{"id":51724,"date":"2022-07-06T08:56:08","date_gmt":"2022-07-06T12:56:08","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=51724"},"modified":"2024-08-12T12:26:16","modified_gmt":"2024-08-12T16:26:16","slug":"remicade-without-insurance","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/remicade-without-insurance\/","title":{"rendered":"How much is Remicade without insurance?"},"content":{"rendered":"

Is Remicade covered by insurance?<\/a> | How much does Remicade cost without insurance?<\/a><\/span> | How to get Remicade without insurance<\/a><\/span><\/p>\n

Remicade<\/span> is a <\/span>brand-name<\/span> drug prescription medication used to treat various autoimmune conditions, which are caused by the <\/span>immune system<\/span> attacking healthy tissues in the body. It is approved to treat <\/span>rheumatoid arthritis<\/span>, <\/span>psoriatic arthritis<\/span>, <\/span>ankylosing spondylitis<\/span>, <\/span>plaque psoriasis<\/span>, <\/span>Crohn\u2019s disease<\/span><\/a>, and <\/span>ulcerative colitis<\/span><\/a>. Remicade can be an expensive specialty drug because the process to manufacture it is more complex than that of other drugs. It is generally administered as an intravenous (IV) infusion in a doctor\u2019s office, outpatient clinic, or hospital. Medicare and insurance companies may help cover the cost of Remicade, but the exact cost can vary.<\/span><\/p>\n

Continue reading to learn more about Remicade and how to save on Remicade without insurance.<\/span><\/p>\n

What is Remicade?<\/span><\/h2>\n

The active ingredient in <\/span>Remicade<\/span> is <\/span>infliximab<\/span>, a monoclonal antibody. It works by blocking the action of a <\/span>protein<\/span> involved with inflammation called <\/span>tumor necrosis factor-alpha<\/span> (<\/span>TNF-alpha<\/span>). <\/span>Remicade,<\/span> like other <\/span>TNF blockers,<\/span> can help reduce symptom flare-ups and increase the amount of time between flare-ups.\u00a0<\/span><\/p>\n

Remicade is administered as an IV infusion over a period of two hours. <\/span>Remicade infusions<\/span><\/a> are usually given every eight weeks by a <\/span>healthcare<\/span> professional at an infusion center, outpatient clinic, <\/span>doctor\u2019s office<\/span>, or at home. The usual dose of Remicade is\u00a0 5 mg per kilogram of body weight, although the actual dose can vary depending on the condition being treated.\u00a0<\/span><\/p>\n

Remicade<\/span> can be expensive as a <\/span>brand-name<\/span> drug with no generic versions available. Without health insurance, there are ways to make treatment affordable.<\/span><\/p>\n

Is <\/span>Remicade<\/span> covered by insurance?<\/span><\/h2>\n

Remicade<\/span> may be covered under some commercial <\/span>insurance plans<\/span>. If Remicade is covered, an <\/span>insurance company<\/span> may first require prior authorization, a letter of medical necessity or exception, and appeals before approving the prescription.<\/span><\/p>\n

Health insurance<\/span> can certainly help make <\/span>Remicade<\/span> treatment affordable, but the out-of-<\/span>pocket costs<\/span> could still be high. What a patient ends up paying will depend on the formulary, <\/span>copay<\/span> cost, <\/span>deductible<\/span>, and coinsurance amounts outlined in the health insurance plan\u2019s policy. <\/span>Some eligible patients<\/span> with commercial insurance can apply for the <\/span>Janssen CarePath Savings Program<\/span> to reduce their out-of-pocket costs.<\/span><\/p>\n

Remicade may be covered by Medicare Part B and Medicare Advantage plans. However, people on <\/span>Medicare<\/span> may find one or more infusions may be more costly because of a <\/span>coverage gap<\/span><\/a>. Medicaid may <\/span>also help cover Remicade, depending on the state\u2019s Medicaid clinical policy<\/span>.\u00a0<\/span><\/p>\n

RELATED: <\/b>How much does Medicare pay for Remicade infusions?<\/b><\/a><\/p>\n

