Full Answer
What is the Otezla bridge program?
The program provides up to a Maximum Program Benefit of assistance to reduce a patient's out-of-pocket prescription costs that Amgen will provide per patient for each calendar year, which must be applied to the Otezla patient's out-of-pocket costs (co-pay, deductible, or co-insurance).
Can I get Otezla on Medicare?
Otezla is covered by most health plans in the US, including commercial, Medicare, and Medicaid.
Is Otezla covered by Aetna?
Apremilast (Otezla) is currently listed on the Aetna Formulary Exclusions List. Therefore, these drugs are excluded from coverage for members enrolled in prescription drug benefits plans that use a closed formulary, unless a medical exception is granted.
What happens if I miss a day of Otezla?
If you miss a dose of Otezla, take it as soon as you remember. If it is close to the time for your next dose, just skip the missed dose. Take the next dose at your regular time. Do not take a double dose to make up for a forgotten dose.
How much is Otezla at Walmart?
Average 12 Month Prices for OtezlaPharmacyOtezla Retail PriceOtezla SingleCare PriceWalmart$4585.98$3790.94Walgreens$5011.37$4087.37Kroger Pharmacy$5091.00$3910.20Albertsons Pharmacy$4531.20$4047.601 more row
Is there a generic for Otezla?
Is there a generic for Otezla? There is currently no generic version of Otezla on the market, and there likely won't be one until at least 2028.
Is Otezla a Tier 5 drug?
Medicare prescription drug plans typically list Otezla on Tier 5 of their formulary. Generally, the higher the tier, the more you have to pay for the medication.
What psoriasis medication does Medicare cover?
Medicare Coverage for Humira. Humira is biologic drug that's used to treat inflammatory conditions like rheumatoid arthritis, plaque psoriasis, and Crohn's disease. Humira is mainly covered by Medicare Part D and Part C; in rare cases, Part B may also offer coverage.
How do Goodrx cards work?
It's similar to using a coupon at a grocery store. Simply print the coupon and bring it with you to the pharmacy when you pick up your prescription. The pharmacist will enter the numbers on the coupon into their system to find the discount.
Does Otezla affect your kidneys?
Kidney function: Kidney disease or reduced kidney function may cause this medication to build up in the body, causing side effects.
Can Otezla cause hair loss?
Is hair loss a side effect of Otezla? No. Hair loss wasn't a side effect that occurred in studies of Otezla. However, if you have plaque psoriasis on your scalp, scratching may lead to temporary hair loss.
Do you take Otezla forever?
For some people, Otezla can prevent symptoms of psoriasis or psoriatic arthritis without causing any problematic side effects. In this case, the drug may be continued long-term to keep the condition under control. Long-term studies, ranging from 3 to 5 years, have shown that Otezla is safe for prolonged use.
What psoriasis medication does Medicare cover?
Medicare Coverage for Humira. Humira is biologic drug that's used to treat inflammatory conditions like rheumatoid arthritis, plaque psoriasis, and Crohn's disease. Humira is mainly covered by Medicare Part D and Part C; in rare cases, Part B may also offer coverage.
What tier drug is Otezla?
What drug tier is Otezla typically on? Medicare prescription drug plans typically list Otezla on Tier 5 of their formulary. Generally, the higher the tier, the more you have to pay for the medication.
What other drugs are similar to Otezla?
Methotrexate.Enbrel.Remicade.Sulfasalazine.Stelara.Cimzia.
Does Medicare Part D cover biologics?
Biologics—usually large, complex molecules produced in a living system—are some of the most expensive drugs available, and spending for biologics is growing in Medicare Part D because they treat diseases common among Medicare beneficiaries. Biologics are estimated to cost Part D upwards of $12 billion annually.
Manufacturer Coupon Visit Manufacturer Site
Many manufacturers offer programs that will reduce your out-of-pocket costs for this prescription. These programs are free but may have some rules or restrictions, so you’ll want to review carefully. When you’re ready to use this coupon, simply present the coupon to your pharmacist with a valid prescription for your medication.
10 Expensive Medications Worth Their Cost
GoodRx‘s cash prices are based on multiple sources, including published price lists, purchases, claims records, and data provided by pharmacies. Most of our discount and coupon prices are based on contracts between a pharmacy (or pharmacy purchasing group) and a Pharmacy Benefit Manager (PBM), who provides prices to us.
How to contact Otezla?
Call the Patient Assistance Program for Otezla at 1-855-554-9168. *Certain restrictions apply; eligibility not based on income, must be 18 years or older. This offer is not valid for persons eligible for reimbursement of this product, in whole or in part under Medicaid, Medicare, or similar state or federal programs.
What are the side effects of Otezla?
Side effects of Otezla include diarrhea, nausea, vomiting, upper respiratory tract infection, runny nose, sneezing, or congestion, abdominal pain, tension headache, and headache.
