Humira
Generic: adalimumab
Manufacturer: AbbVie · Program: myAbbVie Assist
Apply for AssistanceEligibility 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 600% FPL
Individual Income Limit
$87,480/year
One of the most generous income limits in the industry
Program Information
Processing Time
1–2 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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