Hi Rob
MTX did zilch for me, and I had the same result with sulfasalazine and hydroxychloroquine. When it came time to choose a biologic, the doc asked me which I wanted. I think they do that so that they don’t appear to be favouring one company over the other, and it is a crap shoot anyway. I chose Enbrel, because it is the oldest of the bios, and the one about which we know the most. It worked well for me for a couple of years, and then I switched to Humira. Humira has worked well for me for 18 months, and I’m hoping for a good long run with it.
Paying for the meds varies from country to country. 6CL is in the US. Here’s a great article by @GrumpyCat. Gosh, I wish she’d come back: she’s very smart and a lot of fun.
Start with your insurance company and ask them about their coverage. Then talk to the drug company. That will give you a good idea.
S