Cyltezo Prescribing & Dosing Schedule

Dosage & Administration Drug label Prior authorization Financial assistance Patient education People also ask

Cyltezo(adalimumab-adbm)

CYLTEZO 10 MG in 0.2 ML Prefilled Syringe

Dosage & Administration

* Administer by subcutaneous injection

Rheumatoid Arthritis, Psoriatic Arthritis, Ankylosing Spondylitis :

* Adults: 40 mg every other week.
* Some patients with RA not receiving methotrexate may benefit from increasing the dosage to 40 mg every week or 80 mg every other week.

Juvenile Idiopathic Arthritis :

Pediatric Weight 2 Years of Age and Older	Recommended Dosage
10 kg (22 lbs) to less than 15 kg (33 lbs)	10 mg every other week
15 kg (33 lbs) to less than 30 kg (66 lbs)	20 mg every other week
30 kg (66 lbs) and greater	40 mg every other week

Crohn's Disease :

* Adults: 160 mg on Day 1 (given in one day or split over two consecutive days); 80 mg on Day 15; and 40 mg every other week starting on Day 29.
* Pediatric Patients 6 Years of Age and Older:

Pediatric Weight	Recommended Dosage
Pediatric Weight	Days 1 and 15	Starting on Day 29
17 kg (37 lbs) to less than 40 kg (88 lbs)	Day 1: 80 mg Day 15: 40 mg	20 mg every other week
40 kg (88 lbs) and greater	Day 1: 160 mg (single dose or split over two consecutive days) Day 15: 80 mg	40 mg every other week

Ulcerative Colitis :

* Adults: 160 mg on Day 1 (given in one day or split over two consecutive days), 80 mg on Day 15 and 40 mg every other week starting on Day 29. Discontinue in patients without evidence of clinical remission by eight weeks (Day 57).

Plaque Psoriasis or Adult Uveitis :

* Adults: 80 mg initial dose, followed by 40 mg every other week starting one week after initial dose.

Hidradenitis Suppurativa :

* Adults:
* Day 1: 160 mg (given in one day or split over two consecutive days)
* Day 15: 80 mg
* Day 29 and subsequent doses: 40 mg every week or 80 mg every other week

drug label

Cyltezo Prescribing Information

Contact Medical Science Liaison

Report Adverse Event

prior authorization

Cyltezo Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Jun 26, 2024Arizona - Uniform Prior Authorization Form

Verified: Jun 26, 2024Colorado - Uniform Prior Authorization Form

Verified: Jun 26, 2024Hawaii - Uniform Prior Authorization Form

Verified: Jul 26, 2024Illinois - Uniform Prior Authorization Form

Verified: Jun 26, 2024Indiana - Uniform Prior Authorization Form

Verified: Jun 26, 2024Louisiana - Uniform Prior Authorization Form

Verified: Jun 26, 2024Minnesota - Uniform Prior Authorization Form

Verified: Jun 26, 2024New Hampshire - Uniform Prior Authorization Form

Verified: Jun 26, 2024New Mexico - Uniform Prior Authorization Form

Verified: Jun 26, 2024Oregon - Uniform Prior Authorization Form

Verified: Jun 26, 2024Texas - Uniform Prior Authorization Form

Verified: Jul 07, 2024Washington - Uniform Prior Authorization Form

Verified: Jul 07, 2024Wisconsin - Uniform Prior Authorization Form

Coverage Authorization Appeals

Benefits investigation

Cyltezo BI Plus Enrollment Form - Rheumatology

Cyltezo BI Plus Enrollment Form - Gastroenterology

Cyltezo BI Plus Enrollment Form - Dermatology

Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

financial assistance

Cyltezo Financial Assistance Options

Copay savings program

Enroll in Patient Savings Program

Cyltezo BI Plus Enrollment Form - Rheumatology

Cyltezo BI Plus Enrollment Form - Gastroenterology

Cyltezo BI Plus Enrollment Form - Dermatology

Learn More

Overview

Reduce patient OOP costs for drug (and occasionally for drug administration/infusion costs or drug-related test costs)

Patient benefit

A portion (or all) of patient OOP (deductible, copay), typically up to monthly and/or annual max

