Last updated: March 2026
How Much Does Tremfya (Guselkumab) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Tremfya 100mg Prefilled Syringe | $10,000 – $13,000 | $500 – $2,500 |
| Tremfya One-Press | $10,000 – $13,000 | $500 – $2,500 |
CPT/ADA Code: J1628
What Affects the Cost
- Brand-name vs. generic availability
- Insurance formulary tier placement
- Pharmacy choice (retail vs. mail-order vs. Costco)
- Manufacturer savings cards and coupons
- Dosage and quantity prescribed
- Geographic location
Insurance Coverage
Typical coverage: Specialty tier — prior authorization required; dosed every 8 weeks
Most insurance plans use a tiered formulary: Tier 1 (generic) $0-$15 copay, Tier 2 (preferred brand) $25-$75, Tier 3 (non-preferred brand) $50-$150, Tier 4 (specialty) $100-$500+. Prior authorization may be required for certain medications. Step therapy may require trying cheaper alternatives first.
How to Save Money
- Always ask for generic when available — saves 50-90%
- Use GoodRx, RxSaver, or similar discount cards
- Costco pharmacy is open to non-members and often has lowest prices
- Mark Cuban's Cost Plus Drugs offers transparent low pricing
- Manufacturer patient assistance programs provide free medication to qualifying patients
- HSA/FSA funds can cover medication costs tax-free
Related Procedures & Costs
Frequently Asked Questions
Tremfya costs $10,000 to $13,000 per injection without insurance. It is given every 8 weeks after two initial loading doses 4 weeks apart.
Tremfya treats moderate-to-severe plaque psoriasis and psoriatic arthritis.
Yes, the Janssen CarePath savings program can reduce costs to $5 per injection for eligible commercially insured patients.