{"id":50863,"date":"2022-04-18T08:44:49","date_gmt":"2022-04-18T12:44:49","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=50863"},"modified":"2026-05-14T12:04:31","modified_gmt":"2026-05-14T16:04:31","slug":"humira-alternatives","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/humira-alternatives\/","title":{"rendered":"What can I take instead of Humira?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/humira\"><span style=\"font-weight: 400;\">Humira<\/span><\/a><span style=\"font-weight: 400;\"> (adalimumab) is a brand-name prescription biologic drug that is administered by an under-the-skin injection. A type of lab-made protein that targets specific parts of the immune system, used to treat several autoimmune conditions, including rheumatoid arthritis, Crohn&#8217;s disease, and plaque psoriasis. It is typically self-administered at home once every two weeks or once weekly. When cost, effectiveness, or side effects become a concern, several alternatives to Humira are available.\u00a0<\/span><\/p>\n<h2 id=\"what-can-i-take-in-place-of-humira\"><b>What can I take in place of Humira?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Humira was the first human monoclonal antibody FDA approved for rheumatoid arthritis in 2003 and has since received approval for several additional conditions. Other tumor necrosis factor (TNF) inhibitors (drugs that reduce inflammation by blocking a protein called TNF) that work similarly include<\/span> <a href=\"https:\/\/www.singlecare.com\/prescription\/remicade\/what-is\"><span style=\"font-weight: 400;\">Remicade<\/span><\/a><span style=\"font-weight: 400;\"> (infliximab),<\/span> <a href=\"https:\/\/www.singlecare.com\/prescription\/simponi\/what-is\"><span style=\"font-weight: 400;\">Simponi<\/span><\/a><span style=\"font-weight: 400;\"> (golimumab),<\/span> <a href=\"https:\/\/www.singlecare.com\/prescription\/cimzia\/what-is\"><span style=\"font-weight: 400;\">Cimzia<\/span><\/a><span style=\"font-weight: 400;\"> (certolizumab), and<\/span> <a href=\"https:\/\/www.singlecare.com\/prescription\/enbrel\/what-is\"><span style=\"font-weight: 400;\">Enbrel<\/span><\/a><span style=\"font-weight: 400;\"> (etanercept).\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.fda.gov\/drugs\/biosimilars\/biosimilars-basics-patients\"><span style=\"font-weight: 400;\">Humira biosimilars<\/span><\/a><span style=\"font-weight: 400;\"> can also serve as an alternative. Biosimilars are drugs that are highly similar to a brand-name biologic but not identical. They work the same way and are generally less expensive. Ten Humira biosimilars are currently FDA approved, some of which have their own lower-priced generic versions.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other biologic medications that work differently from TNF inhibitors may also serve as alternatives. Traditional disease-modifying antirheumatic drugs (<\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/antirheumatics\"><span style=\"font-weight: 400;\">DMARDs<\/span><\/a><span style=\"font-weight: 400;\">) are another option, often prescribed early in the treatment of conditions like rheumatoid arthritis.\u00a0<\/span><\/p>\n<table class=\" singlecare-table\" role=\"table\">\n<thead>\n<tr>\n<th class=\"title\" role=\"columnheader\" colspan=\"4\" scope=\"col\">\n<h2 id=\"humira-alternatives-cost-comparison\"><b>\u00a0 \u00a0 Humira alternatives cost comparison<\/b><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Drug name<\/b><\/td>\n<td><b>Price without insurance<\/b><\/td>\n<td><b>SingleCare price<\/b><\/td>\n<td><b>Savings options<\/b><\/td>\n<\/tr>\n<tr>\n<td><b>Humira (adalimumab)<\/b><\/td>\n<td><span style=\"font-weight: 400;\">$8,839 for 2, 1 auto-injector kits<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$6,042 for 2, 1 auto-injector kits of brand-name Humira at Kroger<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/humira\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><b>Cyltezo (adalimumab-ryvk)<\/b><\/td>\n<td><span style=\"font-weight: 400;\">$7,812 for 2, 1 auto-injector boxes\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$1,288 for 2, 1 auto-injector boxes of generic Cyltezo at Kroger<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/cyltezo-2-pen\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><b>Methotrexate<\/b><\/td>\n<td><span style=\"font-weight: 400;\">$104 for 24, 2.5 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$12 for 24, 2.5 mg tablets of generic methotrexate at Food Lion<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/methotrexate\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><b>Simponi (golimumab)<\/b><\/td>\n<td><span style=\"font-weight: 400;\">$8,132 for 1, 0.5 mL of 50 mg\/0.5 mL pen<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$6,519 for 1, 0.5 mL of 50 mg\/0.5 mL brand-name Simponi pen at Kroger<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/simponi\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><b>Orencia (abatacept)<\/b><\/td>\n<td><span