{"id":628201,"date":"2024-05-10T17:10:09","date_gmt":"2024-05-10T21:10:09","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=628201"},"modified":"2026-05-06T14:48:34","modified_gmt":"2026-05-06T18:48:34","slug":"stelara-savings","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/stelara-savings\/","title":{"rendered":"Stelara copay card and savings guide"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">For people with chronic inflammatory illnesses like <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/biologics-for-psoriasis\/\"><span style=\"font-weight: 400;\">psoriasis<\/span><\/a><span style=\"font-weight: 400;\">, psoriatic arthritis, and inflammatory bowel diseases (<\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/crohns-disease-treatment-and-medications\"><span style=\"font-weight: 400;\">Crohn\u2019s disease<\/span><\/a><span style=\"font-weight: 400;\"> or <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/ulcerative-colitis-treatment-and-medications\"><span style=\"font-weight: 400;\">ulcerative colitis<\/span><\/a><span style=\"font-weight: 400;\">), using the injectable drug Stelara (ustekinumab) may reduce their symptoms and make it easier for them to manage their illness. It\u2019s also a premium-priced specialty drug sold only through specialty pharmacies. Even with insurance, the out-of-pocket cost may be challenging. If you\u2019ve been prescribed <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/stelara\"><span style=\"font-weight: 400;\">Stelara<\/span><\/a><span style=\"font-weight: 400;\"> and are looking for ways to lower the price of your prescription, we have information that can help. Here are our top tips for saving money on Stelara.<\/span><\/p>\n<p><b>RELATED:<\/b> <a href=\"https:\/\/www.singlecare.com\/blog\/stelara-infusion\/\"><b>Stelara infusion: What to expect<\/b><\/a><\/p>\n<h2 id=\"how-much-does-stelara-cost\"><span style=\"font-weight: 400;\">How much does Stelara cost?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The average retail price of Stelara is $17,369 for a single injection. That\u2019s enough medicine to last for eight weeks, though some people may take doses every 12 weeks. For many people, Stelara is only affordable with insurance coverage, savings cards, or government assistance.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Insurance coverage can vary greatly, so it\u2019s important to contact your health insurance company for details about whether it covers Stelara. Many commercial and private insurance plans cover Stelara, but some only cover it for certain uses. For example, they might cover it for inflammatory bowel disease but not for psoriasis or psoriatic arthritis. They may also impose restrictions on coverage, like prior authorization or step therapy. The out-of-pocket cost may be high, since many insurance plans put the drug in their highest copay tiers.<\/span><\/p>\n<h2 id=\"how-to-save-money-on-stelara\"><span style=\"font-weight: 400;\">How to save money on Stelara<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u200bIf you\u2019re wondering what your savings options are for your Stelara prescription, there are ways to cut your costs.<\/span><\/p>\n<h3 id=\"1-singlecare-coupons\"><span style=\"font-weight: 400;\">1. SingleCare coupons<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">A SingleCare coupon for Stelara can reduce the cost from $17,369 to $3,566 for 1, 0.5 mL of 45 mg\/0.5 mL syringe of a Stelara biosimilar. <\/span><span style=\"font-weight: 400;\">Members can save even more, and it&#8217;s free to <\/span><a href=\"https:\/\/www.singlecare.com\/signup\"><span style=\"font-weight: 400;\">sign up<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3 id=\"2-stelara-withme-savings-program\"><span style=\"font-weight: 400;\">2. STELARA withMe savings program\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The Stelara withMe savings program (which, in reality, is just one part of the JJ&amp;Me Savings Program) is available to most commercially and privately insured patients who are prescribed Stelara. The program can help adults and children ages 6 and older access a year\u2019s supply of Stelara for as little as $5 per dose.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The actual amount you\u2019ll pay with the program depends on your health insurance benefits, including deductibles and other shared costs. Additionally, not all health insurance plans will qualify. Some insurance plans either don\u2019t count copay assistance toward the patient\u2019s annual deductible or increase the out-of-pocket cost to match the copay program&#8217;s maximum limit. You can enroll in the JJ&amp;Me savings program online, by phone, by fax, or by mail. Once enrolled, you&#8217;ll receive a Stelara copay card that you can present to pharmacy staff when paying for your prescription.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The manufacturer, Johnson &amp; Johnson, no longer offers a Stelara patient assistance program for uninsured or underinsured patients.