Autoimmune diagnosis, treatment, and maintenance require a lifelong commitment to your health and wellness. Pharmacy Advantage understands and embraces this philosophy with our designated therapy management programs. Our expertise range includes: Rheumatoid Arthritis, Psoriasis, Psoriatic Arthritis, Ulcerative Colitis, Crohn’s Disease, and Ankylosing Spondylitis.

As a flourishing specialty pharmacy, we realize the importance of helping physicians manage patients identified with multiple autoimmune conditions that require focused therapies and tailored care. It is for this reason that Pharmacy Advantage counsels all patients on proper medication use, storage requirements, adverse effects, precautions and dosing parameters.

Our compassionate team also proactively follows up to monitor therapy outcomes, assess financial assistance needs and encourage therapy adherence. Home or office delivery is provided free of charge and a 24/7 customer support line is available as an added method of safety and convenience. At Pharmacy Advantage our goal is to go above and beyond in patient care.

About Autoimmune Disorders

An autoimmune disorder is a condition that occurs when the immune system mistakenly attacks and destroys healthy body tissue. There are more than 80 different types of autoimmune disorders.

Examples of autoimmune (or autoimmune-related) disorders include, Hashimoto's thyroiditis, diabetes type 1, rheumatoid arthritis, systemic lupus erythematosus, multiple sclerosis, Graves' disease, celiac disease.

About The Disease

Also known as inflammatory bowel disease, Crohn's disease involves ongoing (chronic) inflammation of the gastrointestinal tract. Crohn's-related inflammation usually affects the intestines, but may occur anywhere from the mouth to the end of the rectum (anus).

Symptoms of the Disease

The most common symptoms of Crohn's disease are abdominal pain, often in the lower right area, and diarrhea. Rectal bleeding, weight loss, and fever may also occur. Bleeding may be serious and persistent, leading to anemia. Children with Crohn's disease may suffer delayed development and stunted growth.

Source: National Institutes of Health

Causes of the Disease

Theories about what causes Crohn's disease abound, but none has been proven. The most popular theory is that the body's immune system reacts to a virus or a bacterium by causing ongoing inflammation in the intestine. People with Crohn's disease tend to have abnormalities of the immune system, but doctors do not know whether these abnormalities are a cause or result of the disease. Crohn's disease is not caused by emotional distress.

Source: National Institutes of Health

Crohn's Disease Treatment and Medications

Treatment for Crohn's disease depends on the location and severity of disease, complications, and response to previous treatment. The goals of treatment are to control inflammation, correct nutritional deficiencies, and relieve symptoms like abdominal pain, diarrhea, and rectal bleeding. Treatment may include drugs, nutrition supplements, surgery, or a combination of these options. At this time, treatment can help control the disease, but there is no cure.

Most people are first treated with medications that helps control inflammation and may have immunomodulatory effects in the intestinal walls. Sulfasalazine is the most commonly used of these drugs. Patients who do not benefit from it or who cannot tolerate it may be put on a similar medication called mesalamine that is actually one of the active byproducts or metabolites of sulfasalazine. Mesalamine is also known as 5-aminosalicylic acid or "5-ASA" and is available in different medication formulations as Asacol, Dipentum, or Pentasa. Possible side effects of mesalamine preparations include nausea, vomiting, heartburn, diarrhea, and headache.

Some patients take corticosteroids to control inflammation. These drugs are the most effective for active Crohn's disease, but they can cause serious side effects, including greater susceptibility to infection.

Drugs that suppress the immune system are also used to treat Crohn's disease. Most commonly prescribed are 6-mercaptopurine and a related drug, azathioprine. Immunosuppressive agents work by blocking the immune reaction that contributes to inflammation. These drugs may cause side effects like nausea, vomiting, and diarrhea and may lower a person's resistance to infection. When patients are treated with a combination of corticosteroids and immunosuppressive drugs, the dose of corticosteriods may eventually be lowered. Some studies suggest that immunosuppressive drugs may enhance the effectiveness of corticosteroids.

The U.S. Food and Drug Administration has approved the drug infliximab (brand name, Remicade) for the treatment of moderate to severe Crohn's disease that does not respond to standard therapies (mesalamine products, corticosteroids, immunosuppressive agents) and for the treatment of open, draining fistulas. Infliximab is an anti-tumor necrosis factor (TNF) substance. TNF is a protein produced by the immune system that may cause the inflammation associated with Crohn's disease. Anti-TNF agents such as infliximab removes TNF from the bloodstream before it reaches the intestines, thereby preventing inflammation. Investigators will continue to study patients taking infliximab to determine its long-term safety and efficacy.

