HYRIMOZ
Generic: adalimumab-adaz
Manufacturer: Sandoz · Program: Sandoz Patient Assistance (SPA)
Apply for assistanceFree to apply. Service from $40/month, payable only when your application is ready to submit.
Eligibility Criteria
Insurance Requirement
Limited or no insurance coverage for HYRIMOZ required; program not valid under Medicare, Medicaid, TRICARE, VA, DoD, or other federal/state health care programs
Residency
US resident
Income requirements not disclosed; patient must have limited or no insurance coverage
Program Information
Processing Time
2–4 weeks
Delivery Method
Varies by program
Application Method
Multiple
Reauthorization
Required, annual
Indicated for
Rheumatoid Arthritis, Ankylosing Spondylitis, Crohn's Disease, Ulcerative Colitis, Plaque Psoriasis, Hidradenitis Suppurativa, Uveitis
About This Medication
Sandoz Patient Assistance (SPA) Patient Guide: How to Get HYRIMOZ (adalimumab-adaz) at Low or No Cost
HYRIMOZ (adalimumab-adaz) is a biosimilar medication used to treat conditions like rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, Crohn's disease, ulcerative colitis, and plaque psoriasis in adults, as well as juvenile idiopathic arthritis in children. The Sandoz Patient Assistance (SPA) program from Sandoz helps eligible patients with limited or no insurance get HYRIMOZ at no cost.[1][5][6][7]
Who Qualifies for Sandoz Patient Assistance (SPA)?
This program is for patients who need help affording HYRIMOZ but face barriers due to insurance gaps. Key eligibility factors include:
- Limited or no insurance coverage specifically for HYRIMOZ.
- No enrollment in government programs like Medicare, Medicaid, TRICARE, VA, DoD, or other federal/state health care programs.
- Income requirements: Exact guidelines are not publicly disclosed, but patients must demonstrate financial need. The program targets those "most in need."[5][7]
SPA is separate from Sandoz One Source, which offers co-pay cards for commercially insured patients (as low as $0 co-pay) and other support like nurse ambassadors and reimbursement help. If you have commercial insurance, explore Sandoz One Source first.[1][2][3]
About HYRIMOZ (adalimumab-adaz)
HYRIMOZ is an injectable biosimilar to Humira (adalimumab), a tumor necrosis factor (TNF) blocker. It works by reducing inflammation to manage autoimmune conditions. Available in pre-filled syringes, autoinjectors, or vials, it's administered subcutaneously (under the skin) weekly or every other week, depending on your condition and doctor's instructions.
Common uses:
- Moderate to severe rheumatoid arthritis (with methotrexate)
- Psoriatic arthritis
- Ankylosing spondylitis
- Crohn's disease (adults and children 6+ years)
- Ulcerative colitis (adults and children 5+ years)
- Plaque psoriasis (adults)
- Juvenile idiopathic arthritis (children 2+ years)
Important safety note: HYRIMOZ can increase infection risk, including tuberculosis. Discuss risks with your doctor. Full prescribing info is at HYRIMOZ.com.[1][2]
Income Eligibility Breakdown
Sandoz does not publicly disclose specific income thresholds for SPA. Unlike programs tied to Federal Poverty Level (FPL) percentages (e.g., 400-500% FPL), eligibility here focuses on financial hardship combined with insurance status. Contact the program for a pre-screening.
| Household Size | Income Threshold | FPL % | Notes |
|---|---|---|---|
| Individual | Not disclosed | N/A | Must show limited/no insurance[7] |
| Couple | Not disclosed | N/A | Income guidelines not public[7] |
| Family of 3 | Not disclosed | N/A | Targets those 'most in need'[5] |
| Family of 4+ | Not disclosed | N/A | Call for details (833) 497-4669 |
If your income changes, notify the program immediately.[4]
Insurance Requirements
- Must have limited or no coverage for HYRIMOZ through private insurance.
- Ineligible if on: Medicare, Medicaid, TRICARE, VA, DoD, or any federal/state programs.
- Commercial insurance? Use Sandoz One Source co-pay program instead (enroll online, text, phone, or fax).[1][7]
Step-by-Step Application Process
SPA offers multiple application methods. Start by calling for guidance.[1][5]
-
Verify eligibility: Call (833) 497-4669 (Mon-Fri, 8am-8pm ET) to discuss your situation. Mention Sandoz Patient Assistance (SPA) for HYRIMOZ.[1][2]
-
Gather info: Be ready with proof of income, household size, insurance status (or lack thereof), prescription, and doctor details. Specific documents not listed publicly—program will specify.[7]
-
Apply:
- Phone: Call (833) 497-4669. A case manager assists.[1]
- Online/Fax: Check HYRIMOZ.com or Sandoz patient services for forms (similar to Sandoz One Source enrollment).[2][5]
- Provider can help complete and sign forms (e-signature required).[2]
-
Submit: Fax if needed (e.g., 1-844-600-0449 for related forms) or online.[1][2]
-
Follow up: Note your reference number. Reauthorization is required annually or as specified.[7]
Timeline and Delivery
Processing time not specified—call for estimates. Once approved, HYRIMOZ ships free to your home or doctor's office (delivery method confirmed upon approval). Expect reauthorization for refills.[1][5][7]
Alternatives if Denied or Ineligible
- Sandoz One Source: Co-pay as low as $0 for commercial insurance. Enroll online at HYRIMOZpro.com, fax, or call (833) 497-4669. Instant cards, no expiration, annual reset.[1][2]
- QuickStart: Free product during PA delays.[1]
- Other programs: Search RxAssist.org or NeedyMeds for similar adalimumab biosimilars (e.g., Amjevita PAP). No biosimilar alternatives listed for this program.[7]
- Manufacturer copay cards: Via Sandoz One Source.[3]
- State assistance or generic options if applicable.
Disclaimer
This guide is for informational purposes only and based on publicly available data as of 2026. Eligibility, terms, and availability can change—always contact Sandoz directly at (833) 497-4669 or visit HYRIMOZ.com for latest details. Not medical advice. Consult your healthcare provider before starting HYRIMOZ. Sandoz reserves the right to modify or cancel the program. Income not guaranteed; federal programs prohibited.
Program information last verified: March 30, 2026
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