\u00a0<\/span><\/p>\n<h3 id=\"3-government-funded-assistance\"><span style=\"font-weight: 400;\">3. Government-funded assistance\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">All states except Alaska, Hawaii, Nebraska, Oklahoma, and West Virginia offer pharmaceutical assistance programs to help residents pay for their prescriptions. The <\/span><a href=\"https:\/\/www.medicare.gov\/plan-compare\/#\/pharmaceutical-assistance-program\/states\/?year=2024&amp;lang=en\"><span style=\"font-weight: 400;\">Medicare website<\/span><\/a><span style=\"font-weight: 400;\"> has a tool you can use to look up programs available in your state.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you\u2019re a Medicare beneficiary with limited income, you may want to consider <\/span><a href=\"https:\/\/www.medicare.gov\/basics\/costs\/help\/drug-costs\"><span style=\"font-weight: 400;\">Medicare Extra Help<\/span><\/a><span style=\"font-weight: 400;\"> to help pay for Stelara. In order to qualify for Extra Help in 2024, beneficiaries must meet annual income and resource limits. Consult the website for details.<\/span><\/p>\n<h2 id=\"is-there-a-cheaper-alternative-to-stelara\"><span style=\"font-weight: 400;\">Is there a cheaper alternative to Stelara?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are cheaper alternatives to Stelara, starting with Stelara biosimilars.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Because Stelara is a biologic drug, it does not have a <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/stelara-generic\/\"><span style=\"font-weight: 400;\">generic version<\/span><\/a><span style=\"font-weight: 400;\">. Instead, it has a biosimilar version. The biosimilar versions are very similar to Stelara, but they cost considerably less. A single dose (one syringe with 0.5 mL of 45 mg\/0.5 mL) costs $5,191 on average. A SingleCare ustekinumab coupon can lower the price to $3,566.<\/span><\/p>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/yesintek\"><span style=\"font-weight: 400;\">Yesintek<\/span><\/a><span style=\"font-weight: 400;\"> is another biosimilar version of ustekinumab. Its average retail price is $4,259 or one syringe containing 1 mL of 90mg\/mL ustekinumab (one dose). The lowest SingleCare price is $2,468 at Kroger.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As mentioned above, biologic drugs have \u201cbiosimilars\u201d rather than generic versions. Biosimilars are very similar to the brand-name biologic, with tiny structural differences. Despite these differences, they have the same safety and effectiveness as their brand-name counterpart. You can tell a drug is a biosimilar because the drug makers add a unique suffix to the name, like \u201custekinumab-aekn,\u201d to distinguish it from other similar drugs.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are currently several FDA-approved ustekinumab biosimilars, and more are coming. Examples include <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/wezlana\"><span style=\"font-weight: 400;\">Wezlana<\/span><\/a><span style=\"font-weight: 400;\"> (ustekinumab-auub) or Selarsdi (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ustekinumab-aekn\"><span style=\"font-weight: 400;\">ustekinumab-aekn<\/span><\/a><span style=\"font-weight: 400;\">). These typically sell for about $7,000 to $10,000 per dose. A SingleCare discount card can reduce the price of some of these biosimilars to $4,000 to $5,000.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Patients can always turn to biosimilars of other biologic drugs. \u201c<\/span><a href=\"https:\/\/www.singlecare.com\/blog\/remicade-vs-humira\/\"><span style=\"font-weight: 400;\">Humira and Remicade<\/span><\/a><span style=\"font-weight: 400;\"> treat conditions like [the ones treated by] Stelara and have cheaper biosimilars available,\u201d according to <\/span><a href=\"https:\/\/informedrxllc.com\/about-us\"><span style=\"font-weight: 400;\">Christie Kunde, Pharm.D.<\/span><\/a><span style=\"font-weight: 400;\">, of Informed Rx. For example, if you used <\/span><a href=\"https:\/\/www.singlecare.com\/prescription-discount-card\"><span style=\"font-weight: 400;\">SingleCare\u2019s prescription discount card<\/span><\/a><span style=\"font-weight: 400;\"> when paying for a prescription for <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/hulio-2-pen\"><span style=\"font-weight: 400;\">Hulio<\/span><\/a><span style=\"font-weight: 400;\">, one of Humira\u2019s biosimilars, your cost could be $975 for two kits of 40 mg\/0.8 mL pens at Kroger.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8220;The cheapest alternatives to Stelara often have more serious side effects and may not be appropriate for all ages or for treating the specific conditions,&#8221; says <\/span><a href=\"https:\/\/www.thepublichealthpharmacist.com\/about\"><span style=\"font-weight: 400;\">Christina M. Madison, Pharm.D.