Truxima (rituximab-abbs) is a brand-name intravenous (IV) injection that’s prescribed for rheumatoid arthritis and other conditions. The cost of the drug, with and without insurance, can depend on several factors.
Truxima is approved by the Food and Drug Administration (FDA) to treat the following conditions in adults:
- certain types of non-Hodgkin’s lymphoma
- chronic lymphocytic leukemia
- granulomatosis with polyangiitis
- a blood vessel disorder known as microscopic polyangiitis
- moderate to severe active rheumatoid arthritis
As with all medications, the cost of Truxima can vary. Factors that may affect the price you’ll pay include:
- your treatment plan
- your insurance coverage
- the cost of the visit to your healthcare professional to receive doses of Truxima
- whether Truxima has a savings program (see the “Financial and insurance assistance” section below)
To find out what the cost of Truxima 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.
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Truxima contains the active ingredient rituximab-abbs, and it’s available only as a brand-name medication. It’s a biosimilar medication, which is a drug that’s similar to a brand-name biologic drug (the parent drug). Biologic drugs are made from parts of living organisms. Biosimilars are like generic drugs, except they’re made for biologics. (Generics are made for nonbiologic drugs.) Biosimilars are considered as effective and safe as the brand-name biologics but tend to cost less. 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 Truxima, or if you need help understanding your insurance coverage, help is available. For example:
- A program called Truxima Cost Support Program is available for Truxima. For more information and to find out whether you’re eligible for support, call 888-587-3263 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 Truxima.
How does Truxima’s cost compare with that of Rituxan?
The price you’d pay for Truxima versus that of Rituxan depends on various factors.
For instance, whether the medication is a parent drug or a biosimilar may affect its price. Truxima is a biosimilar, but Rituxan is a parent drug. Typically, parent drugs cost more than biosimilars.
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 Truxima’s cost versus Rituxan’s, talk with your doctor, pharmacist, or insurance provider.
How much does Truxima cost with insurance?
If you have insurance, your cost for Truxima depends on factors such as:
- your particular plan benefits
- your dosage of the drug
- whether you apply and qualify for a savings program
To find out how much Truxima will cost you with insurance, contact your insurance provider or doctor.
Below is information you may want to consider if you have insurance and receive Truxima.
Prior authorization: If you have insurance, your insurance company may require prior authorization before it covers Truxima. This means the company and your doctor will discuss Truxima 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 Truxima requires prior authorization.
Type of insurance coverage: Truxima is given by your doctor or another healthcare professional. If you have insurance, the price of your Truxima infusions 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 Truxima infusions, 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.
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.