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Key takeaways
Rinvoq treats certain inflammatory autoimmune conditions.
Doctors may prescribe it when other drugs have failed to control the condition adequately.
Rinvoq is a premium-priced drug that is included in many insurance formularies, but coverage may be denied for a variety of reasons.
The retail cost of Rinvoq tablets averages over $8,000 monthly without insurance.
Rinvoq (upadacitinib) is a prescription immune system suppressant. Healthcare professionals use it as a second-line preventive treatment for certain autoimmune inflammatory conditions, including rheumatoid arthritis, psoriatic arthritis, ulcerative colitis, Crohn’s disease, and ankylosing spondylitis (an inflammatory condition that mainly affects the spine). Doctors may also use it to treat moderate to severe atopic dermatitis (severe eczema) when other drugs fail. A one-month supply of Rinvoq costs $8,361 on average. Although no generic version or over-the-counter alternatives are available, there are ways to save on a Rinvoq prescription.
How much does Rinvoq cost without insurance?
Without insurance, a 30-day supply of Rinvoq at any dosage strength costs $8,361. Each day’s dose costs approximately $279. A year of treatment could exceed $100,000, but there are ways to reduce that cost.
Rinvoq can be purchased as tablets or an oral solution called Rinvoq LQ. Depending on the dose prescribed, the cost of Rinvoq liquid may be more or less than Rinvoq tablets.
| Compare Rinvoq (upadacitinib) prices to related drugs | |||
|---|---|---|---|
| Drug name | Price without insurance of brand-name drug | SingleCare price | Savings options |
| Rinvoq | $8,361 per 30 extended-release tablets | $6,154 per 30 extended-release tablets of brand-name Rinvoq | See latest prices |
| Cibinqo | $6,818 per 30 tablets | $5,111 per 30 tablets of brand-name Cibinqo | See latest prices |
| Xeljanz | $7,005 per 60 tablets | $5,378 per 60 tablets of brand-name Xeljanz | See latest prices |
| Humira | $9,161 per 2 pen injectors | $5,928 per 2 pen injectors of brand-name Humira | See latest prices |
| Enbrel | $9,261 per 4, 1 mL syringes | $7,242 per 4, 1 mL syringes of brand-name Enbrel | See latest prices |
Prescription drug prices often change. These are the most accurate medication prices at the time of publishing. The listed price without insurance references the price of brand-name drugs (unless otherwise specified). The listed SingleCare price references the price of generic drugs, if available. Click the “Savings options” link to see the latest drug prices.
Is Rinvoq covered by insurance?
Rinvoq insurance coverage varies by insurance company. However, 95% of commercial insurance or Medicare Part D formularies cover Rinvoq if another type of drug called a TNF inhibitor has been tried first. Coverage may require that Rinvoq be supplied by a specialty pharmacy, and other limits may apply.
Many Medicaid plans include Rinvoq in their prescription drug coverage, but it varies by state.
The out-of-pocket cost with insurance depends on the copay tier assigned to the drug by the insurance company and other factors, such as deductibles. Some insurance companies put Rinvoq in their lower copay tiers, but many place it in their highest copay tiers, including their specialty tier. The out-of-pocket cost may be very high without copay assistance from the manufacturer.
How to get Rinvoq covered by insurance
If your health insurance plan does not cover Rinvoq, call the insurance provider and ask about a formulary exception. Insurance companies sometimes approve drugs that aren’t in their formulary if there’s a compelling medical reason for the prescription. The doctor must fill out paperwork explaining why Rinvoq is needed and why other drugs won’t work.
Even with Rinvoq listed as a covered drug, the insurance company may decline to pay for the prescription. If the coverage is denied, check the drug’s FDA prescribing information. Make sure the disease it’s prescribed for is listed in the FDA-approved indications. Check the insurance company’s formulary for special instructions such as prior authorization, step therapy, or quantity limits. These important steps may need to be completed or addressed before coverage is approved.
How to get Rinvoq without insurance
For the average person, paying the full price for brand-name medications like Rinvoq may be challenging. Although manufacturer coupons, rebates, or patient assistance programs (such as myAbbVieAssist) may be available, they have eligibility and enrollment requirements. Not everyone will qualify. Fortunately, there are alternatives to paying the full price of your Rinvoq prescription without insurance. Start with the SingleCare savings program:
1. Use a SingleCare savings card
Check the price for Rinvoq with a SingleCare discount card or coupon. The average price for a one-month supply of Rinvoq is $8,361, but using a free SingleCare card or coupon can reduce the price to $6,154. Sign up for SingleCare’s loyalty program and earn bonus savings every time SingleCare discounts are used to lower drug costs.
2. Compare different pharmacies
Compare Rinvoq prices at different pharmacies. You may find significant cost savings at different pharmacies.
3. Contact the manufacturer
The manufacturer may have savings options for which you may qualify. Check the manufacturer’s website for additional information and eligibility requirements, or call them directly.
4. Change medications
After checking out the above options, you can ask your healthcare provider for medical advice about switching to a different medication if the price is still too high. You can work with your healthcare professional to find another medication and treatment plan that is effective but more affordable.
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- Rinvoq, DailyMed (2024)
- Rinvoq HCP, AbbVie Inc