Hyrimoz Prescribing & Dosing Schedule

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

Hyrimoz(adalimumab-adaz)

Hyrimoz 10 MG in 0.1 ML Prefilled Syringe

Dosage & Administration

* Administered by subcutaneous injection (2)

Rheumatoid Arthritis, Psoriatic Arthritis, Ankylosing Spondylitis (2.1):

* 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 (2.2):

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 (2.3):

* 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 (2.4):

* 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

Hyrimoz Prescribing Information

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Report Adverse Event

samples

Request Hyrimoz Samples

Online Sample Form

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prior authorization

Hyrimoz 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 Request

Coverage Authorization Appeals

Hymrioz Enrollment & Prescription Form

Benefits investigation

Hymrioz Enrollment & Prescription Form

Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information

financial assistance

Hyrimoz Financial Assistance Options

Copay savings program

Enroll in Patient Savings Program

Hymrioz Enrollment & Prescription Form

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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

Bridge program

Hymrioz Enrollment & Prescription Form

Quick Start (Bridge) Program

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Overview

Provide patient immediate access to therapy during an insurance delay (typically new starts; some may cover change in insurance)
Limited time/ fill (typically 7-30 days; some may offer additional fill for continued delay up to certain limit)

Patient benefit

100% free (outside of insurance)

Patient eligibility

HCP must enroll patient
May be limited to commercially insured patients (i.e., no government beneficiaries); some programs may allow government beneficiaries

How to sign up

Typically HCP assisted enrollment (via form)

patient education

Hyrimoz Patient Education

Getting started on Hyrimoz

Instructions For Use: Rheumatoid Arthritis (RA)

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

Instructions For Use: Polyarticular 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: Hidradenitis Suppurativa (HS)

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: Plaque Psoriasis

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 Hyrimoz

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

Patient E-Consent

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

Other resources

Hymrioz Enrollment & Prescription Form

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

Hyrimoz FAQs

How is the dosage of Hyrimoz?Hyrimoz is available in 9 dosages, including 100 mg/ml Auto-Injector 0.4 ml, 100 mg/ml Auto-Injector 0.8 ml, 100 mg/ml Prefilled Syringe 0.1 ml, 100 mg/ml Prefilled Syringe 0.2 ml, 100 mg/ml Prefilled Syringe 0.4 ml, mixed Pack, mixed Pack, mixed Pack and mixed Pack

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

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

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

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

FAQ Data Source

Dosage & Administration

Dosage & Administration

drug label

Hyrimoz Prescribing Information

samples

Request Hyrimoz Samples

Is my patient eligible for Hyrimoz samples?

How do I find out who my Hyrimoz rep is?

prior authorization

Hyrimoz Prior Authorization Resources

Most recent state uniform prior authorization forms

Benefits investigation

Reimbursement help (FRM)

financial assistance

Hyrimoz Financial Assistance Options

Copay savings program

Overview

Patient benefit

Patient eligibility

How to sign up

Bridge program

Overview

Patient benefit

Patient eligibility

How to sign up

patient education

Hyrimoz Patient Education

Getting started on Hyrimoz

Patient toolkit

Other resources

people also ask

Hyrimoz FAQs