Ixabisa malini uHumira? Bona amaxabiso kunye neendlela zokonga.
Ulwazi lweziyobisiI-Humira yonyango lonyango elinciphisa iimpawu kunye neempawu zesifo samathambo, isifo sikaCrohn, kunye ne-ankylosing spondylitis. Yinto ye-tumor necrosis factor (TNF) blocker iziyobisi kwaye lelinye lawona mayeza athengiswa kakhulu kwihlabathi. Makhe sijonge ukuba i-Humira ixabisa malini, nokuba i-inshurensi iyayigubungela okanye hayi, kwaye uyigcina njani imali kuyo.
Ixabisa malini uHumira?
Humira (adalimumab) sisiyobisi esibiza kakhulu esixabisa malunga ne-7, 389 yeedola kwiikiti ezimbini ezingaphantsi (10 mg / 0.1 mL). Iikiti ezimbini ezinqamlezileyo zihlala zinokubonelelwa ngenyanga kaHumira, oko kuthetha ukuba kungabiza ngaphezulu kwe- $ 84,000 ukuthatha iyeza unyaka wonke.
Kuyenzeka ukuba uhlawule imali encinci kuHumira ukuba unekhadi lesaphulelo okanye isicwangciso seinshurensi esisigubungelayo, kodwa uHumira sisiyobisi esinexabiso elininzi nokuba unganako na ukufumana ixabiso lesaphulelo. Esinye sezizathu zokuba uHumira abize kakhulu kungenxa yokuba lunyango olunzima lokwenza. Itekhnoloji ye-DNA kufuneka isetyenziselwe ukwenza iiproteni zamachiza-inkqubo engenakuphindwa, ngokungafaniyo namayeza enziweyo. I-Humira isebenza ngokuthintela kunye nokunciphisa iziphumo ze-tumor necrosis factor (TNF), ebangela ukudumba. Abantu abanezifo ezizimele njenge isifo samathambo okanye Isifo sikaCrohn ukuvelisa i-TNF eninzi kakhulu, yiyo loo nto bahlala bemiselwe uHumira.
I-Humira yi-biologic, enye enye indlela yokuthi iqulethwe yi-DNA. Ngenxa yoku, i-FDA ifuna ukuba iphandwe nzulu kwaye kuvavanywe- sesinye isizathu sokuba kubize kangaka. Akukho ndlela kubavelisi yokudlula iimfuno ze-FDA; Nangona kunjalo, loo nto inokwenza ukuba u-Humira angabizi kakhulu kwabo bayifunayo.
Ngaba i-inshurensi iyamgubungela uHumira?
Ngamanye amaxesha izicwangciso zeinshurensi ziya kunceda ukuhlawula iindleko zeHumira, ezenza kube lula kwabo bafuna amayeza. I-Humira igutyungelwe zizicwangciso ezininzi ze-inshurensi, kodwa izicwangciso ezizezinye zingahluka ngokobungakanani bazo. I-inshurensi inokukwazi ukwehlisa amaxabiso aphuma ngaphandle epokothweni eHumira ukusuka kwi- $ 7,389 ukuya kuthi ga kwi-5,000 yeedola ngenyanga.
Abanye abantu abafumana umqeshi / umhlala-phantsi wokukhutshwa kwemigqaliselo yokuthengisa baya kulungela iKhadi lokuGcina uHumira. Ikhadi le-Humira elipheleleyo lokuGcina lifumaneka kuphela kubantu abane-inshurensi yabucala evela kumqeshi wabo okanye kubantu abathenga i-inshurensi ngqo kwiinkampani zeinshurensi. Uncedo lweCopay alufumaneki kubantu abafumana imbuyekezo yemithi ngokusebenzisa iinkqubo zeinshurensi ezixhaswa ngemali ngurhulumente, ngurhulumente, okanye ngurhulumente.
Ngaba i-Medicare igubungela uHumira?
Abantu abangenayo i-inshurensi yabucala banokufumana uHumira ngexabiso elincitshisiweyo ngeMedicare okanye iMedicaid. I-Medicare yinkqubo ye-inshurensi yezempilo yabantu abadala abangaphezu kweminyaka engama-65 kunye nabantu abakhubazekileyo. Ukugqunywa ngugqirha kuyafumaneka ngokweZicwangciso zeMedare yeAdvantage (Icandelo C) kunye neZicwangciso zokuXhasa (iCandelo D).
