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Orencia cost

I've heard the Rituxan is about $15,000 per infusion and was just curious how much Orencia is?  Well, that is if anyone knows.  When I was getting Remicade at about 325mg per infusion I seem to remember it being nearly $6,000 each time I went in.  That was just what was on my insurance statement of benefits.

Is it just me or are the prices for these treatments a little ridiculous?  I know they're expensive to make but dang!
 
Bob
Sounds like it to me! Must be all that advertising they have to pay for. Oh Yes I can! People want to know why I don't just use it. They make it seem like it's a miracle drug that makes people go from having RA to not having it. They don't spell out it's for people who cannot be helped with first line drugs. Sure some of the dangers are mentioned but it's not like just anyone should demand that their doctor give it to them. Hey Bob, you said it!!!  That's what I was growling about the other day.  My insurance co. says the estimated cost of 3 months of Humira is $26,000!!!  WHAAAAT?  I just pay a  tiny co-pay but what if I loose my insurance or have to pay 20 percent?  $26,000?  That is a really nice car or 1/3 of a decent house or a really nice trip around the world.

Wanttobe, I am not really sure what you are saying.  What drugs are you on?  I agree loads of the cost (probably way more than what should be) is spent on advertising.    wasn't help much at all by MTX, and though it is still part of my treatment, its not enough on its own.
That doesn't sound right for Humira.  When I had to pay out of pocket it was about $1,500 per month.  That was for me having to pay 100% of the cost too. 
Really?  Maybe they are just trying to make me feel really lucky with the increase in out-of-pocket this year!

I believe that the retail cost of the Orencia is around $2,000 per dose, not including the service of having it infused by a hospital, doctor's office or home nurse.  Of that, the co-insurance I pay is under $200 per dose.  That is for the max dose (based on patient weight) which is 4 vials or 1 g.

Keep in mind that Rituxan is given every 6-9 months where Orencia is given monthly. 

My Humira runs about $850 an injection.  $2,550 a month.  LindyI'm on injectable humira right now and am paying a small out of pocket . I believe it's about $4000 a month. Last year I was on remicade infusions and had to go off because it I had racked up $600 out of pocket expense in 3 months. We were already paying for our own insurance which pretty much bankrupt us. The cost of these medicine is unbelievable and for me they havent helped as much as I would like. My prescription plan changed this year so it will cost me even more out of pocket.  I signed up for the humira assist program and hopefully that will help.
 
 
kkotts8
humira,methotrexate,celebrex,folic acid,synthroid, and zoloft.
[QUOTE=bob_h76]

I've heard the Rituxan is about $15,000 per infusion and was just curious how much Orencia is?  Well, that is if anyone knows.  When I was getting Remicade at about 325mg per infusion I seem to remember it being nearly $6,000 each time I went in.  That was just what was on my insurance statement of benefits.

Is it just me or are the prices for these treatments a little ridiculous?  I know they're expensive to make but dang!
 
Bob
[/QUOTE]
 
Bob,
 
That is not what I remember paying.  I'm trying to access my specialty pharmacy records, but the site is down..
 
I'm really sure though that it wasn't 15,000 per infusion.  My cost for the med was 50.00.  That covered both infusions........
Since we're talking about the price of the Rituxan, I went back to my claims from last year to look.  For the Rituxan itself (not including the cost of the services and supplies to infuse it), my insurance company was billed $25,000 per dose, of which they allowed $13,500, and I paid $260 (I might have paid more if I hadn't been hitting my out-of-pocket max for the year, not quite sure because of the way they distributed the costs).  Basically for the initial two doses, and the hospital infusion center costs to administer them, the insurance was billed $53,000 and allowed $28,600.Well, I can't access my new insurance, but I do have my statement from Caremark concerning my first Rituxan infusion....
 
The cost was 11,175.00, I paid 50.00 dollars and the cost of the infusion at my RD's was 320.00.  I paid 20% of the 320.00.....I had the Rituxan shipped to me and brought it into the office.  It was much cheaper that way. 
I payed 4,550.00 for my orencia I pay 1,300,00 out of pocketI take Humira and find the cost is just outrageous.  I was really surprised that my insurance company picked it up.  I worry that it will be a strike against me sometime when work is looking to layoff people.  [QUOTE=bob_h76]

I've heard the Rituxan is about $15,000 per infusion and was just curious how much Orencia is?  Well, that is if anyone knows.  When I was getting Remicade at about 325mg per infusion I seem to remember it being nearly $6,000 each time I went in.  That was just what was on my insurance statement of benefits.

Is it just me or are the prices for these treatments a little ridiculous?  I know they're expensive to make but dang!
 
Bob
[/QUOTE]
the drug companies are ripping everybody off and thats how they can afford to pay lynn to sell the drugs here on this board. if you are tired of paying through the nose so they can kill you there is a much better way.
DRUG INDUSTRY ANNUAL PROFIT IS 180 BILLION DOLLARS GIVE OR TAKE A FEW BILLION.[QUOTE=InnerGlow]

I believe that the retail cost of the Orencia is around $2,000 per dose, not including the service of having it infused by a hospital, doctor's office or home nurse.  Of that, the co-insurance I pay is under $200 per dose.  That is for the max dose (based on patient weight) which is 4 vials or 1 g.

Keep in mind that Rituxan is given every 6-9 months where Orencia is given monthly. 

[/QUOTE]
It is 4,700 for a dose of orenciaI'm looking at a copy of my EOB and it says that the cost of Rituxan (just the medication) was 12,800.00 and my insurance approved 8,960.00.  The total cost (medication and other infusion related charges) of one infusion was 9,579.15.  My EOB reads as follows:
 
Billed amnt.      13,684.50
Allowed amnt.    9,579.15
Ins. paid             8,621.24
Patient owes         957.91
 
Multiply the total by four (you take four infusions in one year) and the grand total would be close to 34,500.00 a year. 
 
I think it's a ridiculous amount to pay, but what do you do when nothing else works!  I've taken Methotrexate, Kineret, Enbrel, Humira, Remicade, Orencia, and now Rituxan.  It's also my understanding that your insurance won't approve it until you've tried all the other medications.  I do have to say that it has been nothing short of a miracle medication.  I haven't felt this good in years, so I guess it's worth it.  I just wish these medications were less expensive.  I have the good fortune of having two insurances, but what about all those people who don't.  Believe me, if I didn't have two insurances, I wouldn't be taking it.  I just couldn't afford it! 
Lynn,
How did you get your hospital/infusion center to agree to you ordering on your own?  My infusion center won't even give me a B-12 shot unless it was ordered by them.  They're afraid of the liability. [QUOTE=renee22]Lynn,
How did you get your hospital/infusion center to agree to you ordering on your own?  My infusion center won't even give me a B-12 shot unless it was ordered by them.  They're afraid of the liability.[/QUOTE]
 
My infusions are done at my RD's office.  When I discovered the price difference if I had the Rituxan shipped to me, I shared it with my RD and he thought it was a great idea. 
 
I know not all docs will allow their patients to do it that way and I think it's a shame.  Now, my specialty pharmacy will ship my Rituxan directly to the RD's office, so I think that eliminates some of the liability problems for doctor's offices......
 

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