Amjevita (adalimumab-atto) is a brand-name subcutaneous injection prescribed for certain conditions, including Crohn’s disease, in adults and some children. The cost of Amjevita with and without insurance can depend on several factors.
Amjevita comes in two forms: single-dose prefilled syringe and single-dose prefilled autoinjector pen.
Read on to learn about Amjevita and cost, as well as how to save money on prescriptions. If you’d like other information about Amjevita, refer to this article.
As with all medications, the cost of Amjevita can vary. Factors that may affect the price you’ll pay include:
- your treatment plan
- your insurance coverage
- the specialty pharmacy you use*
- the cost of the visit to your healthcare professional to receive doses of Amjevita if needed†
- whether Amjevita has a savings program (see the “Financial and insurance assistance” section below)
In addition, you may need to purchase needles to use the single-dose prefilled syringes of Amjevita.
To find out what the cost of Amjevita will be for you, talk with your doctor, pharmacist, or insurance provider.
* Amjevita is available only at specialty pharmacies. This is a pharmacy that’s authorized to carry specialty medications. These include drugs that are costly or have detailed instructions for how to use them.
† Amjevita is given as a subcutaneous injection. Your doctor or other healthcare professional may administer your doses in their office or clinic. They may also show you how to self-inject the medication at home.
Below is information you may want to consider if you have insurance and receive Amjevita.
Prior authorization. If you have insurance, your insurance company may require prior authorization before it covers Amjevita. This means the company and your doctor will discuss Amjevita in regard to your treatment. The insurance company will then determine whether to cover the medication. If a drug requires prior authorization, but you start treatment without the prior approval, you could pay the full cost of the medication. You can ask your insurance company whether Amjevita requires prior authorization.
Type of insurance coverage. Amjevita may be given by your doctor or another healthcare professional as a subcutaneous injection. If you have insurance, the price of your Amjevita doses may be billed through your medical coverage instead of the prescription drug portion of your insurance plan. This depends on your specific insurance plan and where you receive your Amjevita doses, such as at your doctor’s office, an infusion clinic, or a hospital. If you have questions about this process, contact your doctor or your insurance provider.
Here are answers to some frequently asked questions about drug cost and Amjevita.
How does the cost of Amjevita compare with the cost of Humira?
The cost of Amjevita compared with Humira depends on many factors, including your treatment plan and insurance. Also, Amjevita is a biosimilar of Humira, and biosimilars typically cost less than the biologic parent drug. To learn more, see the “Brand-name vs. biosimilar drugs” section just below.
It’s important to note that the manufacturer of each drug offers a savings program. For details about Amjevita’s program, see the “Financial and insurance assistance” section below.
To find out how much you’ll pay for Amjevita versus Humira, talk with your doctor, pharmacist, or insurance provider.
Is Amjevita covered by Medicare?
Medicare may cover Amjevita, but the amount you’ll pay depends on your coverage and specific plan. For example, Medicare Part B covers some drugs given in a healthcare setting. A healthcare professional may give you Amjevita by subcutaneous injection in their office or clinic. They may also show you how to self-inject the drug at home.
To determine your cost for Amjevita injections, contact your Medicare plan representative. For more information about Amjevita and Medicare, see the “Next steps” section below.
Amjevita contains the active ingredient adalimumab-atto.* It’s a biosimilar of the brand-name biologic drug Humira. A biosimilar medication is a drug that’s similar to a brand-name biologic drug (the parent drug). Also, biosimilars typically cost less than brand-name medications.
Amjevita is approved to treat the same conditions as Humira.
If your doctor has prescribed Amjevita and you’re interested in Humira instead, talk with your doctor. They may prefer one version or the other. You’ll also need to check with your insurance provider, as it may cover only one or the other.
* The reason for “-atto” at the end of the drug’s name is to show that it’s distinct from similar medications that may be created in the future.
WHY ARE COSTS DIFFERENT FOR BIOLOGIC DRUGS VS. BIOSIMILAR DRUGS?
Biologic drugs can be expensive because of the research needed to test their safety and effectiveness. The manufacturer of a biologic drug can sell it for up to
12 years. When the biologic drug’s patent expires, multiple manufacturers can create biosimilar versions. This marketplace competition may lead to lower costs for biosimilars. Also, because biosimilars are very similar to biologic drugs, they don’t require the same costly testing.
If you take Amjevita long term, you may be able to lower its cost in the following ways.
Getting a 3-month supply
You may be able to get a 90-day supply of Amjevita. If approved by your insurance company, getting a 90-day supply of the drug could reduce your number of trips to the pharmacy and help lower the cost. If you’re interested in this option, check with your doctor, pharmacist, or insurance provider.
Using a mail-order pharmacy
Amjevita may be available by mail order through your specialty pharmacy. Using this type of service may help lower the drug’s cost and allow you to receive your medication without leaving home. Some Medicare plans may help cover the cost of mail-order medications. You may also be able to get a 90-day supply of the drug via your specialty pharmacy. Talk with your specialty pharmacy about whether this is an option for your Amjevita prescription.
If you don’t have health insurance, talk with your doctor or pharmacist.
If you need financial support to pay for Amjevita or help to understand your insurance coverage, help is available. For example:
- A program called Amgen SupportPlus is available for Amjevita. For more information and to find out whether you’re eligible for support, call 888-8AMJEVITA (888-826-5384) or visit the program website.
- Some websites provide details about drug assistance programs, ways to make the most of your insurance coverage, and links to savings cards and other services. Two such websites are:
To learn more about saving money on prescriptions with or without insurance, check out this article.
Now that you’ve learned about cost and Amjevita, you may still have some questions. Talk with your doctor or pharmacist, who can provide personalized guidance about cost issues related to Amjevita. But if you have health insurance, you’ll need to talk with your insurance provider to learn the actual cost you would pay for Amjevita.
Here are some other resources you may find helpful:
- Medicare drug coverage. To learn about Medicare coverage for drugs, see these articles about Medicare prescription drug plans, drug coupons and Medicare, and the Medicare drug list.
- More details. For details about other aspects of Amjevita, refer to this article.
- Information about your condition. For more information about the conditions Amjevita treats, refer to the following:
Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.