Izicwangciso ze-Medicare Advantage zibonelela nge-Medicare Part A kunye ne-B yokugubungela (isibhedlele kunye neinshurensi yezonyango), kwaye ngamanye amaxesha inokubandakanya ukugubungela ugqirha Icandelo le-Medicare D linokongezwa kwiiNxalenye zeMedicare A kunye no-B zokugubungela ugqirha.
Uninzi lwezicwangciso zeMedicare ziluhlu lweHumira njengesiyobisi sesi-5 ngenxa yokuba lunyango olukhethekileyo, kwaye iziyobisi ezi-5 ziqhele ukubiza ngaphezulu kwe-1-4 iziyobisi. Ngenxa yokuba i-Medicare iluhlu lwe-Humira njengesiyobisi sesi-5, uninzi lwabantu luya kufuna i-Medicare Part D ukongeza kwi-Medicare Part C, kodwa kuyenzeka ukuba ezinye zeCandelo C zicwangcise ukugubungela uHumira ngokwabo.
Abanye abantu abane-Medicare yokugubungela baya kulungela inkxaso-mali yoNcedo eyongezelelweyo, enokunciphisa iindleko zeHumira ngokunjalo. Ukufaneleka kwale nkxaso-mali kumiselwe yiMedicare, kwaye inkxaso ayinakho ukudityaniswa neKhadi lokuGcina uHumira elipheleleyo. Ungandwendwela amayeza.gov okanye fowunela inombolo ekwikhadi lakho leinshurensi ye-Medicare ukuze ubone ukuba uyakufanelekela na ukufumana inkxaso-mali yoNcedo olongezelelweyo.
Ngaba iMedicaid igubungela uHumira?
I-Medicaid isebenza kancinane ngokwahlukileyo kuneMedicare. Iqhutywa ngurhulumente wobumbano kunye namazwe ngamanye, kwaye ibonelela ngoncedo lonyango kubantu abafumana umvuzo ophantsi kunye neentsapho. Nangona ikhemesti isibonelelo sokuzikhethela phantsi komthetho we-Medicaid Law, ezinye iinkqubo zeMedicaid zinokuhlawula iindleko zeHumira, kodwa ukogquma kuya kwahluka kurhulumente ukuya kurhulumente. Tyelela amayeza.gov ukuze ufunde ngakumbi malunga nokuba uHumira uza kuyigutyungelwa ngenxa yeendawo ohlala kuzo.
Eyona ndlela yokujonga ukuba i-inshurensi yakho igubungela uHumira kukujonga isicwangciso sakho seinshurensi. Iwebhusayithi yenkampani yakho yeinshurensi inokukunika ulwazi oludingayo, okanye kungafuneka ubize umnikezeli wakho weinshurensi ngqo. Humira iwebhusayithi humira.com , ikwanazo nezixhobo ezilungileyo, kwaye zinazo iingcali zeinshurensi ungatsalela umnxeba ngubani onokukunceda ubone ukuba i-inshurensi yakho iyakugubungela uHumira.
Iindlela ezi-4 zokonga kwiHumira
Ukufumana elona xabiso kwiHumira kunokufuna ukwenza uphando oluncinci ukuqinisekisa ukuba uyonga kangangoko unakho. Nazi iindlela ezintlanu zokufumana uHumira ngexabiso eliphantsi.
1. I-inshurensi
Sebenzisa izibonelelo zesicwangciso sakho seinshurensi yezempilo kwinzuzo yakho yenye yeendlela ezilungileyo zokugcina imali kwiHumira. Njengoko kukhankanyiwe ngaphambili, ezinye iiplani zeinshurensi ziya kugubungela iindleko zeHumira, okanye zinciphise iindleko eziphuma epokothweni. Abantu abane-inshurensi yabucala banokufumana iKhadi lokuGcina uHumira elipheleleyo. I-Medicare kunye neMedicaid inokunciphisa iindleko zeHumira ngokuxhomekeke kwisicwangciso sakho onaso kunye / okanye apho uhlala khona. Akunakwenzeka, nangona kunjalo, ukuba ube kwi-Medicare, Medicaid, Medigap, TRICARE, Medicare Advantage, okanye kwiinkqubo ze-Veterans Affairs kwaye ufumane i-Humira Complete Savings Card.
