Omvoh (mirikizumab-mrkz) is a brand-name liquid for injection that’s prescribed for ulcerative colitis. The cost of the drug, with and without insurance, can depend on several factors, such as whether Omvoh has a savings program.
As with all medications, the cost of Omvoh can vary. Factors that may affect the price you’ll pay include:
- your treatment plan
- your insurance coverage
- the pharmacy you use
- the form of Omvoh you’re prescribed
- the cost of the visit to your healthcare professional if you receive Omvoh as an intravenous (IV) infusion
- whether Omvoh has a savings program (see the “Financial and insurance assistance” section below)
To find out what the cost of Omvoh will be for you, talk with your doctor, pharmacist, or insurance provider. Or look below in the next section to learn how much you can save by using an Optum Perks coupon.
To save money on your Omvoh prescription, explore these Optum Perks coupons.
Save on your Omvoh prescription
Save on Omvoh without insurance.
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Location
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Dosage
15ml omvoh (2 Vials)
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Simply show the Optum Perks coupon at your preferred pharmacy or order online and instantly save up to 80% without using insurance. The coupon doesn’t expire, so be sure to save it for refills.
Retail price refers to the manufacturer’s published list price and is up to date as of 3/2023. Retail and discounted prices are U.S.-only and can vary based on region and pharmacy. We cannot guarantee that the discounted price listed here will exactly match the price at your pharmacy. Please contact your pharmacy for the exact price.
Optum Perks and Healthline are subsidiaries of RVO Health.
Pricing source:Perks.optum.com
Omvoh contains the active ingredient mirikizumab-mrkz, and it’s available only as a brand-name biologic drug. It doesn’t come in a biosimilar version. A biosimilar medication is a drug that’s similar to a brand-name biologic drug (the parent drug). Also, biosimilars tend to cost less than brand-name medications.
WHY ARE COSTS DIFFERENT FOR BIOLOGIC DRUGS VS. BIOSIMILAR DRUGS?Biologic drugs can be expensive because of the research needed to test their safety and effectiveness. The manufacturer of a biologic drug can sell it for up to
12 years . When the biologic drug’s patent expires, multiple manufacturers can create biosimilar versions. This marketplace competition may lead to lower costs for biosimilars. Also, because biosimilars are very similar to biologic drugs, they don’t require the same costly testing.
If you need financial support to pay for Omvoh, or if you need help understanding your insurance coverage, help is available. For example:
- A program called the Omvoh Savings Program is available for Omvoh. For more information and to find out whether you’re eligible for support, call 844-4-OMVOH4 (844-466-8644) or visit the program website.
- Some websites provide details about drug assistance programs, ways to make the most of your insurance coverage, and links to savings cards and other services. Two such websites are:
To learn more about saving money on prescriptions with or without insurance, check out this article.
Here are answers to some frequently asked questions about drug cost and Omvoh.
How much does Omvoh cost with insurance vs. without it?
What you pay for Omvoh if you have insurance compared with what you’d pay without it depends on several factors.
Factors that could affect what you pay for this drug without insurance include:
- whether you apply and qualify for any available savings programs
- your dosage and treatment plan
- the pharmacy you use
- the form of the drug you’re prescribed (such as the prefilled pens or receiving Omvoh as an IV infusion)
These same factors may affect your price for Omvoh if you have insurance. But the price you pay with insurance will also depend on:
- your specific plan benefits
- any prior authorization requirements you have for drug coverage
To learn more about what you’d pay for Omvoh with or without insurance, talk with your doctor, pharmacist, or insurance provider (if you have one).
You can also visit Optum Perks* for price estimates for this drug when using coupons from their site. However, Optum Perks coupons cannot be used with insurance benefits or copays.
* Optum Perks is a sister site of Medical News Today.
How does Omvoh’s cost compare with that of medications such as Humira or Entyvio?
The price you’d pay for Omvoh versus that of Humira or Entyvio depends on various factors.
For instance, the form of the drug may affect its price. Omvoh and Entyvio are both available as a subcutaneous injection or as an IV infusion. Humira is only available as a subcutaneous form.
A person may give themself the subcutaneous form of these drugs after being trained by a healthcare professional, but the IV form of these drugs can only be given by a healthcare professional. Typically, drugs given as an IV infusion by a healthcare professional cost more than subcutaneous drugs you can give yourself.
There are additional factors that can affect your prescription cost, including:
- the length of your treatment
- whether there are payment assistance programs for your prescribed treatment
- whether you’re paying out of pocket or have insurance
To learn more about the cost of Omvoh compared with other treatments for your condition, talk with your doctor, pharmacist, or insurance provider.
Below is information you may want to consider if you have insurance and receive Omvoh.
For subcutaneous injection
If you have insurance, your insurance company may require prior authorization before it covers Omvoh. This means the company and your doctor will discuss Omvoh in regard to your treatment. The insurance company will then determine whether the medication is covered.
If a drug requires prior authorization but you start treatment without the prior approval, you could pay the full cost of the medication. You can ask your insurance company whether Omvoh requires prior authorization.
For IV infusion
Prior authorization: If you have insurance, your insurance company may require prior authorization before it covers Omvoh. This means the company and your doctor will discuss Omvoh in regard to your treatment. The insurance company will then determine whether the medication is covered.
If a drug requires prior authorization but you start treatment without the prior approval, you could pay the full cost of the medication. You can ask your insurance company whether Omvoh requires prior authorization.
Type of insurance coverage: Omvoh is given by your doctor or another healthcare professional. If you have insurance, the price of your Omvoh doses may be billed through your medical coverage instead of the prescription drug portion of your insurance plan. This depends on your specific insurance plan and where you receive your Omvoh doses, such as at your doctor’s office, an infusion clinic, or a hospital.
If you have questions about this process, contact your doctor or your insurance provider.
Now that you’ve learned about cost and Omvoh, you may still have some questions. Talk with your doctor or pharmacist, who can provide personalized guidance about cost issues related to Omvoh. But if you have health insurance, you’ll need to talk with your insurance provider to learn the actual cost you’d pay for Omvoh.
Here are some other resources you may find helpful:
- Medicare drug coverage: To learn about Medicare coverage for drugs, see these articles about Medicare prescription drug plans, drug coupons and Medicare, and the Medicare drug list.
- More details: For details about other aspects of Omvoh, refer to this article.
- Information about ulcerative colitis: For more information about your condition, see our inflammatory bowel disease hub.
Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.