Connect
← Return to Rheum wants Kevzara but Methotrexate much cheaper, work as well?
Discussion
Rheum wants Kevzara but Methotrexate much cheaper, work as well?
Polymyalgia Rheumatica (PMR) | Last Active: 6 hours ago | Replies (56)Comment receiving replies
@boomermeg The out-of-pocket costs have improved a lot since I was diagnosed a little over 2 years ago. I started taking Actemra in August 2024. 2024 was the last year of the notorious Medicare "donut hole", where catastrophic coverage started when you had paid $8000 out of pocket. I started Actemra in August, so I didn't make it to $8000, but I came close enough. I thought it was great when the out-of-pocket make for 2025 was $2000.
Replies to "@boomermeg The out-of-pocket costs have improved a lot since I was diagnosed a little over 2..."
@jeff97
That was insane I know. $8,000.00 just for Rx's alone! That must have been rough.
I hope they keep it around 2100.00-2200.00 in 2027.
Connect
@jeff97 I have been on Kevzara all of 2026. I have BCBS Minnesota advantage plan. Had to pay $2000 copay and the rest of the year is covered. Hope this helps someone trying to decide what to do. No side effects. Off Prednisone, no pain.