What is an Otezla copay card?
With the Otezla Co-Pay Card, a commercially insured patient who meets eligibility criteria can receive one of two offers when filling their Otezla prescription: the Bridge Offer or the Co-Pay Card Offer. Patients can participate in one offer at a time. See PROGRAM DETAILS for full description.
How to contact Otezla if you don't have insurance?
If you don't have your prescription insurance card information, simply select skip this step and contact Otezla SupportPlus™ at 1-844-4OTEZLA (1-844-468-3952) to complete your enrollment.
How to speak with a specialist at Otezla?
To speak with a specialist, call Otezla SupportPlus at 1-844-4OTEZLA .
What is otezla used for?
Otezla is a prescription medicine approved for the treatment of adult patients with active psoriatic arthritis. Otezla is a prescription medicine approved for the treatment of adult patients with oral ulcers associated with Behçet’s Disease.
How old do you have to be to enroll in Otezla?
You must be over 18 to complete enrollment online. Please contact Otezla Supportplus™ at 1-844-4OTEZLA (1-844-468-3952) for further assistance. Our team is ready to help, Monday-Friday 8 AM -8 PM ET.
What is the phone number for Otezla?
Have questions? Call Otezla SupportPlus at 1-844-4OTEZLA, Monday – Friday from 8 AM to 8 PM, ET.
What are the side effects of Otezla?
Side effects of Otezla include diarrhea, nausea, vomiting, upper respiratory tract infection, runny nose, sneezing, or congestion, abdominal pain, tension headache, and headache.
What is an Otezla card?
The Otezla Co-Pay Card provides support up to the Maximum Program Benefit or Patient Total Program Benefit. If a patient’s commercial insurance plan imposes different or additional requirements on patients who receive Otezla Co-Pay Card benefits, Amgen has the right to reduce or eliminate those benefits. Whether you are eligible to receive the Maximum Program Benefit or Patient Total Program Benefit is determined by the type of plan coverage you have. Please ask your Otezla SupportPlus™ representative to help you understand eligibility for the Otezla Co-Pay Card, and whether your particular insurance coverage is likely to result in your reaching the Maximum Program Benefit, or your Patient Total Program Benefit amount, by calling 1-844-4OTEZLA (1-844-468-3952). (See PROGRAM BENEFITS section below.)
Is otezla safe for pregnant women?
Otezla has not been studied in pregnant women or in women who are breastfeeding. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-332-1088. Please click here for Full Prescribing Information.
Does otezla cause depression?
In clinical studies, some patients reported depression, or suicidal behavior while taking Otezla. Some patients stopped taking Otezla due to depression. Before starting Otezla, tell your doctor if you have had feelings of depression, or suicidal thoughts or behavior.
Is Otezla dependent on income?
Eligibility for the Otezla Co-Pay Card is not dependent on income.
Is otezla a prescription?
Otezla® (apremilast) is a prescription medicine approved for the treatment of adult patients with moderate to severe plaque psoriasis for whom phototherapy or systemic therapy is appropriate. Otezla is a prescription medicine approved for the treatment of adult patients with active psoriatic arthritis.
How much does Otezla cost?
Is your Otezla medication too expensive? Start receiving your medication for only $49 per month .*
How to apply for Otezla?
To apply for the Otezla patient assistance program, simply complete your enrollment application online with NiceRx. Our process is simple and straightforward. We will need you to provide specific information that is required by the pharmaceutical manufacturers who ship your medication. This includes the full details of your healthcare provider, your insurance plan, and your household income, as well as any medication you currently take.
Can NiceRx help me get Otezla if I have insurance?
Yes, we may be able to help you if you have insurance and your insurance company won’t pay for your Otezla medication, or you have a high copay or coinsurance responsibility. This may even be the case if you don’t have insurance. Apply online with NiceRx to find out more.
What is otezla used for?
Otezla is a medication prescribed to adults to treat plaque psoriasis, psoriatic arthritis, and mouth ulcers caused by Behçet’s disease. Otezla comes as a tablet that you swallow.
What are the side effects of Otezla?
An increase in upper respiratory tract infections. An increase in colds. More serious Otezla side effects, include: Severe allergic reactions to the medication. New or worsening mental health conditions, including depression, suicidal thoughts and behaviors, and other mood changes. Severe diarrhea, nausea, or vomiting.
What is the active ingredient in Otezla?
The active ingredient in Otezla is called apremilast. It reduces inflammation in your body. Apremilast works by blocking an enzyme in your body called phosphodiesterase 4. This enzyme is involved in the process your immune system uses to cause inflammation.
How old do you have to be to take Otezla?
Are allergic to any of the other ingredients in Otezla (you can find these listed in the leaflet which comes with the medication) Are under 18 years of age. Talk to your physician before taking Otezla if you: Are taking any of the medications that could interact with Otezla.
