HYRIMOZ

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] 1. **Verify eligibility**: Call **(833) 497-4669** (Mon-Fri, 8am-8pm ET) to discuss your situation. Mention Sandoz Patient Assistance (SPA) for HYRIMOZ.[1][2] 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] 3. **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] 4. **Submit**: Fax if needed (e.g., 1-844-600-0449 for related forms) or online.[1][2] 5. **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