If you have Crohn's disease or ulcerative colitis, your gastroenterologist may prescribe a biologic given by IV at an infusion clinic. After the first few loading doses, most people come in about every eight weeks.
Many GI practices run their own infusion suites. Independent infusion centers are often cheaper than a hospital and easier to schedule around work.
The Drugs You Might Get
Your gastroenterologist and insurer choose the drug. Courses are typical, not a dosing guide. Medicare per patient = Part B spending on the drug in 2024 divided by patients who got it (CMS).
What the Visit Is Like
Plan on 1 to 3 hours for the first visit, including checking in, vitals and watching you afterward. Later visits are often shorter. Bring something to do; most clinics have Wi-Fi and some offer snacks.
Cost and Insurance in Saint Louis
These are some of the most expensive drugs clinics give, so prior authorization is standard and can take a week or more. Ask the drug maker about a copay program if you have commercial insurance, and ask your insurer which infusion sites it prefers.
Common Questions
Can I switch from the hospital to an infusion clinic?
Usually yes. Your gastroenterologist sends a new order and the clinic redoes the prior authorization. Many insurers encourage the switch because the clinic costs them less.
Do I need someone to drive me?
Most people drive themselves. Some clinics give a pre-medication like Benadryl that can make you sleepy, so ask before your first visit.