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Notice from Insurance about Switching from Remicade to Biosimilar

Hey everybody. So today in the mail, I got a notice from my insurance that says that beginning February 1 next year, they are going to switch my Remicade to a biosimilar. I am very hesitant to switch since I have done so well on Remicade. They stated that unless there is approval by my doctor to stay on Remicade, they're going to switch me to a biosimilar. My concern from what I have read is that if I switch to a biosimilar and it isn't as effective as Remicade, I won't be necessarily able to switch back to Remicade due to antibody formation. Should I reach out to my doctor about this? Any insight is appreciated. Thanks!
 
Hi @awoenker12. It won't hurt to reach out to your doctor. This is also happening in a couple provinces in Canada. I have done some research, and it appears many don't notice any difference when switching. I understand though how you feel as my son is on Remicade and I also would feel the same way if they were to switch it to a biosimilar. Talk to your doctor at least, but I don't think they would be making these changes for people if biosimilars weren't effective. Glad you are doing well!
 

my little penguin

Moderator
Staff member
Talk to your Gi - Gi would need to prove ira medically necessary to insurance for you to stay on remicade. But definitely have the conversation
 

Lady Organic

Moderator
Staff member
I agree. When this is going to happen with Humira, I am going to ask my GI to remain on it, no substitute. I have heard research so far as shown there are no issues switching, but all of this is so early to know fully in the long run. It can often take a year or more for a relapse in IBD after a prolonged remission under treatment. Moreover, loss of response over time to any medication is common. I for one really prefer not to play with any variable involved in a treatment that works for me. I have had enough of that one bad experience after changing a medical plan 10 years ago that from now on, when something works, I wont play or modify it, unless I am forced to do it.
 
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