Baricitinib (Olumiant) costs up to $3,000/month. Learn how to save with manufacturer coupons, patient assistance programs, and discount strategies in 2026.
Let's start with the hard truth: Baricitinib (Olumiant) costs approximately $2,500 to $3,000 per month without insurance. That's over $30,000 a year for a medication you may need to take indefinitely for rheumatoid arthritis or alopecia areata.
If you're staring at that price tag and wondering how you'll afford it, you're not alone. The good news is that most patients don't actually pay full price. Between manufacturer savings programs, patient assistance, and other strategies, there are real ways to bring your costs down — sometimes to just a few dollars a month.
In this guide, we'll walk through every option available to help you save money on Baricitinib in 2026.
Here's what you can expect to pay at full cash price:
All three tablet strengths are priced similarly because the per-tablet cost is relatively uniform. There is no generic version of Baricitinib available in the US as of 2026, so the brand-name Olumiant is your only option.
With insurance, your cost depends on your plan's formulary and tier placement:
Prior authorization and step therapy requirements also apply for most plans. Read about those in our access guide.
Eli Lilly offers the Olumiant Savings Card, which is the single best way to reduce your out-of-pocket costs if you have commercial insurance.
If you have commercial insurance and are paying a high specialty copay, this card can save you thousands of dollars per year. It's free to enroll and can usually be activated within a few days.
If you're uninsured or underinsured, patient assistance programs (PAPs) can provide Baricitinib at no cost.
This program has helped thousands of patients access Eli Lilly medications at no cost. If you have no insurance or your insurance doesn't cover Baricitinib, this should be your first call.
If you're paying cash (no insurance), discount cards can sometimes reduce the price — though savings on specialty medications like Baricitinib tend to be more modest than for generic drugs.
Important note: Discount cards typically cannot be combined with insurance. They work best for uninsured cash-pay patients. For a specialty medication like Baricitinib, manufacturer assistance programs usually offer better savings than discount cards.
Your doctor may have starter samples of Olumiant from Eli Lilly representatives. While samples won't provide a long-term solution, they can bridge the gap while you're waiting for insurance approval or patient assistance enrollment.
If your insurance denies coverage of Baricitinib, don't give up. You have the right to appeal. Here's the process:
Many denials are overturned on appeal, especially with strong documentation from your doctor.
Some states have pharmaceutical assistance programs for residents who don't qualify for Medicaid but can't afford their medications. Contact your state's health department or insurance commissioner's office to ask about options.
If you have an HSA or FSA through your employer, you can use pre-tax dollars to pay for Baricitinib copays. This effectively gives you a 20-30% discount on your out-of-pocket costs, depending on your tax bracket.
Some insurance plans use "copay accumulator" programs that prevent manufacturer copay cards from counting toward your deductible or out-of-pocket maximum. If your plan has this, ask your insurance company or HR department whether there's an alternative, or consult with a patient advocacy organization for guidance.
Baricitinib is expensive, but the majority of patients have access to programs that significantly reduce — or eliminate — their out-of-pocket costs. Start with the Olumiant Savings Card if you have commercial insurance, or the Lilly Cares Foundation if you're uninsured. Then explore discount cards and appeal strategies as needed.
For help finding Baricitinib in stock, visit Medfinder. And if cost isn't the issue but availability is, check out our guide on how to find Baricitinib near you.
If you're a healthcare provider looking to help patients navigate costs, see our provider's guide to helping patients save money on Baricitinib.
You focus on staying healthy. We'll handle the rest.
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