Humira’s Drug Formula: Start at a High Price, Go Higher

Re:Humira’s Drug Formula: Start at a High Price, Go Higher by cnewey on Monday January 08, 2018 @06:27AM (#16096052)

I'm not especially familiar with the structure of the US health insurance system, but I think that the lower costs mentioned on the page you linked largely depends on either receipt of considerable amounts of state aid, or having pretty high-quality insurance.

Certainly, if you were to flick through various forums for those with Crohn's disease (e.g. [1]), you'd find many stories of people paying hundreds (or even thousands) of dollars for a month's Humira treatment.

[1]: https://www.healingwell.com/community/default.aspx?f=38&m=22...

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Re:Humira’s Drug Formula: Start at a High Price, Go Higher by maxerickson on Monday January 08, 2018 @08:41AM (#16096613)

Under current law (the ACA), the maximum annual payment would be $7,350 (on top of monthly insurance premiums).

That's for the lowest benefit, qualifying ACA plans and assuming the prescription is covered. The "cash" price is ~$4000 a month (https://www.goodrx.com/humira ) so even the lowest benefit plans are kicking in quite a bit of support (but probably also negotiating the price down quite a bit).

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