Patient eligibility

Patient must enroll or activate (may permit HCPs to enroll on patient’s behalf for HCP-administered drugs)
Generally, must have commercial insurance (rarely, may permit uninsured patients to use)
May never be used with government insurance

How to sign up

Cards may be downloadable digital cards or hard copies
Some pharmacos offer debit cards with pre-loaded copay benefit
Typically, available through multiple channels (e.g., rep to HCP to patient; pharmacy to patient; patient via website, Hub live agent, or copay vendor (live agent or IVR); patient and HCP via Hub enrollment form)
Some HCP-administered product programs permit HCPs to enroll on a patient’s behalf through via Hub form

patient education

Cyltezo Patient Education

Getting started on Cyltezo

Instructions For Use: Rheumatoid Arthritis (RA)

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Instructions For Use: Juvenile Idiopathic Arthritis (JIA)

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Instructions For Use: Psoriatic Arthritis (PsA)

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Instructions For Use: Ankylosing Spondylitis (AS)

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Instructions For Use: Crohn’s Disease (CD)

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Instructions For Use: Ulcerative Colitis (UC)

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Instructions For Use: Hidradenitis Suppurativa (HS)

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Instructions For Use: Adult Uveitis (UV)

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Instructions For Use: Plaque Psoriasis (PsO)

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

To share resource; ask patient to:

1.Pull out phone

2.Open camera

3.Scan QR code with camera

4.Tap link

Patient toolkit

About Cyltezo

ASK PATIENT TO:
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Scan QR Code & Tap Link

Understanding Biosimilars

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Effectiveness & Side Effects

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Getting Cyltezo

ASK PATIENT TO:
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Scan QR Code & Tap Link

Patient Resoruces

ASK PATIENT TO:
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Scan QR Code & Tap Link

Patient Brochure

ASK PATIENT TO:
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Scan QR Code & Tap Link

Cyltezo Pen Injection Checklist

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Cyltezo Prefilled Syringe Injection Checklist

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Rheumatoid Arthritis (RA) Dosing Guide

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Juvenile Idiopathic Arthritis (JIA) Dosing Guide

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Psoriatic Arthritis (PsA) Dosing Guide

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Ankylosing Spondylitis (AS) Dosing Guide

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Crohn’s Disease (CD) Dosing Guide

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Ulcerative Colitis (UC) Dosing Guide

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Plaque Psoriasis (PsO) Dosing Guide

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Hidradenitis Suppurativa (HS) Dosing Guide

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Adult Uveitis (UV) Dosing Guide

ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Cyltezo FAQs

How is the dosage of Cyltezo?Cyltezo is available in 10 dosages, including 100 mg/ml Auto-Injector 0.4 ml, 100 mg/ml Prefilled Syringe 0.4 ml, 50 mg/ml Auto-Injector 0.8 ml, 50 mg/ml Prefilled Syringe 0.2 ml, 50 mg/ml Prefilled Syringe 0.4 ml, 50 mg/ml Prefilled Syringe 0.8 ml, mixed Pack, mixed Pack, mixed Pack and mixed Pack

What does Cyltezo treat?Cyltezo treats Juvenile Arthritis, Rheumatoid Arthritis, Ulcerative Colitis, Crohn Disease, Ankylosing Spondylitis, Uveitis, Psoriatic Arthritis and Hidradenitis Suppurativa

What is Cyltezo made of?Cyltezo contains adalimumab which is a Tumor Necrosis Factor Blocker

How Is Cyltezo Administered?Cyltezo is administered as a Injectable or Pack

What Are The Cyltezo Mechanism Of Action?Cyltezo mechanism of action is Tumor Necrosis Factor Receptor Blocking Activity

FAQ Data Source

Dosage & Administration

Dosage & Administration

drug label

Cyltezo Prescribing Information

prior authorization

Cyltezo Prior Authorization Resources

Most recent state uniform prior authorization forms

Benefits investigation

Reimbursement help (FRM)

financial assistance

Cyltezo Financial Assistance Options

Copay savings program

patient education

Cyltezo Patient Education

Getting started on Cyltezo

Patient toolkit

people also ask

Cyltezo FAQs