How much does <\/span>Remicade<\/span> cost without insurance?<\/span><\/h2>\n

Remicade<\/span> could cost around $4,000 to $7,000 or more per dose. That can add up to about $46,000 if <\/span>Remicade<\/span> is given every eight weeks for a year. However, the actual price can vary depending on the healthcare provider administering the infusion, location, and other factors. The <\/span>Remicade<\/span> dose is based on weight, so people with a higher body weight may pay more per dose than others.\u00a0<\/span><\/p>\n

Other drugs have similar effects as Remicade on the <\/span>immune system<\/span> to control or reduce symptoms of autoimmune diseases. The alternatives fall under a group of drugs called <\/span>biologic<\/span> disease-modifying antirheumatic drugs (<\/span>DMARDs<\/span><\/a>), which includes <\/span>TNF blockers<\/span> like <\/span>Remicade<\/span>. Biologic DMARDs include Cimzia (certolizumab pegol), Humira (adalimumab), and Enbrel (etanercept).<\/span><\/p>\n

Unfortunately, alternatives to Remicade can be expensive <\/span>brand-name<\/span> drugs. People without <\/span>insurance coverage<\/span> may need to take more affordable nonbiologic DMARDs, such as <\/span>corticosteroids<\/span><\/a>, Trexall (<\/span>methotrexate<\/span><\/a>), Sandimmune (<\/span>cyclosporine<\/span><\/a>), <\/span>Arava<\/span><\/a> (<\/span>leflunomide<\/span><\/a>), <\/span>Azulfidine<\/span><\/a> (<\/span>sulfasalazine<\/span><\/a>), or <\/span>Azasan<\/span><\/a> (<\/span>azathioprine<\/span><\/a>), for autoimmune disease flare-ups.\u00a0<\/span><\/p>\n\n\n\n\n\n\n\n\n\n\n
\n

Compare Remicade prices to related drugs<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n

Drug name<\/b><\/td>\nPrice without insurance of <\/b>brand-name<\/b> drug<\/b><\/td>\nSingleCare price<\/b><\/td>\nSavings options<\/b><\/td>\n<\/tr>\n
Remicade<\/a> (infliximab<\/a>)<\/td>\n$7,085 for 1 vial of 100 mg solution<\/td>\n$1,897 for 1 vial of 100 mg solution of brand-name Remicade<\/td>\nSee updated prices<\/a><\/td>\n<\/tr>\n
Inflectra<\/a> (infliximab-dyyb)<\/td>\n<\/td>\nNo coupons at this time. Check back periodically.<\/td>\nMore details<\/a><\/td>\n<\/tr>\n
Cimzia<\/a> (certolizumab pegol<\/a>)<\/td>\n$5,100 for 2, 200 mg\/mL prefilled syringes<\/td>\nNo coupons at this time. Check back periodically.<\/td>\nMore details<\/a><\/td>\n<\/tr>\n
Humira<\/a> (adalimumab<\/a>)<\/td>\n$7,416 for 2 prefilled syringe kits<\/td>\n$5,928 for 2 prefilled syringe kits of brand-name Humira<\/td>\nSee updated prices<\/a><\/td>\n<\/tr>\n
Enbrel<\/a><\/p>\n

(etanercept<\/a>)<\/td>\n

$8,217 for 4, 1 mL of 50 mg\/mL solution prefilled syringes<\/td>\n$5,466 for 4, 1 mL of 50 mg\/mL solution prefilled syringes of brand-name Enbrel<\/td>\nSee updated prices<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Prescription drug<\/span><\/i> prices often change. These are the most accurate medication prices at the time of publishing. The listed price without insurance references the price of <\/span><\/i>brand-name<\/span><\/i> drugs. The listed SingleCare price references the price of generic drugs if available. Click the link under \u201cSavings options\u201d to see updated drug prices.<\/span><\/i><\/p>\n

How to get <\/span>Remicade<\/span> without insurance<\/span><\/h2>\n

Remicade<\/span> can cost $7,000 for one dose, plus other miscellaneous costs for the infusion. People without insurance can turn to the Johnson & Johnson Patient Assistance Foundation, although there may be <\/span>eligibility requirements<\/span> that not everyone can meet. Rest assured, there are ways to reduce the cost of <\/span>Remicade<\/span> as long as you\u2019re willing to try more than one strategy. Here are some ways to save.<\/span><\/p>\n