Antibiotics are used to treat bacterial overgrowth in the small intestine caused by stricture, fistulas, or prior surgery. For this common problem, the doctor may prescribe one or more of the following antibiotics or a medication from this class of antibiotics: ampicillin, sulfonamide, cephalosporin, tetracycline, or metronidazole.

Diarrhea and crampy abdominal pain are often relieved when the inflammation subsides, but additional medication may also be necessary. Several antidiarrheal agents could be used, including diphenoxylate, loperamide, and codeine (which will help with the pain but also tends to cause constipation as a side effect). Patients who are dehydrated because of diarrhea will be treated with fluids and electrolytes.

Source: National Institutes of Health

Specialty Biologic Medicatons:

  • Cimzia
  • Humira
  • Kineret
  • Remicade
  • Simponi

The information on this site is intended to provide useful health and wellness information and is not intended to be used in lieu of medical advice from a qualified physician. If you are having health issues and concerns, contact a licensed physician or healthcare professional for diagnosis and treatment. For questions or concerns regarding your medications please contact your Pharmacy Advantage pharmacist.

Specialty Medications

  • Cimzia
  • Humira
  • Kineret
  • Remicade
  • Simponi

The information on this site is intended to provide useful health and wellness information and is not intended to be used in lieu of medical advice from a qualified physician. If you are having health issues and concerns, contact a licensed physician or healthcare professional for diagnosis and treatment. For questions or concerns regarding your medications please contact your Pharmacy Advantage pharmacist.

Patient Enrollment Form

Use the online Enrollment Form to order your prescriptions from Pharmacy Advantage and enroll in our Mail Order program. Mail your original prescriptions to:
Pharmacy Advantage Corporate HQ
Attn: New Member Enrollment
735 John R. Road, Suite 150
Troy, MI 48083

The information on this site is intended to provide useful health and wellness information and is not intended to be used in lieu of medical advice from a qualified physician. If you are having health issues and concerns, contact a licensed physician or healthcare professional for diagnosis and treatment. For questions or concerns regarding your medications please contact your Pharmacy Advantage pharmacist.

Hepatitis C Medication Request Form

Hepatitis B Medication Request Form

General Medication Request Form

Physician Order Form

Prior Authorization Form

The information on this site is intended to provide useful health and wellness information and is not intended to be used in lieu of medical advice from a qualified physician. If you are having health issues and concerns, contact a licensed physician or healthcare professional for diagnosis and treatment. For questions or concerns regarding your medications please contact your Pharmacy Advantage pharmacist.

Financial Assistance

The staff at Pharmacy Advantage understands that prescription drugs can be expensive, especially for specialty medications. We are committed to helping our patients find ways to get the specialty medications they need, at prices they can manage. Pharmacy Advantage is dedicated to finding patient funding whenever possible in order to eliminate interruptions in therapy due to concerns over drug costs.

There are patient assistance programs for people who meet any of the following criteria:

  • Have insurance with a high co-pay
  • Incur a high deductible
  • Have Medicare or are eligible for Medicare
  • Have no prescription drug coverage and live on a limited income
  • Have lost their job

Many of our patients are currently enrolled in a co-pay assistance program and our clinical staff members would like to assist them in finding the program that best fits their needs. In order to receive assistance each program does have certain criteria that need to be met. The clinical staff at Pharmacy Advantage is happy to work with you in order to assist in completing the necessary steps.

If they are not currently enrolled and would like to discuss their options, please contact the clinical department at (800) 456-2112 extension 5, Monday thru Friday from 8:00 a.m. to 5:30 p.m.

Programs From Crohn's Disease Drug Manufacturers

The following is a list of some drug manufacturers that offer financial assistance programs for people living with Crohn's Disease who cannot afford to buy the medications they have been prescribed. You are encouraged to call these manufacturers directly for more information on these programs. If you need financial assistance for a drug not listed here, please contact one of our pharmacists.

Drug Name, Manufacturer, and Telephone Number Information

Drug Name Manufacturer Phone Number
Cimzia UBC 1-866-4-CIMZIA
Humira Abbott 1-800-222-6885
Kineret Swedish Orphan Biovitrum AB 1-866-773-5274
Remicade Centocor 1-888-222-3771
Simponi Janssen Biotech, Inc. 1-877-697-4676

The information on this site is intended to provide useful health and wellness information and is not intended to be used in lieu of medical advice from a qualified physician. If you are having health issues and concerns, contact a licensed physician or healthcare professional for diagnosis and treatment. For questions or concerns regarding your medications please contact your Pharmacy Advantage pharmacist.