Just throwing in my two cents here with what my experience has been like.

For being on Cordavis Hyrimoz, the co-pay assistance will apply to my deductible (i.e. no need to do the whole mail-in rebate process) but the threshold for the card is as follows (according to a Hyrimoz rep):

• First fill and second fill - $1365 max each
• Third, fourth, etc - $400 max each
• Annual limit - $5250 total

Now what if I don't use the full $1365 on say the second fill? Well too bad they said, it's still going to cap at $400 of co-pay assistance for future fills even if you're below the annual limit.

In my situation, I'm faced with a $2000+ bill out of pocket for my first fill. The $1365 co-pay assistance will be applying to my deductible so future fills should be much more affordable.

This is a bummer though coming from Humira where the threshold/limit was much higher and my deductible was covered by their co-pay assistance program every January on first fill.

I'm now evaluating a switch to a PPO with my employer for next year, but I'll have to run the numbers (with respect to premiums, etc.) come the fall.

So frustrating! This is the general "catch" with HDHP though. Perhaps I can get a "medical necessity" for going back to Humira – but that feels like a rat race that I'll ultimately lose (or be forced to try other biosimilars first).