style=\"font-weight: 400;\">$6,241 per 3, 250 mg solution<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$4,709 per 3, 250 mg solution of brand-name Orencia at Kroger<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/orencia\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><b>Xeljanz (tofacitinib)<\/b><\/td>\n<td><span style=\"font-weight: 400;\">$7,672 for 60, 5 mg tablets<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$3,970 for 60, 5 mg tablets of brand-name Xeljanz at Kroger<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/xeljanz\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"top-5-humira-alternatives\"><span style=\"font-weight: 400;\">Top 5 Humira alternatives<\/span><\/h2>\n<h3 id=\"cyltezo-and-other-humira-biosimilars\"><b>Cyltezo and other Humira biosimilars<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Of the 10 FDA-approved Humira biosimilars, only three have been approved as fully interchangeable products: Cyltezo (adalimumab-adbm), <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/abrilada-1-pen\"><span style=\"font-weight: 400;\">Abrilada<\/span><\/a><span style=\"font-weight: 400;\"> (adalimumab-afzb), and<\/span> <a href=\"https:\/\/www.singlecare.com\/prescription\/simlandi-2-pen\"><span style=\"font-weight: 400;\">Simlandi<\/span><\/a><span style=\"font-weight: 400;\"> (adalimumab-ryvk). A fully interchangeable biosimilar can be substituted for Humira without requiring a new prescription, using the same dosage and carrying the same warnings. Both Cyltezo and Simlandi have lower-priced generic versions available.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Even among the three interchangeable biosimilars, there are important differences that pharmacists and prescribers should be aware of, including whether the product contains latex, a concern for people with latex allergies. Biosimilars that are not fully interchangeable may also differ in administration technique, concentration, and dosage.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The remaining Humira biosimilars include<\/span> <a href=\"https:\/\/www.singlecare.com\/prescription\/amjevita\"><span style=\"font-weight: 400;\">Amjevita<\/span><\/a><span style=\"font-weight: 400;\"> (adalimumab-atto),<\/span> <a href=\"https:\/\/www.singlecare.com\/prescription\/hadlima\"><span style=\"font-weight: 400;\">Hadlima<\/span><\/a><span style=\"font-weight: 400;\"> (adalimumab-bwwd),<\/span> <a href=\"https:\/\/www.singlecare.com\/prescription\/hulio-2-pen\"><span style=\"font-weight: 400;\">Hulio<\/span><\/a><span style=\"font-weight: 400;\"> (adalimumab-fkjp),<\/span> <a href=\"https:\/\/www.singlecare.com\/prescription\/hyrimoz\"><span style=\"font-weight: 400;\">Hyrimoz<\/span><\/a><span style=\"font-weight: 400;\"> (adalimumab-adaz),<\/span> <a href=\"https:\/\/www.singlecare.com\/prescription\/idacio-2-syringe\"><span style=\"font-weight: 400;\">Idacio<\/span><\/a><span style=\"font-weight: 400;\"> (adalimumab-aacf), <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/yuflyma-1-pen\"><span style=\"font-weight: 400;\">Yuflyma<\/span><\/a><span style=\"font-weight: 400;\"> (adalimumab-aaty), and<\/span> <a href=\"https:\/\/www.singlecare.com\/prescription\/yusimry\"><span style=\"font-weight: 400;\">Yusimry<\/span><\/a><span style=\"font-weight: 400;\"> (adalimumab-aqvb).<\/span><\/p>\n<h3 id=\"methotrexate\"><b>Methotrexate<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Oral<\/span> <a href=\"https:\/\/www.singlecare.com\/prescription\/methotrexate\/what-is\"><span style=\"font-weight: 400;\">methotrexate<\/span><\/a><span style=\"font-weight: 400;\"> is traditionally the first-line <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7047041\/\"><span style=\"font-weight: 400;\">DMARD<\/span><\/a><span style=\"font-weight: 400;\"> for rheumatoid arthritis. If there is an inadequate response after three to four months of optimized<\/span> <a href=\"https:\/\/www.singlecare.com\/prescription\/methotrexate\/dosage\"><span style=\"font-weight: 400;\">dosing<\/span><\/a><span style=\"font-weight: 400;\">, a different DMARD or biologic agent may be added or substituted.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Methotrexate costs around $100 per month, making it significantly more affordable than biologic medications like Humira. However, it can cause<\/span> <a href=\"https:\/\/www.singlecare.com\/blog\/methotrexate-side-effects\/\"><span style=\"font-weight: 400;\">side effects<\/span><\/a><span style=\"font-weight: 400;\"> that some people find intolerable, including liver, kidney, and lung toxicity, as well as immunosuppression. Close laboratory monitoring is required when starting treatment, typically every <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK556114\/\"><span style=\"font-weight: 400;\">two months<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Methotrexate can also cause gastrointestinal side effects such as nausea, vomiting, and diarrhea. <\/span><a href=\"https:\/\/www.arthritis.org\/health-wellness\/treatment\/treatment-plan\/disease-management\/methotrexate-managing-side-effects\"><span style=\"font-weight: 400;\">Splitting the once-weekly dose into two or three doses<\/span><\/a><span style=\"font-weight: 400;\"> given 12 hours apart may help reduce these effects. Methotrexate is not recommended for people with poor kidney function.