I am being told by HAP insurance that I must try 4 different medications before they will cover the Actemra. That being said I have already been on 3 of the 4 medications. and many others over the past 10 years
The medicine in question is called Tyenne. It is a biosimilar to Actemra as the insurance Co says. meaning the active ingredients are very similar
What they are not telling us is that one of the inactive ingredients in Tyenne is Aluminum zirconium compounds. Yes the same stuff that's… read more
Answer Summary
Members shared widespread frustration over insurance companies denying Actemra in favor of the biosimilar Tyenne in 2026, with several... Read more
I admittedly did not do my due diligence and research Tyenne as I should have. What you have discovered with the Aluminum Zirconium is concerning. Having said that I’ve only had about three injections so far. I take it every other week. I’m feeling pretty good at this point. We almost never found a Rx that I responded to and I was over the moon when started Actemra. I’m so so tired of the constant fight with insurance. I have Federal Blue Cross Blue Shield. The ironic ting is we had to get prior authorization for the Actemra in the first place, then no sooner than I started it, my insurance stated that no longer cover it. Keep up the good fight and make them do their job and cover your Actemra. Sending you white light and good vibes!
Hi Justin~
Have you started the Tyenne injections yet? How are feeling?
There is absolutely no way in &^&% I will inject myself with Tyenne.
I hate that insurance companies lie to save a dollar. it's the inactive ingredients in Tyenne that will hurt us. I will never inject myself with Aluminum zirconium
I have decided worst case scenario, I will play their game right back and tell them I tried it, and it made me very sick. Then let them okay the Actemra.
yes I did go through the prior approval process, so far the doctor has been denied twice, they keep going back to you have to try all 4 medicines first. So frustrating and scary.
No, but my doctor had some concerns and was wanting to be sure that my script was able to be filled and told me to let her know if there were any issues.
Did you try to get a Prior Approval with your DR and your Ins Co. I have to do that a lot. with my Rx's. Did you try to appeal the decisoin?