I

had exhausted all other treatments available. I'm still using MTX but

hating it as only 5 mg makes me deathly ill. I'm doing better though after

3 months on it, I'm only sick about 36 hours vs. 4 days when I started. The

next drug to try, Arava, is too expensive, over $200/mo. Then I found out

that my insurance will only cover $20 on the Enbrel scrip which is $985/mo!!

It's a no win situation.

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  • 3 years later...

In a message dated 1/23/2003 2:22:20 PM Eastern Standard Time,

peterunspa@... writes:

> I too have Aetna insurance, but no such thing as " free " for me

Pete - I have Aetna too - and I order from their injectible company,

Prioriety Healthcare. My copay is .... ZERO.

Of course, it depends on which plan you have - our Aetna plan is called U.S.

Access.

But check with Aetna about special plans for injectibles - you might be

covered 100% if you order from their Prioriety Healthcare company.

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  • 1 year later...
Guest guest

Hi ,

I'm going to be 55 this summer and still work about 50 hours a week. I

thought I would have to go on disability several months ago, but since I've been

on

Humira I'm much better and am able to put in the hours my job needs. Hope

Enbrel works its magic on you as it has for many others.

Kathy F.

I'm curious, how many out there are over 50 and still work full time with

PA? I just don't see how I can keep doing this and as much as I hate the

thought, starting to apply for disability might be the way I'll have to go.

Well, I " ve rambled long enough,

thanks for reading

in PA with PA

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Dear ,

I can totally relate to you wondering how people can still work and have

active PA. I’ve had this full force for almost 5 years and finally gave up

going into work about 3 and half years ago. Luckily, my husband and I owned

our own business so if I was late or don’t make it in one day, he can’t

exactly fire me….lol. But I still had to deal with the guilt of not showing

up and not doing my part of a busy office. We also have worked together so

well, that I felt like it was one more spot I was letting him down with my

illness. I tell myself that I was there when I was needed and try and look

at it that way. It would have been really bad for me to have gotten sick

when we first opened and couldn’t have afforded to replace me.

I feel so bad for people who have to decide on insurance or working. It’s

horrible to think you have to give up your medication because you are too

ill to work. I have used the injectable drugs twice now and there is a big

difference between the companies that provide the drugs. Does your

insurance give you a choice of companies to choose from? When I ordered

Enbrel I was going nuts with the company taking so long and messing

everything up from my address to my name. Then I ordered Humira and it was

at my home the next day. So some companies are just great and others really

do drop the ball. I hope Enbrel helps you. I was allergic to it, but then

I have a lot of allergies so you can’t go by me. It really seems to be a

wonder drug for so many people and I hope it answers your problems.

Anyway, on your question of being over 50 and not working…. I’ll be 50 in

June, my PA is still out of control, and I’m not on disability yet. I’m

just taking a leave of absence from work and doing consulting work. So far

I’ve stayed away from disability, but I know it’s on the horizon. Take care

and good luck with the Enbrel. Sincerely, Fran in Florida

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Guest guest

--

I'm so sorry you are hiving so much trouble with the Enbrel shipments. I

had trouble with Shopko pharmacy at first but they have improved their

service tremendously and I get my Enbrel on time now.

In answer to your question....I am 54, I work full time as a court clerk

which is a very busy, stressful and on-my-feet a lot on court days kind of

job. There are days when I wonder how much longer I can keep it up but I

really don't want to quit. My insurance is terrific and without it my

husband and I would soon begin to experience a real belt tightening period

unless I give up treatment of this disease. I am going to apply for

disability when I get to a point where I cannot continue. I try really hard

to hide my symptoms and I never talk about it at work unless someone asks.

When I can't hide it anymore I'll know that I have become ineffective and

I'll quit and try to get disability. I never thought of it as a possiblity

in my life but 2 1/2 years with PA is making a believer out of me.

I hope you get relief from Enbrel and whatever else you take with it and

that you can continue to carry on for a good long time, at least until you

are ready to rest.

Best Wishes, Cheri :-))

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  • 10 months later...

