Kubiza malini uHumira? Bona amanani nezindlela zokonga.
Imininingwane YezidakamizwaI-Humira ngumuthi kadokotela owehlisa izimpawu nezimpawu zesifo samathambo, isifo sikaCrohn, kanye ne-ankylosing spondylitis. Kungumuthi ovimba i-tumor necrosis factor (TNF) futhi ungomunye wemithi ethengiswa kakhulu emhlabeni. Ake sibheke ukuthi uHumira ubiza malini, noma ngabe umshwalense uyayikhokha noma cha, nokuthi uyonga kanjani imali ngayo.
Kubiza malini uHumira?
I-Humira (adalimumab) ngumuthi obiza kakhulu obiza cishe u- $ 7,389 ngamakhithi amabili angaphansi (10 mg / 0.1 mL). Amakhithi amabili angaphansi kwesikhumba aqukethe ukunikezwa kwenyanga kweHumira, okusho ukuthi kungabiza ngaphezulu kwama- $ 84,000 ukuthatha umuthi unyaka wonke.
Kungenzeka ukhokhe kancane uHumira uma unekhadi lesaphulelo noma uhlelo lomshuwalense olimbozayo, kepha uHumira ungumuthi obizayo kungakhathalekile ukuthi uyakwazi ukuthola intengo enesaphulelo. Esinye sezizathu sokuthi uHumira abize kakhulu yingoba ngumuthi onzima ukwenza. Ubuchwepheshe be-DNA kumele busetshenziselwe ukudala amaprotheni omuthi — inqubo engenakuphindwa, ngokungafani nemithi eyenziwe ngokwenziwa. UHumira usebenza ngokuvimba nokunciphisa imiphumela ye-tumor necrosis factor (TNF), edala ukuvuvukala. Abantu abanezifo ezizimele njenge isifo samathambo noma Isifo sikaCrohn khiqiza i-TNF eningi kakhulu, yingakho bevame ukunikezwa i-Humira.
I-Humira iyi-biologic, okungenye yezindlela zokusho ukuthi yakhiwe yi-DNA. Ngenxa yalokhu, i-FDA idinga ukuthi yenze ucwaningo olunzulu nokuhlolwa-esinye isizathu sokuthi kungani kubiza kangaka. Ayikho indlela yokuthi abakhiqizi badlule izidingo ze-FDA; noma kunjalo, lokho kungenza ukuthi uHumira ashibhile kulabo abadingayo.
Ngabe umshuwalense uyayifaka yini iHumira?
Kwesinye isikhathi izinhlelo zomshuwalense zizosiza ukukhokhela izindleko zeHumira, ezenza kube lula kulabo abadinga umuthi. I-Humira imbozwe yizinhlelo eziningi zomshuwalense, kepha izinhlelo ngazinye zingahluka ngokuthi zimboza malini. Umshuwalense ukwazi ukwehlisa intengo ephumile ephaketheni likaHumira kusuka ku- $ 7,389 kuye ku- $ 5,000 ngenyanga.
Abanye abantu abathola ukukhishwa kwemithi yokuqashwa / yokuthatha umhlalaphansi kwezentengiso bazokwazi ukuthola iKhadi le-Humira Complete Savings. Ikhadi le-Humira Complete Savings litholakala kuphela kubantu abanomshuwalense wangasese kumqashi wabo noma kubantu abathenga umshwalense ngqo ezinkampanini zomshuwalense. Usizo lweCopay alutholakali kubantu abathola ukubuyiselwa kwemali kadokotela ngezinhlelo zomshuwalense ezixhaswe nguhulumeni, izwe, noma uhulumeni.
Ngabe iMedicare imboza uHumira?
Abantu abangenayo imishwalense yangasese bangakwazi ukuthola uHumira ngezindleko ezincishisiwe ngeMedicare noma iMedicaid. I-Medicare uhlelo lomshuwalense wezempilo wabantu abadala abaneminyaka engaphezu kwengama-65 nakubantu abanokukhubazeka okuthile. Ukutholakala kwemithi kadokotela kuyatholakala nge-Medicare Advantage Plans (Ingxenye C) kanye nama-Supplemental Plans (Ingxenye D).