\u00a0<\/span><\/p>\n<h3 id=\"simponi-golimumab\"><b>Simponi (golimumab)<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Like Humira, <\/span><a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=f86cb4a7-c358-4136-ae57-b32bda9bba00\"><span style=\"font-weight: 400;\">Simponi <\/span><\/a><span style=\"font-weight: 400;\">(golimumab) is a TNF inhibitor. It is typically used alongside methotrexate for rheumatoid arthritis but can serve as a standalone alternative to Humira for psoriatic arthritis, ankylosing spondylitis, and ulcerative colitis. Simponi is given as a once-monthly injection under the skin, or as an intravenous infusion administered by a healthcare professional in a monitored setting. Side effects are similar to those of Humira.\u00a0<\/span><\/p>\n<h3 id=\"orencia-abatacept\"><b>Orencia (abatacept)<\/b><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/orencia-clickject\"><span style=\"font-weight: 400;\">Orencia<\/span><\/a><span style=\"font-weight: 400;\"> (abatacept) belongs to a different drug class from Humira, known as T-cell costimulation modulators, drugs that work by blocking the activation of T-cells (immune cells that drive inflammation) in the joints. It is approved for rheumatoid arthritis, polyarticular juvenile idiopathic arthritis, and psoriatic arthritis.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Orencia can be given as a flat-dose injection under the skin or as a weight-based intravenous infusion. Because it interacts with many other medications, a full medication review is recommended before starting treatment. Orencia can be added to traditional DMARDs for rheumatoid arthritis, but<\/span> <a href=\"https:\/\/rheumatology.org\/patients\/abatacept-orencia\"><span style=\"font-weight: 400;\">should not be combined with a TNF inhibitor<\/span><\/a><span style=\"font-weight: 400;\"> like Humira, as doing so significantly increases the risk of serious and potentially fatal infections.<\/span><\/p>\n<h3 id=\"xeljanz-tofacitinib\"><b>Xeljanz (tofacitinib)<\/b><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/xeljanz\"><span style=\"font-weight: 400;\">Xeljanz<\/span><\/a><span style=\"font-weight: 400;\"> (tofacitinib) belongs to a class of drugs called Janus kinase (JAK) inhibitors, which work by blocking the JAK enzyme, a protein involved in signaling that drives joint and tissue inflammation. Xeljanz is<\/span> <a href=\"https:\/\/dailymed.nlm.nih.gov\/dailymed\/drugInfo.cfm?setid=68e3d6b2-7838-4d2d-a417-09d919b43e13\"><span style=\"font-weight: 400;\">FDA approved<\/span><\/a><span style=\"font-weight: 400;\"> to treat rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, polyarticular juvenile idiopathic arthritis, and ulcerative colitis.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is available as an oral tablet taken twice daily (immediate-release) or once daily (extended-release). Regular monitoring is required throughout treatment, including blood cholesterol levels, white blood cell counts (lymphocytes and neutrophils), liver function, and kidney function.<\/span> <a href=\"https:\/\/www.singlecare.com\/prescription\/xeljanz\/dosage\"><span style=\"font-weight: 400;\">Dose<\/span><\/a><span style=\"font-weight: 400;\"> adjustments or discontinuation may be recommended based on lab results.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Xeljanz carries the risk of<\/span> <a href=\"https:\/\/www.singlecare.com\/blog\/xeljanz-side-effects\/\"><span style=\"font-weight: 400;\">serious side effects<\/span><\/a><span style=\"font-weight: 400;\">. Clinical trials found that the higher dose of 10 mg twice daily was associated with a<\/span> <a href=\"https:\/\/www.ema.europa.eu\/en\/documents\/press-release\/increased-risk-blood-clots-lungs-death-higher-dose-xeljanz-tofacitinib-rheumatoid-arthritis_en.pdf\"><span style=\"font-weight: 400;\">higher risk of death<\/span><\/a><span style=\"font-weight: 400;\"> (including sudden cardiovascular death) and<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29500799\/\"> <span style=\"font-weight: 400;\">blood clots<\/span><\/a><span style=\"font-weight: 400;\"> in people with rheumatoid arthritis ages 50 and older with at least one cardiovascular risk factor, compared to the 5 mg dose or a TNF inhibitor like Humira. As an immunosuppressant, appropriate screening is required before starting treatment.<\/span><\/p>\n<h2 id=\"natural-alternatives-to-humira\"><b>Natural alternatives to Humira<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">For moderate to severe inflammatory conditions, there are no true natural alternatives to Humira or other prescription medications. However, some complementary approaches may help manage symptoms alongside prescribed treatment.