I feel bad for you . we have all been there . If there is nopain relief from

the enbrel then you should talk to your doctor about getting remicade or

something else. I have found that takineg evening primrose oilwith gla[gamma

linoleic acid ] does help me with pain. I take1 in the morning and 1 at supper .

sometimes i take 2 in the morning . . it may take a few weeks to 2 months to

notice a difference but i wouldnt be without it. I have also found that also

helps

lower cholesterol and helps with all my menopausal stuff. There was a lady

who was a member of this group several years a go and she told us that over in

Ireland where she lived that all the doctors from the hospitals and clinics

prescribed this to there arthritis patients . its worth a try . It helps me a

lot

.. i am also on enbrel and mobic . i have been on just about everything

including mtx. try the epo . I get the evening primrose oil at my local vitamin

shope . Makesure it has the gla . I just get the store brand. if you have any

" indigestion " from this just take a pepcid . good luck .

cathy from ma.

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In a message dated 2/28/2005 9:12:30 AM Eastern Standard Time,

swtthing12201999@... writes:

> i am so tired of nothing helping. the cost of my

enbrel is 2504.00 a month witch i pay 500.00 for.has

anyone ever just stopped all meds and tried just

creams

I went off the enbrel a few weeks ago and do not feel any worse. I have

been on low to no carbs for the last two weeks and feel like it helping

somewhat. I am trying to stay off foods with preservatives. Whenever I have

too mcuh

salt my legs seems to be very painful. I had too much salt and some wine

saturday night and my legs started swelling becoming painful. For me,k I think

a certain diet may help me more then the PA meds.

Janet

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  • 4 years later...
Guest guest

Last night I called Accredo Pharmacy to schedule my next shipment of

Enbrel. I asked the actual cost of Enbrel that the insurance company

has to pay for a 90-day supply. He told me it cost $5,252.60. Wow! I

knew it was expensive, just not sure how expensive. This cost was for

the 25mg twice weekly that I get; I don't know if the price varies for

the once weekly or not. I also don't know if that's in addition to the

$150 that I have to pay.

So on July 1, I'll have to start paying $300 for a 90-day supply; I

had been paying $150 for a 100-day supply.

It does look as though they could bring the price down after all these

years. I do have a little stock in the company, though. LOL.

Sue

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Guest guest

You should really check out their website. They have a co-pay program. You

have to get the card from your rheumy office, but it is simple, get the card

call enbrel et wa-la. Free for 6 months then I think its $10 after that. It

had been $50 but they lowered it. The co-pay card is only for patients with

insurance and does have limits but has helped my budget tremendously.

Good Luck

Diane

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Guest guest

I will probably be starting Enbrel next month and I am very concerned about all

that it involves. At least this gives me a clue about my co-pay. At that price I

should buy a share, it's bound to go up!

Stan

Seattle, Sun!

Last night I called Accredo Pharmacy to schedule my next shipment of

Enbrel. I asked the actual cost of Enbrel that the insurance company

has to pay for a 90-day supply. He told me it cost $5,252.60. Wow! I

knew it was expensive, just not sure how expensive. This cost was for

the 25mg twice weekly that I get; I don't know if the price varies for

the once weekly or not. I also don't know if that's in addition to the

$150 that I have to pay.

So on July 1, I'll have to start paying $300 for a 90-day supply; I

had been paying $150 for a 100-day supply.

It does look as though they could bring the price down after all these

years. I do have a little stock in the company, though. LOL.

Sue

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I'm sure that my income is too much to qualify, but thanks anyway,

Sue. I guess I can afford it; I'd just prefer to use that money for

something else.

Sue

On Apr 23, 2009, at 11:58 PM, Kellis wrote:

> I was just on there website and they have a copayment program

> simular to humira. I have been on humira for 6 months and haven't

> paid anything with my private insurance and their copayment program.

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I got a letter from the Healthwell Foundation yesterday approving me for a

year's amount of co-pays for Enbrel or another med (?). I guess my insurance

will pay the rest.It may be something to look into.

Dennis in eastexas

On Fri, Apr 24, 2009 at 7:28 AM, Diane <ddjjn@...> wrote:

>

>

> You should really check out their website. They have a co-pay program. You

> have to get the card from your rheumy office, but it is simple, get the card

> call enbrel et wa-la. Free for 6 months then I think its $10 after that. It

> had been $50 but they lowered it. The co-pay card is only for patients with

> insurance and does have limits but has helped my budget tremendously.