Ama-Medicare Advantage Plans ahlinzeka ngemithi ye-Medicare Part A ne-B (isibhedlela nomshuwalense wezokwelapha), futhi kwesinye isikhathi ingafaka ukumbozwa ngudokotela. I-Medicare Part D ingangezwa ku-Medicare Parts A no-B ukuthola eminye imishanguzo kadokotela.
Iningi lezinhlelo zeMedicare libala uHumira njengesidakamizwa esisezingeni lesi-5 ngoba ngumuthi okhethekile, kanti imishanguzo yesi-5 ngokuvamile ibiza ngaphezu kwezidakamizwa ezigulisa u-1-4. Ngoba i-Medicare ibala uHumira njengomuthi wesigaba sesi-5, abantu abaningi bazodinga i-Medicare Part D ngaphezu kwe-Medicare Part C, kodwa kungenzeka ukuthi ezinye Izinhlelo ze-Part C zimboze uHumira bebodwa.
Abanye abantu abanesembozo seMedicare bazokwazi ukuthola uxhaso Olungeziwe Losizo, olunganciphisa nezindleko zikaHumira. Ukufaneleka kwalolu xhaso kunqunywa yi-Medicare, futhi umxhaso awukwazi ukuhlanganiswa neKhadi le-Humira Complete Savings. Ungavakashela I-Medicare.gov noma ushayele inombolo ekhadini lakho lomshuwalense we-Medicare ukuze ubone ukuthi ufanelekile yini ukuthola uxhaso Olungeziwe Losizo.
Ngabe iMedicaid imboza uHumira?
I-Medicaid isebenza ngokuhlukile okuhlukile kune-Medicare. Iqhutshwa nguhulumeni wesifundazwe kanye nezifundazwe ngazinye, futhi inikezela ngosizo lwezokwelapha kubantu kanye nemindeni ehola kancane. Noma ukufakwa kwekhemisi kuyinzuzo yokuzikhethela ngaphansi kwe-federal Medicaid Law, ezinye izinhlelo zikaMedicaid zingahlanganisa izindleko zeHumira, kepha ukumbozwa kuzohluka kuye ngezwe. Vakashela I-medicaid.gov ukuze ufunde kabanzi mayelana nokuthi uHumira uzokumbozwa ngawe noma cha ngokususelwa lapho uhlala khona.
Indlela enhle yokubona ukuthi umshwalense wakho umboza uHumira ukuhlola uhlelo lwakho lomshuwalense ngamunye. Iwebhusayithi yenkampani yakho yomshuwalense ingakunika ulwazi oludingayo, noma kungadingeka ukuthi ushayele umhlinzeki wakho womshuwalense ngqo. Iwebhusayithi kaHumira, humira.com , futhi inezinsizakusebenza ezithile ezinhle, futhi zinazo ongoti bemishwalense ungashayela ukuthi ngubani ozokusiza unqume ukuthi ngabe umshwalense wakho uzokhokhela uHumira.
Izindlela ezi-4 zokonga ku-Humira
Ukuthola intengo engcono kakhulu kuHumira kungadinga ukwenza ucwaningo oluncane ukuze uqiniseke ukuthi wonga ngangokunokwenzeka. Nazi izindlela ezinhlanu ezinhle zokuthola uHumira ngentengo eshibhile.
1. Umshuwalense
Sebenzisa izinzuzo zohlelo lwakho lomshuwalense wezempilo ukuze uzuze ngenye yezindlela ezinhle zokonga imali kuHumira. Njengoba kushiwo ngaphambili, ezinye izinhlelo zomshuwalense zizokhokha izindleko zeHumira, noma zinciphise izindleko zakho ezingaphandle kwephaketheni. Abantu abanomshuwalense wangasese bangafanelekela ukuthola i-Humira Complete Savings Card. I-Medicare neMedicaid nayo inganciphisa izindleko zeHumira ngokuya ngohlelo ngalunye onalo kanye / noma lapho uhlala khona. Akunakwenzeka, noma kunjalo, ukuba seMedicare, Medicaid, Medigap, TRICARE, Medicare Advantage, noma ezinhlelweni zeVeterans Affairs bese uthola iHumira Complete Savings Card.