<\/span><\/p>\n<p><a href=\"https:\/\/www.crohnscolitisfoundation.org\/complementary-medicine\/probiotics-microorganisms\"><span style=\"font-weight: 400;\">Probiotics<\/span><\/a><span style=\"font-weight: 400;\"> and prebiotics may support the management of Crohn&#8217;s disease and ulcerative colitis.<\/span> <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26418823\/\"><span style=\"font-weight: 400;\">Certain micronutrient deficiencies<\/span><\/a><span style=\"font-weight: 400;\"> are also common in inflammatory bowel diseases, including iron, B12, vitamin D, vitamin K, folic acid, selenium, zinc, and vitamins B1 and B6. Anti-inflammatory supplements such as<\/span> <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11802309\/\"><span style=\"font-weight: 400;\">fish oil<\/span><\/a><span style=\"font-weight: 400;\">,<\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/labs\/pmc\/articles\/PMC5895990\/\"> <span style=\"font-weight: 400;\">cayenne pepper<\/span><\/a><span style=\"font-weight: 400;\">, and<\/span> <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23281076\/\"><span style=\"font-weight: 400;\">turmeric<\/span><\/a><span style=\"font-weight: 400;\"> may also be helpful. <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK92765\/#:~:text=In%20a%20randomized%20controlled%20trial,2004\"><span style=\"font-weight: 400;\">Aloe vera gel<\/span><\/a><span style=\"font-weight: 400;\"> has also shown promising results in small studies for managing ulcerative colitis, though larger trials are needed to confirm its effectiveness. People taking immunosuppressing medications should adopt<\/span> <a href=\"https:\/\/www.singlecare.com\/blog\/immunosuppressant-drug\/\"><span style=\"font-weight: 400;\">healthy lifestyle practices<\/span><\/a><span style=\"font-weight: 400;\"> to reduce the risk of infection.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/conditions\/arthritis-treatment-and-medications\"><b>The best natural remedies for arthritis<\/b><\/a><span style=\"font-weight: 400;\"> | <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/exercises-for-arthritis\/\"><b>The 6 best exercises for arthritis<\/b><\/a><\/p>\n<h2 id=\"how-to-switch-to-a-humira-alternative\"><b>How to switch to a Humira alternative<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">With biosimilars now widely available, insurance formularies may be changed to prefer an interchangeable biosimilar over brand-name Humira. State laws on substitution vary, and prescriber notification is not always required. People switching to a biosimilar should be aware that<\/span> <a href=\"https:\/\/www.pharmacytimes.com\/view\/new-tool-helps-providers-navigate-adalimumab-biosimilars\"><span style=\"font-weight: 400;\">differences in administration, dosing, storage, and indications can exist between products<\/span><\/a><span style=\"font-weight: 400;\">, even among interchangeable ones. If your insurance company switches your medication at the pharmacy, ask the pharmacist or your healthcare provider about the change and whether it is appropriate for you.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Never stop taking Humira abruptly without medical guidance. Stopping a biologic can cause the body to develop antibodies against it, meaning<\/span> <a href=\"https:\/\/www.gastroenterologyandhepatology.net\/archives\/november-2019\/restarting-biologic-agents-after-a-drug-holiday\/\"><span style=\"font-weight: 400;\">if the drug is restarted<\/span><\/a><span style=\"font-weight: 400;\">, it may no longer be effective. <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK109491\/\"><span style=\"font-weight: 400;\">Withdrawal effects<\/span><\/a><span style=\"font-weight: 400;\"> have also been reported with abrupt discontinuation. Most conditions treated by Humira and its alternatives are chronic and will require lifelong treatment. Always consult a healthcare provider before making any changes to your treatment plan.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Humira (adalimumab) is a brand-name prescription biologic drug that is administered by an under-the-skin injection. A type of lab-made protein that targets specific parts of the immune system, used to treat several autoimmune conditions, including rheumatoid arthritis, Crohn&#8217;s disease, and plaque psoriasis. It is typically self-administered at home once every two weeks or once weekly. [&hellip;]<\/p>\n","protected":false},"author":133,"featured_media":50867,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[12164,790],"coauthors":[10869],"class_list":["post-50863","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-arthritis","tag-chronic-disease","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Humira alternatives: What can I take instead of Humira?<\/title>\n<meta name=\"description\" content=\"Cyltezo, methotrexate, Simponi, Orencia, and Xeljanz are some Humira alternatives. 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