I get my infusion in my doctor's office. They have what they call an "infusion clinic" which is basically a room with 4 chairs staffed by one nurse. They bill my insurance company $498 per infusion. This seems remarkably low. I pay a $25 copay when I go in as I guess it is considered a doctor's "visit."

I get my Tysabri through my prescription drug plan -- the specialty pharmacy sends the drug to the doctor's office. So the wholesale cost of the drug is $2,364.01 which is billed to the insurance company. But I pay $37.50 of this amount under my prescription drug plan.

Overall the cost to the insurance company is $2,862 per month which includes infusion plus drug (minus $62.50 out of my pocket). I feel incredibly lucky. My job gives me amazing health insurance. I'm sure the lower total cost billed to the insurance company partly has to do with the fact that I live in a big city with multiple neurology offices/clinics that do procedures etc. in their practices. Maybe this cuts the cost down?? If I had to go to a regular infusion clinic I'm sure they would charge way more for the infusion procedure than my doctor's office AND I would have to pay 20% of the total cost (plus meeting a deductible), rather than a co-pay , since it would be billed as a medical procedure. Anyhow, the cost of this drug (and having it given to you) is outrageous regardless.