(Wed-29-10-2014, 12:29 PM)jiml Wrote:(Wed-29-10-2014, 12:21 PM)katie1017 Wrote: My insurance may change and then I don't know if the new one will cover the Stelara. I fear it will come back worse than.
My first suggestion acetretin is a good idea it's cheaper, but I would avoid methotrexate if you can it's effective but not nice..... Read in here others opinions
Now thinking about it and your worry about the insurance not covering you for Stelara this was mentioned not long ago on here and here is a little quote I found.........
Quote:Most pharmaceutical companies have financial assistance programs available for high priced medications. They want people to take/use new drugs. They know if you can not afford their drug you will have the doctor prescribe a competitor, which they do not want. So check their website.
You can always appeal, but if it is not on their approved drug list you will probably not get anywhere with it. Most insurance companies will pay different for generic and non-generic and they will have a list of Formulary (approved) and Non-Formulary (not approved) drugs. They probably will not make an exception unless it is life threatening. If the medication is not on their formulary list then they will probably have a "similar" drug that is on the formulary list. Unfortunately their definition of "similar" is probably not the same as your definition.
So the next thing to do should this occur is go to Stelara website
If you go to Freds link to Stelara
Stelara (ustekinumab)
At the bottom of the page on the left is a link to the website.....
When on their website right at the bottom is a link for help with prescription costs the button label is
Jannsen Prescription assistance
This may be useful for you as it will show their criteria for assistance with costs up to $10,000 a year