1. Ask the prescriber about traditional DMARDs<\/span><\/h3>\n

If none of these strategies work, consider switching to more affordable traditional DMARDs. There may be trade-offs, so ask the prescribing <\/span>healthcare provider<\/span> for <\/span>medical advice<\/span> about your alternatives.<\/span><\/p>\n

2. Use a SingleCare discount card<\/span><\/h3>\n

A <\/span>free <\/span>coupon<\/span><\/a> from SingleCare may reduce the cost of <\/span>Remicade<\/span> by over $5,000 if Remicade is purchased from a specialty pharmacy for home use. However, Remicade is rarely purchased directly from pharmacies by patients since it is administered as an IV infusion.\u00a0<\/span><\/p>\n

3. Get a <\/span>health insurance<\/span> policy<\/span><\/h3>\n

A year\u2019s worth of <\/span>Remicade<\/span> treatment could easily top $46,000 or more, and that doesn\u2019t include the additional fees for the infusion and any tests needed before starting treatment. At such a high price, <\/span>health insurance<\/span> is probably one of the best ways to save money. Make sure to consult an agent when evaluating health insurance plans and check the <\/span>plans\u2019 <\/span>policies regarding specialty drugs like <\/span>Remicade<\/span>.<\/span><\/p>\n

4. Enroll in <\/span>Medicaid<\/span><\/h3>\n

For some people, private <\/span>health insurance<\/span> is unaffordable. For people who can\u2019t afford private health insurance, <\/span>Medicaid<\/span> is a possible option for getting <\/span>Remicade<\/span>. However, some state <\/span>Medicaid<\/span> plans may not cover <\/span>Remicade<\/span>. Start by visiting your state\u2019s <\/span>Medicaid<\/span> website for enrollment and <\/span>eligibility requirements<\/span>, <\/span>as well as<\/span> your state\u2019s Medicaid formulary information. Talk to someone in your state\u2019s <\/span>Medicaid<\/span> office to see if <\/span>Remicade infusions are covered<\/span>.<\/span><\/p>\n

5. Consider all the costs<\/span><\/h3>\n

Medication costs<\/span> are only a fraction of the overall cost of <\/span>Remicade<\/span>. In addition to the cost of infusions, office visits and tests can add hundreds or thousands of dollars to the overall cost of treatment. Other potential costs may need to be taken into account; for example, a serious <\/span>allergic reaction<\/span> during an infusion may cost thousands of dollars in emergency medical treatment. Ask your <\/span>healthcare provider<\/span> for an assessment of all the benefits, costs, and risks involved with different treatment options to find the best treatment for you.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Is Remicade covered by insurance? | How much does Remicade cost without insurance? | How to get Remicade without insurance Remicade is a brand-name drug prescription medication used to treat various autoimmune conditions, which are caused by the immune system attacking healthy tissues in the body. It is approved to treat rheumatoid arthritis, psoriatic arthritis, […]<\/p>\n","protected":false},"author":15,"featured_media":52578,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[12164,16414,15103,608],"coauthors":[8861],"class_list":["post-51724","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-arthritis","tag-digestive-health","tag-drug-pricing","tag-health-insurance","wpautop"],"acf":[],"yoast_head":"\nHow much is Remicade without insurance?<\/title>\n<meta name=\"description\" content=\"Remicade without insurance can cost more than $7000 for 1 vial of 100 mg solution. Here's how to save.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.singlecare.com\/blog\/remicade-without-insurance\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How much is Remicade without insurance?\" \/>\n<meta property=\"og:description\" content=\"Remicade without insurance can cost more than $7000 for 1 vial of 100 mg solution. 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If <\/span>Remicade<\/span> is too expensive or coverage is denied, a <\/span>healthcare<\/span> professional may be able to prescribe a less expensive <\/span>alternative<\/span>. An <\/span>FDA<\/span>-approved biosimilar drug called <\/span>Inflectra<\/span> (<\/span>infliximab<\/span>-dyyb) is nearly identical to <\/span>Remicade<\/span>. Inflectra is just as effective and safe as Remicade, but it is <\/span>about 40% cheaper<\/span><\/a> than Remicade.\u00a0<\/span><\/p>\n