My Rhuem decided about 12 years ago that I have both AS and PsA. I'm very lucky to have the VA system. I added up the med costs a few years back. $60k was right about what I figure I would have to pay if I was buying the meds myself. The VA is able to buy the meds for a significantly lower price. Even at that it's still allot.

AS/PsA DX in 1988

Retired on disability
in 2005 at age 44