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Was wondering how many people following this thread are enrolled in a Medicare Part D plan. My understanding is that all Part D plans have to follow the same medicare rules. It'd be interesting to compare notes. I've been taking stelara since 2018 and turned 65 in 2021. I'm in my second...

Anybody familiar with Skyrizi? Stelara was dropped from my insurance company's formulary and there's murmurings about switching me to Skyrizi. Apparently it targets the protein IL-23 as does Stelara. But Stelara targets both IL-12 and IL-23

Hi DougUte, Perchance is your provide U of U? Interesting that they asserted Remicade was not an option in 2018 then relented when the insurance company insisted that it be tried. It seems Stelara is pricing itself out of the market. My insurance company just removed it from its 2023...

In the United States, is Entyvio still administered by infusion only?

Just got that letter today! Unfortunately, anti-tnf's are not an option for me as I had a neurological side effect to humira. As far as I know, the only other biologic that is an option for me is entyvio.

Hey Kannassee, are you on medicare?

just to clarify, you said you just started the injections. Do you mean that thus-far you've only had the loading dose that is administered by infusion?

I described in an earlier post about the billable amounts for stelara when on a commercial plan (prior to age 65) vs the billable amount now that I'm on medicare. When the gov got involved, the price tripled. Also, when on medicare, you are not eligible for the manufacture's co-pay assist.

This year, 2022, is the first year my Stelara was covered by a part D plan. I've self administered and have been billed for five injections. The cost & co-pay data was all the same for injections 2 thru 5. So, I don't expect my final injection for the year to be any different. I didn't pay...

"Retail cost varies by specialty pharmacy. It’s close to $23000 per shot right now per the drug insurance claims for my kiddo on Stelara every 4 weeks" I've had 20 injections thus far all administered by a hospital infusion center and billed to my medical plan. I built a spreadsheet of all...

So, I finally made 65 years old May 2021. My insurance was such that both the initial dose administered by infusion and the maintenance doses administered by subcutaneous injection were covered by my medical plan vs my drug plan. This was the case with the commercial plan I had prior to...

Interesting that you lived with Crohn's, medication free, for 30+ years after resection surgery. Was the resection in your large or small bowel? My thoughts on your questions: The bout of vomiting is common with small bowel obstructions. But, the CT scan did not reveal any blockages so...

I suffer from iron deficiency anemia and have had three iron infusions during the years 2014, 2017 and 2019. In the weeks following my iron infusions, I saw improvement in your blood test results. I'm a runner and my times improve as my blood improves. As the weeks and months go by, my...

gee, are you paying full price for Stelara...out of pocket? I'm on Stelara and turn 65 in about two years. Wondering what to expect...

I also am trying to understand what if any medicare coverage exists for Stelara. I'm 62, so I'll need to figure this all out over the next couple years. As far as I can tell, the medicare advantage and part D drug coverage plans offered by the company I retired from, does not cover Stelara...

Just to follow-up on my earlier post. The eligible charge for the Stelara infusion and injection were $8,998 and $7,061 respectively. The Stelara was provided by the hospital pharmacy and both the infusion & the injection were administered by the hospital infusion center. When I inquired...

I've been taking one Ferrex 150 capsule per day for the past several months. And, I had an iron infusion (injectafer) back in June 2017. My last blood test Hemoglobin was 11.0 g/dl. I'm a runner so I can really tell the difference as my hemoglobin levels decay...

It's been 14 weeks since I started treatment (390 mg induction dose, 90 mg maintenance dose every 8 weeks). Feeling pretty good but my anemia is still a problem. I assume this means the Stelara has not yet led to mucosal healing.

Any troubles with iron deficiency anemia? If so, that will impact your running pace. My running times improved dramatically after an iron infusion and associated improvement in hemoglobin. Really shocked me what a difference it made.

Yes, I'm signed up for Janssen's Co-pay assistance program. I'm interested in what the insurance companies are paying for our Stelara treatment. The so called "negotiated cost". Both for the loading dose administered by infusion and the maintenance doses administered by self injection.