Taltz Cost and Financial Aid: Saving opportunities, cost reductions, and additional options explained
The cost of Taltz, a prescription biologic drug used to treat various conditions including psoriatic arthritis, ankylosing spondylitis, and plaque psoriasis, can vary significantly. Factors influencing the cost include insurance coverage, manufacturer savings programs, dosage schedules, and formulary status.
Key factors affecting Taltz's cost:
- Insurance type and coverage: Commercial insurance plans may cover Taltz with varying copays or coinsurance, depending on the plan's formulary and tier. Specialty drugs like Taltz are often limited to a 30-day supply and may require use through specialty pharmacies, impacting out-of-pocket costs.
- Manufacturer savings cards and patient assistance programs: The drug manufacturer offers savings cards that can reduce copays to as low as $5 or $25 per dose for commercial insurance holders. For uninsured or underinsured patients, patient assistance programs may provide Taltz free of cost.
- Dosage and frequency: Taltz is administered as a monthly subcutaneous injection, either via prefilled syringe or single-dose pen. Dose frequency (monthly) and quantity affect the total monthly cost.
- Formulary and prior authorization requirements: Insurance formularies may designate Taltz as a preferred or non-preferred specialty drug, influencing cost shares and requiring prior authorization. Requirements about clinical diagnosis, failed trials of other drugs, and dosing adherence to FDA guidelines can also impact coverage approval and cost.
To find out the cost per month or per dose of Taltz, one can:
- Check with your insurance provider: Ask about formulary tier placement, copayment, coinsurance, and any quantity limits or specialty pharmacy requirements. Your insurer's pharmacy benefits manager (PBM) often provides pricing specific to your plan.
- Use manufacturer resources: Visit the Taltz manufacturer's website or contact their patient assistance program for savings card information and eligibility details for assistance programs.
- Pharmacy pricing tools: Websites like GoodRx can provide estimated retail prices and discount cards to help approximate the cost per dose or monthly supply in your area.
- Consult your healthcare provider or specialty pharmacy: They may provide billing estimates based on your insurance and dosing schedule.
Additionally, Taltz may be available through a mail-order specialty pharmacy, which may help lower the drug's cost and allow you to receive your medication without leaving home. The manufacturer of Taltz has a copay assistance program called Taltz Together.
For more detailed information about Taltz, including its uses, side effects, and other aspects, refer to additional articles on the topic. To find out the cost of Taltz, contact your doctor, pharmacist, or insurance provider. Some websites provide details about drug assistance programs, ways to make the most of your insurance coverage, and links to other services such as Medicine Assistance Tool and NeedyMeds.
- The cost of Taltz, a drug used to treat various health conditions, can fluctuate based on factors like insurance coverage, dosage schedules, and formulary status.
- For individuals without insurance, or those with limited coverage, the manufacturer of Taltz offers patient assistance programs that may provide the drug free of charge.
- In the realm of personal finance and health-and-wellness, it's crucial to explore available science-backed solutions like Taltz, but be mindful of associated costs, which can be impacted by aspects like insurance coverage, dosage, and formulary status.
