How Do I Get Coverage For a Specific Drug?


I find myself in a life changing situation and need to get insurance that will give me continuity of care. I need to be able to get an off-label prescription (Stelara) for Crohn’s disease (no it’s no FDA approved.) The shots by themselves are $20K or more. If somebody could help me, I’d appreciate it.

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I have crohns disease and my 6-mp (60 year old generic) and Xifaxan are not covered in My Blue Cross plan. Xifaxan is a miracle drug for Crohn’s disease. Since the affordable care act was passed the Xifaxan price increased from 200 to 1000 per month.

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