> Good Luck

> Diane

>

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Guest guest

Enbrel has been covering half the cost of my copays for a year and when that

expired, they called me up and signed me up for an additional year at no cost to

me. No income requirements at all, but there is a form the doctor needs to fill

out and fax in.

~Marie

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Guest guest

I went to the website, but I understood that this was for people just

starting to use Enbrel. I've already been using it for over five years.

Sue

On Apr 24, 2009, at 8:28 AM, Diane wrote:

> You should really check out their website. They have a co-pay

> program. You have to get the card from your rheumy office, but it

> is simple, get the card call enbrel et wa-la. Free for 6 months

> then I think its $10 after that. It had been $50 but they lowered

> it. The co-pay card is only for patients with insurance and does

> have limits but has helped my budget tremendously.

> Good Luck

> Diane

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Guest guest

Oh, if there are no income requirements, I'll check it out when the

time comes. I'm getting a new 3-month supply next week.

Sue

On Apr 24, 2009, at 4:28 PM, Marie Miley- wrote:

> Enbrel has been covering half the cost of my copays for a year and

> when that expired, they called me up and signed me up for an

> additional year at no cost to me. No income requirements at all, but

> there is a form the doctor needs to fill out and fax in.

>

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Guest guest

Great news Dennis!! I hope one of the biologic meds work for you. I was on

humira for awhile, they have a patient assistance program. I did qualify for

healthwell, but the plan d (medicare), kicked in, and I didn't have to use it.

I only pay $6 for humira.

Good luck my friend, Tawny

>

> I got a letter from the Healthwell Foundation yesterday approving me for a

> year's amount of co-pays for Enbrel or another med (?). I guess my insurance

> will pay the rest.It may be something to look into.

>

> Dennis in eastexas

>

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Guest guest

That's wonderful news, Dennis!! I pray this means you will be feeling better

very soon.....Doreen :)

>

> I got a letter from the Healthwell Foundation yesterday approving

> me for a year's amount of co-pays for Enbrel or another med (?). I

> guess my insurance will pay the rest. It may be something to look

> into.

>

> Dennis in eastexas

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Guest guest

And don't forget to register with the VA Dennis ;)

Kate

Ps I have an upcoming intervew with them so my nagging will only increase!

Sent from my iPhone

On Apr 25, 2009, at 7:18 AM, " Mimi " <mimi212@...> wrote:

That's wonderful news, Dennis!! I pray this means you will be feeling better

very soon.....Doreen :)

>

> I got a letter from the Healthwell Foundation yesterday approving

> me for a year's amount of co-pays for Enbrel or another med (?). I

> guess my insurance will pay the rest. It may be something to look

> into.

>

> Dennis in eastexas

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Guest guest

YES, MOTHER!!

Dennis in eastexas

On Sat, Apr 25, 2009 at 7:33 AM, Kate Fair <kalfoley@...> wrote:

>

>

> And don't forget to register with the VA Dennis ;)

> Kate

> Ps I have an upcoming intervew with them so my nagging will only increase!

>

> Sent from my iPhone

>

>

> On Apr 25, 2009, at 7:18 AM, " Mimi " <mimi212@...<mimi212%40cfl.rr.com>>

> wrote:

>

> That's wonderful news, Dennis!! I pray this means you will be feeling

> better very soon.....Doreen :)

>

>

> >

> > I got a letter from the Healthwell Foundation yesterday approving

> > me for a year's amount of co-pays for Enbrel or another med (?). I

> > guess my insurance will pay the rest. It may be something to look

> > into.

> >

> > Dennis in eastexas

>

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Guest guest

:)

________________________________

From: Dennis W <betnden@...>

Sent: Saturday, April 25, 2009 10:58:52 AM

Subject: Re: [ ] Re: Cost of Enbrel

YES, MOTHER!!

Dennis in eastexas

On Sat, Apr 25, 2009 at 7:33 AM, Kate Fair <kalfoley (DOT) com> wrote:

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