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Simponi
Golimumab
$4710.00
50mg · 3 × 1 pre-filled pen · 3 months supply
BrandBranded medicine· By Cilag
$1570.00 per month
Strength
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Ships cold, in insulated packing
This medicine ships in insulated packing with coolant and carries its own shipping charge, shown at checkout.
Annual cost
$18840a year at this pack size
Prescription required
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50mg
100mg
FDA boxed warningSerious infections and malignancy
Serious infections leading to hospitalization or death including tuberculosis (TB), bacterial sepsis, invasive fungal (such as histoplasmosis), and other opportunistic infections have occurred in patients receiving SIMPONI
Discontinue SIMPONI if a patient develops a serious infection or sepsis
Perform test for latent TB; if positive, start treatment for TB prior to starting SIMPONI
Monitor all patients for active TB during treatment, even if initial latent TB test is negative
Lymphoma and other malignancies, some fatal, have been reported in children and adolescent patients treated with TNF blockers, of which SIMPONI is a member
About Simponi
Overview
Simponi (golimumab) is a medicine that blocks tumor necrosis factor (TNF), a protein involved in inflammation. It treats adults with moderately to severely active rheumatoid arthritis in combination with methotrexate, active psoriatic arthritis with or without methotrexate, and active ankylosing spondylitis. It also treats moderately to severely active ulcerative colitis in adults and children weighing at least 15 kg. It works by binding to TNF and blocking its activity, although exactly how it treats ulcerative colitis is unknown.
What it treats
- Moderately to severely active rheumatoid arthritis in adults, in combination with methotrexate. - Active psoriatic arthritis in adults, alone or in combination with methotrexate. - Active ankylosing spondylitis in adults. - Moderately to severely active ulcerative colitis in adults and children weighing at least 15 kg.
Safety information
Side effects
Common side effects in adults include upper respiratory tract infections, inflammation of the nose and throat, and reactions at the injection site. Each occurred in more than 5% of adults. Contact a doctor promptly about serious side effects, including serious infections, new or worsening heart failure, new or worsening disorders that damage the protective covering of nerves, reactivation of hepatitis B, lupus-like syndrome, and low blood cell counts. Serious allergic reactions, including anaphylaxis, may occur and require immediate medical attention. Lymphoma occurred more often than in the general U.S. population. Other cancers have also been observed in people receiving TNF blockers. Do not start Simponi during an active infection. If an infection develops, contact your doctor; Simponi must be stopped if the infection becomes serious. People who carry hepatitis B need monitoring during treatment and for several months afterward.
FDA boxed warning
Serious infections and malignancy
Serious infections leading to hospitalization or death including tuberculosis (TB), bacterial sepsis, invasive fungal (such as histoplasmosis), and other opportunistic infections have occurred in patients receiving SIMPONI
Discontinue SIMPONI if a patient develops a serious infection or sepsis
Perform test for latent TB; if positive, start treatment for TB prior to starting SIMPONI
Monitor all patients for active TB during treatment, even if initial latent TB test is negative
Lymphoma and other malignancies, some fatal, have been reported in children and adolescent patients treated with TNF blockers, of which SIMPONI is a member
A boxed warning is the strongest warning the US Food and Drug Administration requires on a medicine label. Text is taken from the official label, with internal section references removed.
When to call your doctor
If symptoms are severe or getting worse quickly, seek emergency care rather than waiting.
Before taking this medicine
The label lists no formal contraindications for Simponi (golimumab). However, treatment should not start during an active infection. If an infection develops, careful monitoring is needed; Simponi should be stopped if the infection becomes serious. Caution is needed in people with heart failure, demyelinating disorders or hepatitis B infection. New or worsening heart failure or demyelinating disorders may occur. Stop Simponi if heart failure symptoms develop or worsen. Hepatitis B carriers need monitoring during treatment and for several months afterward; if the virus reactivates, Simponi should be stopped and antiviral treatment started. Lymphoma occurred more often than in the general U.S. population, and other cancers have been reported in people receiving TNF blockers. Invasive fungal infection should be considered if a widespread illness develops, particularly in people who live in or travel to areas where these infections are common. Simponi should be discontinued if a lupus-like syndrome develops. Serious allergic reactions, including anaphylaxis, may occur.
Interactions
Tell your doctor if you take abatacept or anakinra, as using either with Simponi increases the risk of serious infection. Avoid live vaccines and treatments that contain infectious agents while using Simponi.
Using Simponi
Dosing
Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.
Storage
Store in the original carton to protect it from light. Check the pack for whether it must be refrigerated before first use and how long it may be kept at room temperature afterwards. Keep all medicines out of the sight and reach of children.
Clinical information on this page is summarised from the US FDA label SIMPONI (GOLIMUMAB) INJECTION, SOLUTION [JANSSEN BIOTECH, INC.] (DailyMed, retrieved 19 September 2026).
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