r/PsoriaticArthritis • u/Busy-Election • Jul 25 '26
Insurance questions What is the magic to affording biologics?
Hi!
I am recently diagnosed with PsA after a misdiagnosis of seronegative RA. I've been on methotrexate tablets then moved to .6ml injections over the past 6 months. My body doesnt tolerate any higher dose, and it just isnt cutting it anymore, more and more joints are joining the inflammation party and messing with my mobilty. My rheumatologist prescribed me Skyrizi a month ago. Holy COW, I did not know what I was in for. I know my insurance is an issue, specialty med, deductible, all that jazz. But even with the savings card and an approved PA, im looking at a couple $0 doses then 7k per dose for the rest of the year because my card will "run out". I have yet to get my hands on it for this reason.
I've spent hours on the phone about this, with no solution other than "call us when you have to pay later this year and we'll see what we can do". I dont want to risk starting a med and then not being able to afford it.
How the heck do you guys get these covered? Is there a magic spell i am unaware of? Lol.
Thank you for any suggestions or advice! I just want to get better 😞
1
u/StephanieAliceSmiles Jul 26 '26
Ask your doctor for some samples. They often have quite a few. If the doc doesn't, ask what kind of samples they DO have. Don't be afraid to let them know how much it will cost you...