A little update on that Lupkynis script … the first if it happens at my wife’s hospital ( one of the largest in Nth Ca ) . Insurers may want patient to fail Benlysta first Severe LN with declining kidney function on the generics … Tac etc Nephrologist wants to try Lupkynis. Thinks insurers will require Benlysta tried first …. Less expensive and works for many To your pt Yes of course AUPH could cut the $ amount they charge This is a repeat of the AMGN saga over Repatha ( which I’m on ) For the first 2 yrs AMGN wanted over $12,000 a yr Insurers ( including mine ) refused to pay After 2 yrs of low sales … AMGN cut the price to $4,500 …. at which time insurers ( including mine ) agreed to cover for their patients. Now a lot more patients are now on Repatha and AMGN isn’t hurting either … chk their PPS chart