Kubalulekile ukuba uqaphele ukuba uninzi lwezicwangciso zeinshurensi ziya kufuna ukuba ugcwalise ifom yesigunyaziso sangaphambili okanye inkqubo yonyango lwenyathelo ngaphambi kokuba bavume ukuhlawula iindleko zeHumira. Ifom yesigunyaziso esingaphambili kukuvunywa kwengxelo evela kwinkampani yeinshurensi yakho esetyenziselwa ukunceda ukuqinisekisa ukuba ichiza olithengayo lelona lifanelekileyo nelonga iindleko elisetyenziswayo. Inkqubo yonyango yenyathelo ifuna ukuba amanye amayeza azanywe ixesha elithile ngaphambi kokuba uqhubele eHumira. Oku kuqinisekisa ukuba amayeza anokubiza ixabiso elincinci azanywa kuqala ukunyanga imeko yakho yonyango. Izithintelo zingenza kube nzima ukufumana i-inshurensi ku-Humira, kodwa ungasoloko ubuza ugqirha wakho ukuba abhenele ukuba ngaba i-inshurensi yakho ayigubungeli uHumira.
2. Humira amatikiti
Sebenzisa amakhuphoni kunokuba yindlela entle yokuhlawula iHumira encinci. UAbbVie Inc., umenzi weHumira, ubonelela ngeKhadi leHumira elipheleleyo lokuGcina kodwa ayinguye wonke umntu olilungeleyo ikhadi lokonga. Kulabo bangafanelekanga, ukusebenzisa isigqebhezana esikwi-intanethi lukhetho lwesibini olukhulu. Ukuba usebenzisa i- Ikhuphoni elilodwa ngeHumira, ungabhatala i-5, 273 yeedola endaweni ye- $ 7,389 kwibhokisi nganye yesirinji ezaliswe kwangaphambili. Iikhuphoni ezikwi-Intanethi ezinje ngale zingasetyenziswa kwiikhemesti ezithatha inxaxheba ezinje ngeWalgreens, iRite Aid, iWalmart, iCVS, kunye nezinye.
3. Izaphulelo kumenzi
Ngamanye amaxesha ikhemesti ayiyi kuyamkela iKhadi lokuGcina uHumira eliGqibeleleyo, elinokushiya nebhili eninzi. Usenokuba nakho ukunciphisa iindleko zeHumira ngokusebenzisa isaphulelo sokuhlawulwa seHumira. Izaphulelo zifumaneka kuphela kubantu abane-inshurensi yonyango okanye abaguli abane-inshurensi. Ukuba uhlangabezana nale mfuno nangona kunjalo, unokukwazi ukuqokelela iirisithi zakho eHumira kwaye ufumane itsheki yesaphulelo kwiOpus Health. Ukuba ufuna ukufunda okungakumbi malunga nokugcina imali kwiHumira ngesaphulelo, ndwendwela iwebhusayithi yomenzi.
4. INkqubo yokuNceda uMonde kwi-AbbVie
Abagulayo abangaqeshwanga okanye abagulayo abangaphantsi kwe-inshurensi banokulungela iNkqubo yoNcedo lweMonde yeAbbVie. Le nkqubo ibonelela ngoncedo lweendleko kwabo bahlangabezana neendlela ezithile zengeniso. Kusimahla ukufaka isicelo kule nkqubo, kwaye abo bakulungeleyo bafumana amayeza abo ngaphandle kweendleko. Ndwendwela iwebhusayithi ka-AbbVie ukubona ukuba ukulungele na ukufumana iHumira mahala.
Ngaba kukho uhlobo oluqhelekileyo lweHumira?
Amaxesha amaninzi kuyakubakho iinguqulelo eziqhelekileyo zohlobo lwegama lonyango ezinamaxabiso afikelelekayo kubathengi. Ngelishwa, akukho luhlobo luqhelekileyo lweHumira okanye ichiza le-biosimilar kwimarike yaseMelika enokuthengwa ngabantu ngexabiso eliphantsi.
