|Chemical name: Abatacept
Typical dosage: 125mg/ml
Typical type: Injection1
Orencia® is a medication typically used to treat juvenile arthritis, psoriatic arthritis and rheumatoid arthritis. It is brand name only and is available as an intravenous or subcutaneous injection.
Orencia is a prescription medication that contains the active ingredient Abatacept. Orencia is given every 1 to 2 weeks either by IV or subcutaneous injection.
Orencia binds to immune cells to suppress the immune system and modify the process of inflammation. Orencia also reduces the presence of other inflammatory substances.
The major side effects you may see with Orencia include headache, signs of a common cold, nose and throat irritation, nausea, diarrhea, dizziness, stomach and back pain and irritation where the medication is injected.
Yes! 57% of Medicare Advantage plans and Medicare Part D plans cover Orencia.1
Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Orencia.
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Or call TTY Users: 711 24/7 to speak with a licensed insurance agent.
Your copay and deductible costs for any prescription drug can vary depending on what coverage stage you’re in.
|Deductible stage||Typical copay stage|
|Your deductible is the amount of money you must spend on covered drugs before your Medicare drug coverage starts paying its share of costs.
In the deductible stage, you’re responsible for the full cost of your prescription drugs.
Some Medicare prescription drug plans have a $0 deductible. Medicare drug plans cannot have a deductible more than $415 in 2019.
|After you meet your Part D deductible, you enter the initial coverage period.
During this phase (the typical copay stage), you pay a copayment (flat fee) or coinsurance (percentage) for your covered medications.
|$1,109 – $5,036||$1,037 – $5,036|
Serious infections have happened to patients taking Orencia, particularly in patients receiving other immunosuppressive therapy.
Monitor for signs and symptoms of infection such as fever, chills, sore throat, cough, more sputum or change in sputum color, pain with passing urine, mouth sores, or a wound that will not heal. Wash hands often and stay away from people who are sick.
Orencia may worsen the conditions of patients who have Hepatitis A, Hepatitis B or COPD. Orencia may also increase the risk of certain types of cancer because of the immunosuppressive effects. Talk with your doctor about Orencia’s risks and benefits.
Orencia is not recommended for women who are pregnant or breastfeeding. Patients who are pregnant or breastfeeding should use an alternative, safer medication to treat their condition unless no other pregnancy-compatible medication is able to control disease.
This article is for informational purposes only. It is not healthcare advice, treatment, or diagnosis. It is not an endorsement of or recommendation for this medication. Speak to your doctor or healthcare provider about your specific healthcare needs, including your prescription medications. Only take medication as directed by your doctor.
Coverage and costs of prescription medications will vary by Medicare plan. Not all plans are available in all areas.
Written by Hayden Gharibyar, Pharm.D.
Copyright © 2019 TZ Insurance Solutions LLC. All rights reserved.
1 GoodRx. Orencia. Retrieved May 2019, from www.goodrx.com/orencia.
2 Jacobson, Gretchen; et al. A Dozen Facts About Medicare Advantage. (Nov. 13, 2018). Kaiser Family Foundation. Retrieved from www.kff.org/medicare/issue-brief/a-dozen-facts-about-medicare-advantage.
MedicareAdvantage.com is a website owned and operated by TZ Insurance Solutions LLC. TZ Insurance Solutions LLC and TruBridge, Inc. represent Medicare Advantage Organizations and Prescription Drug Plans having Medicare contracts; enrollment in any plan depends upon contract renewal.
Plan availability varies by region and state. For a complete list of available plans, please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
Medicare has neither reviewed nor endorsed this information.