Cost of Ocaliva in the US.: Diagnosed last... - PBC Foundation

PBC Foundation

9,480 members8,355 posts

Cost of Ocaliva in the US.

kp1234 profile image
12 Replies

Diagnosed last year with PBC. ALP was 755 and after a year on Urso only down to 540; been checked 3 times since diagnosis. Dr. is talking about adding Ocaliva. His words were "I don't want to bankrupt you but..."

I have health insurance (medicare and supplemental insurance) but am still concerned that insurance won't come close to covering the $84,000 yearly cost. Wondering if anyone in the US knows of a medication assistance program which will help cover the costs. Also wondering what others in the US are paying for this medication. Pharmacy couldn't give me any idea of cost with my insurance...but the look on the pharmacy clerks face was priceless when she looked up the cost Ocaliva.

Thanks.

Written by
kp1234 profile image
kp1234
To view profiles and participate in discussions please or .
Read more about...
12 Replies
gwillistexas profile image
gwillistexas

Your dr should be familiar with Interconnect Services. He will have to contact them. They help you be able to get Ocaliva. They are wonderful people & will definitely help you. I couldn’t have gotten Ocaliva if it weren’t for them. They help those who have no insurance & those whose insurance either doesn’t cover or cover enough of the cost.

Pea1234 profile image
Pea1234

Contact Ocaliva. They will give you assistance paying for it. They pay for 1/2. Your insurance will pay the other half. I was on it but it made me itch too much so got off of it.

Gurnis profile image
Gurnis

As the previous reply states interconnect was contacted by my doctor and I was signed up for assistance, they are wonderful and I have no copay since I have insurance through my employer. My first prescription of Ocaliva arrives today

gwillistexas profile image
gwillistexas in reply toGurnis

Hope it works well for you. I’ve had zero side effects😊

bei15354 profile image
bei15354

I believe the Assistance Fund (tafcares.org) has a program that assists PBC patients with the cost of Ovaliva and some formulations of Urso.

kp1234 profile image
kp1234

Thanks all! Sorry to hear about the itching Pea1234---hope your Dr. able to find an alternative.

Ktltel profile image
Ktltel in reply tokp1234

Has your doctor mentioned fibrates?

Stella❤

ROprish profile image
ROprish

I'm on it. When I went to pick up my first prescription, the pharmacist almost fell over. She said "That will be $7890 please". I said there must be a mistake. She said, "no, your insurance denied it.". I told her kindly to put it back on the shelf and I would speak to my doctor. The doctor got the same message, worked with insurance, got it covered and I only had a copay of $42. The drug maker picked up the rest and I now have a zero copay.

My side effects are minimal. More fatigue than usual, a bit more itching, but only once in a while. Some weird rashes/skin eruptions, but nothing I can't handle. I do have cirrhosis, so It's not going to help me much.

gwillistexas profile image
gwillistexas in reply toROprish

Wow!😮. So glad that worked out. You started it today & already having side effects?

ROprish profile image
ROprish in reply togwillistexas

No, I'm on my 9th week of it. My third shipment arrives today. My number have come down slightly.

gwillistexas profile image
gwillistexas in reply toROprish

Guess I missed a post somewhere, lol! Sorry. Maybe it was someone else who was just about to start it. Hope it continues working in your favor😊

gwillistexas profile image
gwillistexas in reply toROprish

It was kp1234...👍

Not what you're looking for?

You may also like...

Cost of Ocaliva

Anyone knows what is the real cost of Ocaliva? I looked at GoodRX, in the US, and it is $9000 for...
iagra profile image

Ocaliva cost??

Where are you from? I'm currently taking URSO (started in early January) and while it's making my...
marty102 profile image

Ocaliva financial assistance

Had blood work yesterday and my ALP continues to be over 500 (original diagnosis 2 years ago). At...
kp1234 profile image

Cost of urso. Where can I order it?

I live in the US. My insurance covers the Ursodiol and my cost had been $10 a month. It is still...
Triciawc profile image

Ocaliva

Hi I have been on Ocaliva for 3 weeks and was wondering if anyone felt that it had caused them any...
Jayne1863 profile image

Moderation team

See all
PBCCheryll profile image
PBCCheryllAdministrator
janethomas profile image
janethomasModerator
Cupcake1971_ profile image
Cupcake1971_Moderator

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.