Kubalulekile ukuthi wazi ukuthi izinhlelo eziningi zomshuwalense zizodinga ukuthi ugcwalise ifomu lokugunyazwa langaphambilini noma inqubo yokwelashwa kwezinyathelo ngaphambi kokuthi bavume ukukhokhela izindleko zeHumira. Ifomu lokugunyazwa langaphambilini ukugunyazwa kokutholakala kusuka enkampanini yakho yomshuwalense esetshenziselwa ukusiza ukuqinisekisa ukuthi umuthi owuthengayo umuthi ofanele kakhulu futhi obiza kakhulu osetshenziswayo. Inqubo yokwelashwa kwesinyathelo idinga ukuthi ezinye izidakamizwa zivivinywe isikhathi esithile ngaphambi kokudlulela eHumira. Lokhu kuqinisekisa ukuthi imithi engabiza kakhulu izanywa kuqala ekwelapheni isimo sakho sezokwelapha. Imikhawulo ingenza kube nzima ukuthola ukumbozwa komshuwalense kuHumira, kepha ungahlala ucela udokotela wakho ukuthi adlulise isikhalazo uma umshwalense wakho ungamhlanganisi uHumira.
2. Humira amakhuphoni
Ukusebenzisa amakhuphoni kungaba yindlela enhle yokukhokha imali encane kuHumira. U-AbbVie Inc., umkhiqizi weHumira, unikeza iHumira Complete Savings Card kepha hhayi wonke umuntu ufanelekile kuleli khadi lokonga. Kulabo abangafaneleki, ukusebenzisa isigqebhezana esiku-inthanethi kuyindlela enhle yesibili. Uma usebenzisa i- Ikhuphoni le-SingleCare ngeHumira, ungakhokha u- $ 5,273 esikhundleni se- $ 7,389 ngebhokisi ngalinye lesitrinji eligcwaliswe ngaphambili. Amakhuphoni aku-inthanethi anjengale angasetshenziswa emakhemisi abamba iqhaza njenge-Walgreens, Rite Aid, Walmart, CVS, nabanye.
3. Izaphulelo zabakhiqizi
Kwesinye isikhathi ikhemisi ngeke lilamukele i-Humira Complete Savings Card, elingakushiya nesikweletu esikhulu. Usengakwazi ukwehlisa izindleko ze-Humira ngokusebenzisa i-Humira Complete Prescription Rebate. Izaphulelo zitholakalela kuphela abantu abanesembozo semithi yokuthengisa noma iziguli ezinomshwalense. Uma uhlangabezana nalezi zidingo nokho, ungakwazi ukuqoqa amarisidi akho kwaHumira bese uthola isheke lesaphulelo ku-Opus Health. Uma ufuna ukufunda kabanzi ngokugcina imali ku-Humira ngezaphulelo, vakashela iwebhusayithi yomkhiqizi.
4. Uhlelo lwe-AbbVie Patient Assistance Program
Iziguli ezingasebenzi noma ezingenayo imishuwalense zingafanelekela uhlelo lwe-AbbVie Patient Assistance Program. Lolu hlelo luhlinzeka ngosizo lwezindleko kulabo abahlangabezana nenqubo ethile yokuthola imali. Kumahhala ukufaka isicelo kulolu hlelo, futhi labo abafanelekayo bathola imishanguzo yabo mahhala ngokuphelele. Vakashela iwebhusayithi ye-AbbVie ukubona ukuthi ufanelekile yini ukuthola iHumira mahhala.
Ingabe kukhona uhlobo olujwayelekile lweHumira?
Esikhathini esiningi kuzoba nezinhlobo ezijwayelekile zemithi yamagama ezingabizi kakhulu kubathengi. Ngeshwa, ayikho inguqulo ejwayelekile kaHumira noma isidakamizwa se-biosimilar emakethe e-United States abantu abangayithenga ngentengo ephansi.
