Simponi Prescribing & Dosing Schedule

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

Simponi(golimumab)

Simponi 50 MG in 0.5 ML Auto-Injector

Dosage & Administration

* RA, PsA, and AS: 50 mg administered by subcutaneous injection once a month ( 2.1)
* UC: 200 mg initially administered by subcutaneous injection at Week 0, followed by 100 mg at Week 2 and then 100 mg every 4 weeks ( 2.2)

drug label

Simponi Prescribing Information

Contact Medical Science Liaison

Report Adverse Event

prior authorization

Simponi 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

Complete Letter of Medical Necessity

Benefits Investigation & Prescription Form - Rheumatology

Benefits Investigation & Prescription Form - Gastroenterology

Janssen Patient Support Program Patient Authorization Form

PA Checklist

PA Checklist - Spanish

Appeals Checklist

Appeals Checklist - Spanish

Exception Considerations Checklist

Exception Considerations Checklist - Spanish

Letter of Exception - Rheumatology

Benefits investigation

Benefits Investigation & Prescription Form - Rheumatology

Benefits Investigation & Prescription Form - Gastroenterology

Janssen Patient Support Program Patient Authorization Form

financial assistance

Simponi Financial Assistance Options

Copay savings program

Benefits Investigation & Prescription Form - Rheumatology

Benefits Investigation & Prescription Form - Gastroenterology

Janssen Patient Support Program Patient Authorization Form

Enroll in Patient Savings Program

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

Simponi Patient Education

Getting started on Simponi

Instructions For Use: Rheumatoid Arthritis

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

Instructions For Use: Psoriatic Arthritis

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

Instructions For Use: Ankylosing Spondylitis

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

Instructions For Use: Ulcerative Colitis

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 Simponi: Rheumatoid Arthritis

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

Side Effects: Rheumatoid Arthritis

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

View How to Take Simponi: Rheumatoid Arthritis

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

About Simponi: Psoriatic Arthritis

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

Side Effects: Psoriatic Arthritis

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

View How to Take Simponi: Psoriatic Arthritis

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

Patient Resources: Psoriatic Arthritis

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

About Simponi: Ankylosing Spondylitis

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

Side Effects: Ankylosing Spondylitis

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

View How to Take Simponi: Ankylosing Spondylitis

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

Patient Resources: Ankylosing Spondylitis

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

Patient Stories: Ankylosing Spondylitis

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

About Simponi: Ulcerative Colitis

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

Side Effects: Ulcerative Colitis

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

View How to Take Simponi: Ulcerative Colitis

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

Safe Returns - Sharps Container

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

Treatment Preparation Mat and SmartJect Reusable Trainer Order Form

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

Simponi FAQs

How is the dosage of Simponi?Simponi is available in 4 dosages, including 100 mg/ml Auto-Injector 0.5 ml, 100 mg/ml Auto-Injector 1 ml, 100 mg/ml Prefilled Syringe 0.5 ml and 100 mg/ml Prefilled Syringe 1 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 Are The Simponi Mechanism Of Action?Simponi mechanism of action is Tumor Necrosis Factor Receptor Blocking Activity

FAQ Data Source

Dosage & Administration

Dosage & Administration

drug label

Simponi Prescribing Information

prior authorization

Simponi Prior Authorization Resources

Most recent state uniform prior authorization forms

Benefits investigation

financial assistance

Simponi Financial Assistance Options

Copay savings program

patient education

Simponi Patient Education

Getting started on Simponi

Patient toolkit

people also ask

Simponi FAQs