General Discussion
In reply to the discussion: This message was self-deleted by its author [View all]Nye Bevan
(25,406 posts)Which sucks and is frustrating. I looked up cimzia on my plan and all it told me was that pre-approval was required (it would not even give a price). For this drug, however, the manufacturer's website seems quite helpful (go to http://www.cimzia.com/cimplicity/patients.aspx). They have a copay savings program where they help you verify insurance coverage and you get a savings card which (they claim) resulted in no out-of-pocket costs for 97% of the participants in 2013. It sounds like what they do is help walk you through the approval process to help you get the drug approved and then absorb any deductible or copay themselves, just accepting whatever the insurance company pays them, with you getting the drug for no out-of-pocket cost. You should definitely look into this; I have used a similar manufacturer's program with another drug and the savings can be enormous. Good luck!