Simponi Aria

Simponi Aria (golimumab) [Janssen]

  • Rheumatoid Arthritis, Psoriatic Arthritis, Ankylosing Spondylitis
    • 2mg/kg IV at weeks 0 and 4 weeks, then q 8 weeks.
  • Given with methotrexate (MTX) in pts with rheumatoid arthritis. With or without MTX in pts with psoriatic arthritis or ankylosing spondylitis
  • Need patient weight, Hep B S Ag, PPD or QuantiFERON


  1. Please open authorization forms at left. Fill out the forms on your computer, save and print.
  2. Open Physician Orders for the office of your choice (at left). Save to your computer, print and fill out.
  3. The following tests should be performed and test results faxed to Pacific Infusion before the patient’s first visit:
    Golimumab – CXR, PPD
  4. Also, fax an authorization from the payor, if one is required.
  5. Fax the completed, signed forms and a copy of the patient’s insurance card to: Pacific Infusion Center (310) 297-9222.
  6. After the patient’s infusion appointment, one of our nurses will fax a copy of the infusion notes to your office.