If your pharmacy is unable to process your HUMIRA Complete Savings Card for instant savings, you may still be able to get HUMIRA for as little as $5 a month by receiving a rebate for the amount you paid out of pocket for your prescription. Simply call 1.800.4HUMIRA (1.800.448.6472) and speak to one of our Insurance Specialists to see if this option is right for you.*Terms and Conditions apply. Hydroxychloroquine vs methotrexate for rheumatoid arthritis Undifferentiated connective tissue disease and plaquenil Steps for obtaining a co-pay card Speak to your prescribing physician and ask if the prescribed medication has a co-pay card assistance program or you can visit to find co-pay card assistance programs. Fill out the co-pay card enrollment form provided by your prescriber and send the form to the appropriate drug manufacturer. HYDROXYCHLOROQUINE is used to treat rheumatoid arthritis and systemic lupus is also used to treat malaria. The lowest GoodRx price for the most common version of hydroxychloroquine is around $20.41, 88% off the average retail price of $177.73. If additional assistance is requested, a new application must be submitted to the hotline. In circumstances of significant financial need and serious medical hardship, individuals, with the help of their doctor, may appeal from denial of participation in this program including denials based on Medicare Part D coverage. Eligibility: Available to patients with commercial prescription insurance coverage for HUMIRA who meet eligibility criteria. This benefit covers HUMIRA® (adalimumab) alone or, for rheumatology patients, HUMIRA plus one of the following medications: methotrexate, leflunomide (Arava®), or hydroxychloroquine (Plaquenil®). Hydroxychloroquine copay assistance Hydroxychloroquine sulfate 200mg copay assistance – a code, Hydroxychloroquine Prices, Coupons & Savings Tips - GoodRx Plaquenil for rheumatoid arthritis painHydroxychloroquine sulfate costPlaquenil arthritis treatment The HUMIRA Complete Savings Card may reduce your cost for HUMIRA to as little as $5 a month, every month. * Get the Card Now. If your pharmacy is unable to process your HUMIRA Complete Savings Card for instant savings, you may still be able to get HUMIRA for as little as $5 a month by receiving a rebate for the amount you paid out of pocket for your prescription. Patient Assistance & Copay Savings Card for HUMIRA® Cost. Sanofi-Aventis Patient Assistance Program -. RxAssist - MYLAN Patient Assist Program. The Sanofi Patient Connection™ program helps connect patients to medication and resources at no cost. Learn more today. Plaquenil Prices, Coupons and Patient Assistance Programs. Plaquenil hydroxychloroquine is a member of the antimalarial quinolines drug class and is commonly used for Dermatomyositis, Lyme Disease - Arthritis, Malaria, and others. Assistance with the prescription drugs and biologics used in the treatment of systemic lupus erythematosus. Do I Qualify? HealthWell bases eligibility on an individual’s medical, financial and insurance situation. To qualify for HealthWell’s assistance, applicants must meet the following eligibility requirements 1.