What is the dosage of Simponi?

Simponi is available in 1 dosages, including 12.5 mg/ml Injection 4 ml

What does Simponi treat?

Simponi treats Rheumatoid Arthritis

What is Simponi made of?

Simponi contains golimumab which is a Tumor Necrosis Factor Blocker

How is Simponi administered?

Simponi is administered as a Injectable

What is Simponi mechanism of action?

Simponi mechanism of action is Tumor Necrosis Factor Receptor Blocking Activity

Dosage & Administration Drug label Samples Prior authorization Financial assistance

Patient education

Simponi

(golimumab)

4 ML golimumab 12.5 MG/ML Injection [Simponi]

BLACK BOX WARNING

Dosage & administration

* Adult patients with Rheumatoid Arthritis, Psoriatic Arthritis, and Ankylosing Spondylitis:
* 2 mg/kg intravenous infusion over 30 minutes at weeks 0 and 4, and every 8 weeks thereafter

* Pediatric patients with polyarticular Juvenile Idiopathic Arthritis and Psoriatic Arthritis:
* 80 mg/m2 intravenous infusion over 30 minutes at weeks 0 and 4, and every 8 weeks thereafter

* Dilution of supplied SIMPONI ARIA solution with 0.9% Sodium Chloride Injection, USP is required prior to administration. Alternatively, 0.45% Sodium Chloride Injection, USP can also be used

drug label

Simponi prescribing information

Have more Simponi questions?

Submit MSL Request

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Need to report a Simponi issue?

ONLINE FORMReport adverse event

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samples

Request Simponi samples

NOT PROVIDED BY BRANDView Online Sample Form

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prior authorization

Simponi Prior authorization resources

Complete Letter of Medical Necessity

NOT PROVIDED BY BRANDCoverage Authorization Request

NOT PROVIDED BY BRANDCoverage Authorization Appeals

Appeals Checklist

Appeals Checklist - Spanish

Formulary Exceptions Checklist

Formulary Exceptions Checklist - Spanish

Formulary Exception Letter

PA Checklist

PA Checklist - Spanish

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Benefits investigation

Benefits Investigation Form

Janssen Patient Support Program Patient Authorization Form

Janssen Patient Support Program Patient Authorization Form - Spanish

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Reimbursement help (FRM)

NOT PROVIDED BY BRANDReimbursement help (FRM) resources

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financial assistance

Simponi Financial assistance options

Co-pay savings program

commercial only

Enroll in Patient Savings Program

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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

commercial only

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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)

Foundation programs

under insured

no insurance

goverment insurance

65+

Johnson & Johnson Patient Assistance Foundation (JJPAF) - Eligibility Check

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Overview

Charitable 501(c)(3) organizations provide direct cost-sharing and other support (e.g., travel, counseling) through disease-state funds to indigent patients on first-come first-served basis
These organizations may receive financial contributions from drug manaufacturers for particular disease-state funds that cannot provide funds directly to patients - the foundation must be independent/unaligned

Patient benefit

Patients apply for grants that cover a portion (or all) of their out-of-pocket costs (deductibles and co-pays) until the grant is exhausted

Patient eligibility

Patients must apply and meet eligibility criteria including income level (typically a multiple of federal poverty line), specific diagnosis, insurance status, etc.

How to sign up

Patients submit proof of out-of-pocket drug costs to charities for reimbursement

patient education

Simponi Patient education

Getting started on Simponi

NOT PROVIDED BY BRANDInstructions For Use: RA

NOT PROVIDED BY BRANDInstructions For Use: PsA

NOT PROVIDED BY BRANDInstructions For Use: AS

NOT PROVIDED BY BRANDInstructions For Use: PJIA