Kusukela ngo-2002, u-AbbVie uye wakha ngokucophelela amalungelo obunikazi ukuqinisekisa ukuthi uHumira uvikelekile emncintiswaneni we-biosimilar. Ngo-2016, umkhiqizi u-Amgen wenza umuthi obizwa nge-Amjevita, owaba yi-biosimilar yokuqala kuHumira ukuthola imvume kwiFood and Drug Administration (FDA). U-Amgen wanikezwa ilungelo lokwethula i-biosimilar yakhe eYurophu ngo-2018 futhi uzolikhipha e-United States ngo-2023. Uhlu olulandelayo lwe Humira biosimilars izotholakala e-U.S ngo-2023:
- Ephreli nguPfizer
- Amjevita ngu-Amgen
- CHS-1420 ngo-UCoherus BioSciences
- Cyltezo byI-Boehringer Ingelheim
- Hadlima byMerck / Samsung Bioepis
- Hulio byUMylan
- Hyrimoz byINovartis / Sandoz
- MSB11022 byUFresenius Kabi
Kuze kukhishwe ama-biosimilars enziwe ezinye izinkampani ezenza imithi, izakhamizi zase-U.S. Zizoqhubeka nokuthenga i-Humira ngezindleko ezigcwele uma ingafakwanga umshwalense wabo noma uma bengakwazi ukuyithola ngentengo eshibhile.
Kuneminye imishanguzo kadokotela emakethe ekwazi ukwelapha isifo samathambo, isifo sikaCrohn, i-hidradenitis suppurativa, nezinye izimo ezelashwa nguHumira. Ngoba lezi ezinye izidakamizwa ziyizidakamizwa ze-biologic nokho, zizofana ngentengo neHumira. Uma imiphumela emibi kaHumira iba mikhulu kakhulu kothile, kungadingeka babheke ekuthatheni umuthi ohlukile. Nayi imiphumela emibi ejwayelekile kaHumira okufanele ayazi:
- Ukuphathwa ikhanda
- I-Rash
- Isicanucanu
- Ukuphendula kwesayithi lokujova
- Ukutheleleka ngomgudu womchamo
- Izifo ezingenhla zokuphefumula
- Ukuhlungu obusemhlane
Labo abanentshisekelo kwezinye izindlela ngaphandle kukaHumira bangaxoxa nodokotela wabo ngalezi zinketho ezilandelayo.
Izindlela zeHumira | ||||
|---|---|---|---|---|
| Isebenzisa | Intengo emaphakathi yokuthengisa | Ukonga kwe-SingleCare | Ulwazi Olwengeziwe | |
| I-Enbrel (etanercept) |
Qaphela: U-Enbrel akakwazi ukwelapha isifo sikaCrohn nesifo sezilonda ezinjenge-Humira. | $ 6,100 nge-4, 50 mg / ml yesisombululo somjovo | Thola isigqebhezana | Funda kabanzi |
| I-Remicade (infliximab) |
| $ 11,502 wokunikezwa kwezigubhu eziyi-10, 100 mg | Thola isigqebhezana | Funda kabanzi |
| I-Simponi (golimumab) |
| Ngaphezulu kwama- $ 7,000 ngomjovo wanyanga zonke | Thola isigqebhezana | Funda kabanzi |
I-biologic efanelekile yokunquma incike esimweni esihlukile sesiguli nakwezinye izinto ezifana nomlando wezokwelapha, ubude besimo, ubunzima besimo, izindlela zokwelashwa ezedlule, nezinhloso zokwelashwa, kusho U-Anna H. Chacon , MD, udokotela wesikhumba oqinisekiswe yibhodi laseMelika ozinze eSouth Florida.
Yingakho kubaluleke kakhulu ukukhuluma nodokotela wakho mayelana nokuthi uHumira ukufanele noma cha. Udokotela wakho uzokwazi ukukunikeza izeluleko zezokwelapha eziqonde ngqo kuwe, futhi futhi angakwazi ukukusiza uthole indlela yokonga kumuthi wakho we-Humira.
