MEB - AD/AF - Humira (Psoriasis)

DEADEYE

PEB Forum Regular Member
Registered Member
Hey all,


I wanted to share my situation and timeline in case anyone has been through something similar, and to hopefully get some perspective as I begin the MEB process.

  • Branch/AFSC: USAF, 1N051, 3 years TIS
  • Medical Conditions:
    • Psoriasis – ~20% BSA. Recently started Humira (40mg biweekly) on 26 Sept 2025, with intent to continue indefinitely.
    • Glaucoma – moderate (~50%) visual field loss in right eye. Already coded with a long-term C-code. Previously went through an IRILO for this.
    • Mental Health: Being followed for anxiety, with possibility of long-term medication.

  • Recent History:
    • Was redeployed early from CENTCOM due to glaucoma concerns.
    • Currently stationed at a DCW with high deployment tempo and an expected deployment window in early 2027.
  • Timeline:
    • 16 SEP 2025 - Initiated Humira referral through my Dermatologist (40mg Bi-weekly, indefinitely)
    • 16 SEP 2025 - Informed PCM of my new prescription and medication
    • 17 SEP 2025 - PCM informed me that "if I stay on the medication that i will have to undergo the MEB process"
    • 26 SEP 2025 - Administered 1st dose of Humira
    • 26 SEP 2025 - Informed PCM of 1st dosage, and asked if MEB referral could be initiated
    • 26 SEP 2025 - PCM team contacted me about beginning MEB referral and are collecting all specialist notes from dermatologist
    • 09 OCT 2025 - (PENDING) - AMRO, to decide if they send me to FULL MEB or review again later (some indication from PCM team that FULL MEB is more likely)

My Concerns / Goals:
  • From what I’ve read in AF waiver guides and PEB forum, Humira requires an MEB.
  • I believe separation/medical retirement is in the best interest of myself and the AF, given immunosuppression, deployment limitations, and redeployment history.
  • My PCM mentioned I may just get another C-code, but I’m not sure that’s realistic with Humira + glaucoma + redeployment.
  • Commander is tracking, and I’ve respectfully requested he consider a “Do Not Retain” recommendation if asked for input.

Questions for the Community:
  1. Has anyone else on Humira been returned to duty with just a C-code, or does it almost always go to separation/retirement? ( I have scoured the forum, and looking for more specific answers)
  2. How heavily do commander recommendations weigh in your experience?
  3. With my conditions stacked (Humira, glaucoma C-code, redeployment, possible anxiety meds), what outcomes seem most likely?
  4. Any advice on what to do now while waiting for AMRO → IRILO → possible MEB/PEB?

Thanks in advance — I know a lot of you have walked this road already, and I appreciate any insights.
 
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