Don’t let the high cost of brand sickle cell pain crisis prevention therapy disrupt your treatment. We help eligible patients access Adakveo (crizanlizumab) for as little as $69.95 per month through the manufacturer’s Patient Assistance Program.
Adakveo PAP for SCD patients.
Eligibility, hematology coordination.
AffordMyPrescriptions eliminates that burden. $69.95/month advocacy.
| Pharmacy(With Coupon) | PrIce (30-Day)* | You Save W/ Us |
|---|---|---|
| Walgreens | ~$3,800/dose | Save ~$3,730/dose |
| CVS Pharmacy | ~$4,000/dose | Save ~$3,930/dose |
| Walmart | ~$2,700/dose | Save ~$2,630/dose |
| Costco | ~$2,600/dose | Save ~$2,530/dose |
Specialty Pharmacy | ~$3,000/dose | Save ~$2,930/dose |
*Just a heads-up — retail prices are estimates based on public data and vary by pharmacy. AffordMyPrescriptions Advocacy Service bypasses this by using drug manufacturer programs to secure your medication directly at no cost or retail price.
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PAP at no cost. Hydroxyurea (generic, very cheap) is foundational SCD therapy and dramatically lower cost.
Complete a simple eligibility form so our team can determine if you may qualify for medication assistance programs.
Our specialists help gather documentation, complete applications, and coordinate with program providers.
Once approved, you may receive your medication through the assistance program while we help manage ongoing paperwork and renewals.
Many patients try discount cards first. Here’s why the Patient Assistance Program through AffordMyPrescriptions is the better long-term solution for Adakveo:
Still $2,500–$4,000/dose per month even with the best discount
Eligibility is generally determined by annual household income and insurance status. Most programs follow guidelines that include limits of up to $40,000 for individuals, $60,000 for couples, and $100,000 for larger families. Because requirements vary by program and household, we encourage you to contact AffordMyPrescriptions directly so we can review your specific situation and determine if you qualify for Adakveo assistance.
Not sure if you qualify? Our pre-qualification check is completely free. If we can’t help, you won’t be charged.
Adakveo is a humanized monoclonal antibody against P-selectin used for prevention of vaso-occlusive crises (VOC) in sickle cell disease. NOTE: A confirmatory phase 3 trial (STAND) failed to show benefit, leading EMA to withdraw approval in 2023. FDA approval status is under ongoing review. Discuss with hematologist whether Adakveo remains appropriate.
How Adakveo Works:
Vaso-occlusive crises in SCD involve sickled RBCs, activated WBCs/platelets, and endothelial cells aggregating in microvasculature — causing painful tissue ischemia. P-selectin on activated endothelium and platelets mediates this aggregation. Crizanlizumab binds P-selectin and blocks its interaction with PSGL-1 — reducing cellular adhesion that drives VOCs. The original SUSTAIN trial showed reduced VOC frequency vs placebo. However, the confirmatory phase 3 STAND trial failed to show benefit — leading EMA to withdraw approval. FDA’s review is ongoing.
Form and use:
Adakveo given as IV infusion over 30 minutes — first 2 doses 2 weeks apart, then monthly. Weight-based dose 5 mg/kg.
Generic availability:
No biosimilar. Foundational SCD therapy: hydroxyurea (generic, very cheap, evidence base for VOC prevention and hospitalization reduction). Other SCD options: L-glutamine (Endari), voxelotor (Oxbryta — FDA-withdrawn 2024 due to safety), stem cell transplant, gene therapy (Casgevy/exa-cel, Lyfgenia/lovo-cel — curative options for severe SCD).
Warnings:
Adakveo carries warnings for infusion-related reactions, interference with platelet count measurements (some automated cell counters give falsely low platelet count due to platelet clumping with Adakveo), and embryo-fetal considerations.
$2,500–$4,000/infusion. PAP at no cost. Hydroxyurea generic foundational SCD therapy very cheap.
Status uncertain. EMA withdrew approval after confirmatory STAND trial failed to show benefit. FDA approval is under review. Discuss with hematologist whether Adakveo remains appropriate based on current evidenceYes, clinically. The FDA approves biosimilars only after demonstrating no clinically meaningful differences from the reference product (Actemra). Tofidence and Tyenne are FDA-approved tocilizumab biosimilars with the same indications and similar dosing, at substantially lower cost. Most rheumatologists are comfortable prescribing tocilizumab biosimilars.
Generic hydroxyurea is foundational SCD therapy — proven to reduce VOC frequency, reduce hospitalizations, reduce mortality. Very cheap ($10–$30/month). All SCD patients without contraindications should be on optimized hydroxyurea.
Casgevy (exa-cel) and Lyfgenia (lovo-cel) are FDA-approved gene therapies for severe SCD — one-time curative treatments costing $2–3 million but potentially eliminating SCD complications. Available at specialized centers.
Allogeneic HSCT (especially with matched sibling donor) can cure SCD. Considered for select severe SCD patients with appropriate donor.
Limited safety data with Adakveo. Hydroxyurea contraindicated in pregnancy (teratogenic) — switch to chronic transfusion in pregnancy if needed
Optimize hydroxyurea (generic, very cheap). L-glutamine (Endari). Consider stem cell transplant or gene therapy referral for severe disease. SCDAA foundation may help.
If struggling with Adakveo cost, discuss alternatives with your hematologist given changing evidence — generic hydroxyurea is foundational. Check eligibility today.
Start free by filling out a simple online form.
Our specialist will contact you for a quick welcome call.
Our team handles everything, so you can focus on your health.