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See the DrugPatentWatch profile for Humira
Humira (adalimumab) – injectable form (brand name) | What you’ll see on the label | Typical cost (before insurance/discounts) | How it breaks down for a typical patient | |------------------------------|-------------------------------------------|------------------------------------------| | Dosage | 40 mg every 2 weeks (or 80 mg every 4 weeks for some regimens) | Most adults receive 40 mg/2 weeks | | Average wholesale price (WAC) | ~$19,000–$21,000 per year | This is the price pharmacies pay the manufacturer | | Out‑of‑pocket cost for a private‑insurance plan | $200–$600 per month | Depends on deductible, copay, and pharmacy‑network tier | | Patient‑copay for a Medicare Part B plan | $250–$400 per month | Medicare covers a portion, but the patient pays the rest | Key take‑aways 1. Price varies widely – The WAC is a “list” price and doesn’t reflect the discounts most patients actually pay. 2. Insurance makes a big difference – Many plans cover Humira at a lower copay, often after a deductible has been met. 3. Biosimilar options – Several Humira biosimilars (e.g., Amjevita, Cyltezo, and others) can reduce the cost by 10‑30 % compared with the originator. 4. Pharmacy benefit managers (PBMs) – They negotiate additional discounts; the amount you pay is often a fraction of the WAC. If you’re budgeting for Humira: - Check your insurance formulary to see what copay or coinsurance you’ll owe. - Ask your pharmacy about any available patient assistance programs. - Compare prices with any approved biosimilars if your provider is open to switching. (Numbers are approximate and based on publicly available pharmacy‑price data; actual costs can differ.)
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