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Well, I finally talked to someone at Enbrel. Obviously this is not

something I'm going to be able to try through Medicare.

At benefit level I, the deductible is $3600 per year. You pay that first,

then it's $250 per prescription plus 25% of the actual cost of the drug.

They said they couldn't tell me until July 1 when my approval goes into

effect how much that would be. I told him I had heard that it's $6000 per

month and he said it isn't quite that much.

I don't know why they come up with drugs that no one can afford!

Nina

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----- Original Message -----

From: " DeNicola " <sdenicola@...>

> I take Remicade. I can't speak for Enbrel, but Remicade's Patient

Assistance program was wonderful. They approved me in 48 hours once I showed

proof of no insurance & an Rx from my rheumy.

I just checked with some other places that Enbrel recommended to see if

those organizations would help with the costs. I don't qualify. Two people

with an income of $29,000 a year does not qualify. So I guess I will stick

with the prednisone and just let it kill me because that's what it's doing.

Hang onto your insurance no matter what. Otherwise, you will be like me and

not be able to get any. I can't even get it through group insurance without

a two year pre-existing condition clause. I could not change my COBRA

insurance to a private policy in TX (United Healthcare's rules in TX) and

the high risk pool was cost prohibitive (about $600 a month just for me and

that was in 1998. I also can't get Medigap insurance in TX because I am

under 65. The only policy they would give me would not cover anything

Medicare won't cover now. Nothing I could get would cover meds.

Nina

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  • 2 months later...

I just started humira and I'm no expert,

but I think that humira and enbrel are very similar, and neither is

better than the other. I'm sure someone else may have more info on

that. Humira started working for me right away....another lady I know

enbrel worked for her right away. Don't know about enbrel stinging

tho...humira stings me. Side effects I noticed whether related to

humira or not are more headaches. You may have good success from

enbrel.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Maggie

http://www.4HockeyFans.com

http://www.4FloridaHockey.com

MSN: Maggies1429

AOL: Maggies85

Vicki wrote:

Hi,

My insurance company denied my script for Humira because I

have not tried Enbrel yet. Can someone tell me if Enbrel causes pain

during injection like Humira? Also any side effects you have

experienced.

If Enbrel doesn't start to work after 3 months, my dr can

call it a failure and I can get Humira.

Is Humira really that much better than Enbrel?

Thanks for any advice.

Vicki

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I believe that Enbrel and Humira are eqiuvalent to each other, as

opposed to trying one before you can try the other. Enbrel worked

for me for a while, although I never had 100% relief from it. I did

get to a point where I could work full time, I just had to learn to

function with my limitations. After 3 years, it completely stop

working for me, but that is not necessarily unusual for an RA med.

There are 2 types of Enbrel injections.

There is a 25mg injection that you take twice a week and you have to

mix it yourself. This injection doesn't hurt at all, and has a very

fine needle.

There is now a 50mg once a week pre-prepared injection. This one

seemed so much easier and more convienient so I tried it. This one

hurts a LOT and I found it ineffective to get me through the week.

I went back to the 25mg injections.

I don't recall now how long it took before I started getting any

relief from the Enbrel, but I was taking 40 mg prednisone a day at

the time because the pain had been so bad. 3 months should be more

than enough time to know if you are getting any relief or not.

Good luck,

Miriam

--- In Rheumatoid Arthritis , " Vicki " <hoyt91@u...>

wrote:

> Hi,

> My insurance company denied my script for Humira because I have

not tried

> Enbrel yet. Can someone tell me if Enbrel causes pain during

injection like

> Humira? Also any side effects you have experienced.

>

> If Enbrel doesn't start to work after 3 months, my dr can call it

a failure

> and I can get Humira.

>

> Is Humira really that much better than Enbrel?

>

> Thanks for any advice.

> Vicki

>

>

> --- http://USFamily.Net/dialup.html - $8.25/mo! --

http://www.usfamily.net/dsl.html - $19.99/mo! ---

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