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- Restricted Simponi Aria --> Restricted to Outpatient Medical. Each patient should be evaluated for reimbursement issues prior to starting.
- Restricted Miscellaneous Programs
| Drug Name |
Form |
Strength |
Formulary Unrestricted |
Formulary Restricted |
Non-Formulary |
Interchange |
| Simponi Aria |
SOLUTION, INTRAVENOUS |
50 mg/4 mL |
|
|
|
|
| Simponi |
SOLUTION, SUBCUTANEOUS |
50 mg/0.5 mL |
|
|
|
|
Last updated: Aug. 21, 2017
Simponi medication guide
Simponi Aria medication guide
SIMPONI ARIA is classified as formulary status, restricted to hospital OUTPATIENT/CLINIC use.
SIMPONI is classified as NON-FORMULARY, NOT STOCKED, NOT ORDERED. Defer initiation to after discharge. If absolutely needed in hospital, patient may use home supply.
Reviewed: September 22, 2009 (Simponi), and July 22, 2014 (Simponi Aria)