Ukususela ngo-2002, u-AbbVie uye wakha ngononophelo amalungelo awodwa omenzi wechiza ukuqinisekisa ukuba uHumira ukhuselwe kukhuphiswano lwe-biosimilar. Ngo-2016, umenzi u-Amgen wenza ichiza ekuthiwa yi-Amjevita, eyaba yi-biosimilar yokuqala ku-Humira ukufumana imvume kuLawulo lwezoKutya noLawulo lweziyobisi (FDA). U-Amgen wanikwa ilungelo lokusungula i-biosimilar eYurophu ngo-2018 kwaye uza kuyikhupha e-United States ngo-2023. Olu luhlu lulandelayo I-Humira biosimilars ziya kufumaneka eMelika ngo-2023:
- Epreli nguPfizer
- Amjevita nguAmgen
- I-CHS-1420 ngeCoherus BioSciences
- Cyltezo nguI-Boehringer Ingelheim
- Hadlima nguUkudibanisa / i-Samsung Bioepis
- Hulio nguUMylan
- Hyrimoz nguINovartis / iSandoz
- MSB11022 nguUFresenius Kabi
Kuze kube sekukhutshweni kwee-biosimilars ezenziwe ngamanye amashishini amayeza, abemi base-US baya kuqhubeka kufuneka bathenge i-Humira ngexabiso elipheleleyo ukuba ingagqitywanga yi-inshurensi yabo okanye ukuba abakwazi ukuyifumana ngexabiso eliphantsi.
Kukho amanye amayeza amiselweyo kwimarike anokunyanga isifo samathambo, isifo sikaCrohn, i-hidradenitis suppurativa, kunye nezinye iimeko ezenziwa nguHumira. Ngenxa yokuba la machiza ngamanye amachiza e-biologic nangona, aya kufana ngexabiso kuHumira. Ukuba iziphumo ebezingalindelekanga zikaHumira zininzi kakhulu emntwini, kuya kufuneka bajonge ekuthatheni iyeza elahlukileyo. Nazi iziphumo eziqhelekileyo zeHumira ukuba uqaphele:
- Intloko ebuhlungu
- Irhashalala
- Isicaphucaphu
- Ukuphendula kwendawo yenaliti
- Usulelo lomjelo womchamo
- Usulelo oluphezulu lokuphefumula
- Umqolo obuhlungu
Abo banomdla kwezinye iindlela zeHumira banokuthetha nogqirha wabo ngezi ndlela zilandelayo.
Humira ezinye iindlela | ||||
|---|---|---|---|---|
| Sebenzisa | Ixabiso eliphakathi lokuthengisa | Ugcino olulodwa | Iinkcukacha ezongezelelweyo | |
| I-Enbrel (etanercept) |
Qaphela: U-Enbrel akanakunyanga isifo sikaCrohn kunye nesifo se-ulcerative colitis njengoHumira. | $ 6,100 nge-4, 50 mg / ml isisombululo esichiza | Fumana isigqebhezana | Funda nzulu |
| I-Remicade (infliximab) |
| $ 11,502 yokubonelela ngeebhotile ezili-10, 100 mg | Fumana isigqebhezana | Funda nzulu |
| ISimponi (golimumab) |
| Ngaphezulu kwe- $ 7,000 ngenaliti yenyanga | Fumana isigqebhezana | Funda nzulu |
I-biologic efanelekileyo yokumisela ixhomekeke kwimeko ekhethekileyo yesigulana kunye nezinye izinto ezinje ngembali yezonyango, ubude besimo, ubungqongqo besimo, unyango lwangaphambili kunye neenjongo zonyango, utsho UAnna H. Chacon , MD, i-dermatologist eqinisekiswe yibhodi yase-US ese Mzantsi Florida.
Kungenxa yoko le nto kubaluleke kakhulu ukuthetha nogqirha wakho malunga nokuba uHumira akakulungelanga na. Ugqirha wakho uya kuba nakho ukukunika ingcebiso yezonyango ethe ngqo kuwe, kwaye unokukwazi ukukunceda ufumane indlela yokugcina kwi-Humira prescription yakho.
