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Autoimmune

Humira

Generic: adalimumab

Manufacturer: AbbVie  ·  Program: myAbbVie Assist

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Eligibility Criteria

Insurance Requirement

Uninsured or underinsured with limited/no coverage; Medicare patients below 150% FPL must apply/denied for Extra Help

Residency

US resident

Income Threshold

Up to 400% FPL

Medicare patients below 150% FPL ineligible unless denied Extra Help; case-by-case for uninsured/underinsured

Program Information

Processing Time

4–8 weeks

Delivery Method

shipped to patient

Application Method

Multiple

Reauthorization

Required — annual

Typically Required Documents

ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.

  • proof of income
  • proof of residency
  • proof of insurance status

Indicated For

Rheumatoid Arthritis, Psoriatic Arthritis, Ankylosing Spondylitis, Crohn's Disease

About This Medication

# myAbbVie Assist Patient Guide: How to Get Humira at Low or No Cost Humira (adalimumab) is a biologic medication used to treat inflammatory conditions like rheumatoid arthritis, Crohn's disease, psoriasis, and ulcerative colitis by targeting inflammation in the body.[1][3] The **myAbbVie Assist** program from **AbbVie** offers **Humira for free** to eligible uninsured or underinsured patients who meet income and other criteria, with no co-pays or shipping costs.[3] ## About Humira and Why Assistance Matters Humira is an injectable biologic drug that blocks tumor necrosis factor (TNF), a protein causing inflammation. It's prescribed for autoimmune diseases affecting joints, skin, gut, and eyes. Without insurance, Humira can cost over $6,000 per month, making patient assistance programs essential for ongoing treatment.[1][6] myAbbVie Assist ensures qualifying patients receive their medication shipped directly to their home at no charge.[3][5] ## Who Qualifies for myAbbVie Assist? Eligibility focuses on financial need, residency, and insurance status. Key requirements include: - **U.S. residency** with proof like a utility bill or ID.[1] - **Age 18+** for online applications (under 18 can fax/mail).[9] - **Uninsured or underinsured** with limited/no coverage for Humira.[1][3] - **Income at or below 400% of the Federal Poverty Level (FPL)**. No specific household size thresholds listed; program uses 400% FPL as guideline.[provided data][7] **Medicare patients**: If income <150% FPL, you must apply for and be denied Medicare Part D Extra Help (LIS) first—include denial letter. Above 150% FPL, no denial needed but still qualify if under 400% FPL.[1][2] ### Income Eligibility Breakdown Use the table below to check against **2026 Federal Poverty Levels (FPL)** (approximate; verify current at ASPE.hhs.gov). Program assesses income electronically via consent, or requests tax returns if needed.[4] | Household Size | 100% FPL | 400% FPL (Eligibility Cutoff) | |----------------|----------|-------------------------------| | 1 (Individual) | $15,060 | **$60,240** | | 2 (Couple) | $20,440 | **$81,760** | | 3 | $25,820 | **$103,280** | | 4 | $31,200 | **$124,800** | *Add ~$5,380 per additional person for 100% FPL; scale accordingly for 400%. Case-by-case for uninsured/underinsured Medicare patients.[provided data][1][4]* ## Insurance Requirements - **Uninsured**: Fully eligible if income-qualified.[3] - **Underinsured**: Limited/no coverage for Humira; include insurance cards (front/back).[1][4] - **Medicare Part D**: <150% FPL requires Extra Help denial letter. Government-funded programs (e.g., Medicaid, VA) typically ineligible.[1][2][6] - Commercial insurance patients may use separate savings cards, not this PAP.[6][10] **Note**: Doctors must indicate if insurance denied Humira coverage.[2] ## Step-by-Step Application Process myAbbVie Assist offers **multiple application methods**: online, phone, download/print, fax, or mail. It's free and straightforward.[3][4][5] 1. **Gather Documents**: - Proof of income (e.g., tax return, pay stubs, SSI award).[4] - Proof of residency (utility bill, lease).[provided data] - Proof of insurance status (cards front/back or denial letters).[1][4] - Prescription from your doctor.[2] 2. **Choose Method**: - **Online** (18+): Visit abbvieaccess.com/patient-assistance, create account, enter info, upload docs, consent to electronic income check/privacy terms. Program contacts your doctor.[4][5][9] - **Phone**: Call (800) 222-6885 for help enrolling.[provided data] - **Paper**: Download form (abbvie.com), complete pages 1-6, get doctor signature, fax to 1-866-250-2803 or mail.[1][2][8] 3. **Doctor's Role**: Prescriber completes/faxes enrollment & prescription form, notes weight if needed, confirms insurance denial if applicable.[2] 4. **Sign & Submit**: Consent to eligibility check, HIPAA, terms in Section 5.[1][4] 5. **Track**: Sign up for email/text updates.[4] ## Timeline and Delivery Processing time varies (not specified; typically weeks).[4] You'll be notified post-review. If approved, **Humira ships free to your home**.[3] **Reauthorization required** annually or per prescription—doctor resubmits, you may update income.[provided data][4] ## Alternatives if Denied or Ineligible - **HUMIRA Complete Savings Card**: For commercial insurance; as low as $0/month (not for government insurance).[6][10] - **Prescription Rebates**: Call 1-800-4HUMIRA if pharmacy doesn't accept card.[6] - **Extra Help/LIS**: Medicare patients <150% FPL—apply at ssa.gov. - **Other PAPs**: Check rxassist.org or needymeds.org.[8] - **Biosimilars**: None listed currently.[provided data] - **State programs** or 340B clinics. Contact myAbbVie Assist for appeals or questions.[3] ## Important Disclaimer This guide is for informational purposes based on available program details as of latest data (e.g., Dec 2024 forms).[1][2] Eligibility/rules can change—verify at abbvieaccess.com or call (800) 222-6885. Not medical/financial advice; consult your doctor/ advisor. AbbVie may share your data for program admin per HIPAA consent.[1][4] Word count: ~950.

Program information last verified: March 30, 2026

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