I receive my Tysabri infusions from a Centura Health facility in SW Colorado (Mercy Regional Medical Center). I have been told costs are higher in rural areas such as mine. However, beginning in Nov 2016 my insurance company Anthem BCBS - Federal Employees was billed $26,600 for a single monthly infusion, a $8,000 jump from October. I read Biogen raised prices by 5% in Nov and would be raising prices an additional 3% in Dec 2017. The plan allowance from BCBS is $20,950. At that rate my insurance company pays out $251,400 per year for my treatment. A far cry from the wholesale price of the drug itself. I have yet to receive a 2017 statement. Centura Health and Anthem BCBS were in negotiations for accepted reimbursement fees and there was a chance I would no longer be able to receive treatment at a Centura facility. They have since reached agreement, thank goodness.
So who is making the big $ ? Drug companies, insurance companies, hospitals?? It's all a bit confusing.