<\/span><\/a><span style=\"font-weight: 400;\">, founder and CEO of The Public Health Pharmacist. However, she says you can ask your healthcare provider about these cost-saving options:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/mesalamine\"><span style=\"font-weight: 400;\">Mesalamine<\/span><\/a><span style=\"font-weight: 400;\">: $71 for 120, 1.2 g delayed-release tablets at CVS Pharmacy with a SingleCare coupon<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/sulfasalazine\"><span style=\"font-weight: 400;\">Sulfasalazine<\/span><\/a><span style=\"font-weight: 400;\">: $20 for 120, 500 mg tablets with a SingleCare coupon at Publix<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/drug-classes\/corticosteroids\"><span style=\"font-weight: 400;\">Oral glucocorticoids<\/span><\/a><span style=\"font-weight: 400;\"> like <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/prednisone\"><span style=\"font-weight: 400;\">prednisone<\/span><\/a><span style=\"font-weight: 400;\"> or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/prednisolone\"><span style=\"font-weight: 400;\">prednisolone<\/span><\/a><span style=\"font-weight: 400;\">: $3 for 10, 20 mg prednisone tablets at Walmart, and $24 for 240 mL of 15 mg\/5 mL prednisolone solution at Walgreens with SingleCare coupons\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/methotrexate\"><span style=\"font-weight: 400;\">Methotrexate<\/span><\/a><span style=\"font-weight: 400;\">: $12 for 24, 2.5 mg tablets at Walmart with a SingleCare coupon<\/span><\/li>\n<\/ul>\n<h3 id=\"does-medicare-cover-stelara\"><span style=\"font-weight: 400;\">Does Medicare cover Stelara?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">In general, Medicare covers Stelara for the treatment of <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/autoimmune-diseases-in-women\/\"><span style=\"font-weight: 400;\">autoimmune conditions<\/span><\/a><span style=\"font-weight: 400;\">, but <\/span><a href=\"https:\/\/www.ama-assn.org\/practice-management\/sustainability\/prior-authorization-practice-resources\"><span style=\"font-weight: 400;\">prior authorization<\/span><\/a><span style=\"font-weight: 400;\">, approval from your health insurance plan to receive a drug or service not normally covered, is usually required. \u201cThat\u2019s because of the high cost of the drug, the type of medication it is (a monoclonal antibody treatment), and the indications for use,\u201d Dr. Madison says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Although Stelara is sometimes given as an infusion by a healthcare provider instead of a self-administered injection, it is only covered under Medicare Part D benefits. Under Part D, you may be responsible for paying a deductible and one or more copays or out-of-pocket medication costs (in addition to your monthly premium). Medicare offers an <\/span><a href=\"https:\/\/www.medicare.gov\/plan-compare\"><span style=\"font-weight: 400;\">online tool<\/span><\/a><span style=\"font-weight: 400;\"> you can use to compare plans that cover Stelara.<\/span><\/p>\n<h3 id=\"does-medicaid-cover-stelara\"><span style=\"font-weight: 400;\">Does Medicaid cover Stelara?\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Medicaid coverage varies by state, though, and Medicare Part D plans vary as well, so talk to your healthcare provider or insurance provider about any additional steps needed to receive coverage for Stelara. If prior authorization is needed, you may have to show your insurance company proof that Stelara is a medically necessary drug for your treatment plan, such as a history of trying at least one lower-tier drug to treat your condition.<\/span><\/p>\n<h2 id=\"bottom-line\"><span style=\"font-weight: 400;\">Bottom line<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you\u2019re having trouble affording Stelara without insurance, you have options. SingleCare coupons and the JJ&amp;Me Savings Program can make it more affordable, but switching to a biosimilar may be the most viable cost-saving option for many people. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>For people with chronic inflammatory illnesses like psoriasis, psoriatic arthritis, and inflammatory bowel diseases (Crohn\u2019s disease or ulcerative colitis), using the injectable drug Stelara (ustekinumab) may reduce their symptoms and make it easier for them to manage their illness. It\u2019s also a premium-priced specialty drug sold only through specialty pharmacies. Even with insurance, the out-of-pocket [&hellip;]<\/p>\n","protected":false},"author":149,"featured_media":628205,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[4343,20955,4350],"coauthors":[8860],"class_list":["post-628201","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-brand-name-drugs","tag-inflammation","tag-prescription-savings","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Stelara copay card and savings guide<\/title>\n<meta name=\"description\" content=\"Stelara is expensive, but there are ways to save, even without insurance. 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