Oh and the FULL cost applies toward deductibles so if your insurance has it you hit a catastrophic level almost immediately which brings costs down to minimal out of pocket.

This is actually why and copied from article about prescription cost coverage from manufacturers

“Anti-kickback laws make it illegal for pharmaceutical companies to offer discounts for medications that will be paid for by the federal government. So those on Medicare and Tricare, for example, cannot use these types of coupons.
Beneficiaries of government insurance must decide if they want to use their drug plan or a discount coupon when purchasing a drug. One or the other may be cheaper but going outside the plan means any money spent doesn't count toward their out-of-pocket totals.”

That was the problem after the affordable care act ^ HHS made changes so it does apply toward your out of pocket costs. Here’s some more detail but there is tons of info on it just google manufacturer prescription coupons and HHS

https://www.mercer.com/insights/law-and-policy/...

Not everyone is eligible, but if you have insurance, the insurance will pay about half of the price they show. Since they’re charging so much, they know that nobody can handle a 2500.00 a month (or week), so they agree to absorb the other half. Honestly I think they just double the price so they can get half. The good part is that it counts towards your annual deductible which saves you on doctor visits and such.

I previously had Cigna insurance, w/ prescription drug claims, etc. administered by CVS Caremark, and the Skyrizi injections were dispensed by CVS Speciality. Originally I had Skyrizi savings card (essentially a kind of debit card) which was supposed to cover copay (approx. $5K per dose) but I had continual problems with CVS Caremark/Speciality failing to process the card payment, resulting in many hours wasted on customer care calls with CVS and AbbVie. Finally I ended up paying the co-pay myself then working with AbbVie to get reimbursed. Much better overall, but you are on the hook while you have not met your out-of-pocket insurance limit, so you have to front the ~$5K cost pending the refund from the AbbVie partner site, but this was processed very quickly.

I’ve used humira - triggered DSAP and stopped usage. I’ve used enbrel, stopped working which biological tend to do after some time for some people you become resistant. Now on taltz and upping to 2x a month. All offer a manufacturer coupon program but you are not eligible if you have a part D Medicare coverage. With Medicare the over 10k med costs about 300. By dropping part D and going on coupon the cost is between 5 -15 bucks for most people. It’s not just that med. sometimes comes down to having a well informed physician staff directing you to resources.