Assistance for injectible medications

My rheumatologist has decided it's time for me to begin an injectable medication to go along with the methotrexate I'm already on. She submitted a request to the entities that begin the "wheels turning" with this. So yesterday I got a call from her office saying it will be Cemzia and that I'd be required to pay 20% of the co-pay which is exorbitantly high for our budget. We're retired and on a very limited income. We have a Medicare Advantage plan that we took because of my RA and all that it entails (office visits, medications and more.) SIGH!!! So the office person gave me an 800# for a medication assistance---so I called and that person said she couldn't give an answer just yet due to the doctor's office not giving her some information she needs. I was told upon getting that she'll get back to me today or tomorrow. My question is, "what if I'm denied?" How can they expect patients to pay out of pocket that which they cannot afford??

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