Simponi® and Simponi Aria® (golimumab)

Authorization forms

Simponi (covered under the pharmacy benefit)

Traditional & Optimized (01/2019)

Medicare Part D (01/2020)

Simponi Aria (covered under the medical benefit)

Traditional & Optimized (01/2019)

Medicaid (07/2019)

Medicare Part B (10/2019)

For further information, please see the Injectable drugs page.