HADLIMA®
(adalimumab-bwwd) injection, 40 mg/0.4 mL & 40 mg/0.8 mL
Please read the Medication Guide for HADLIMA and discuss it with your doctor.
The Instructions for Use and Physician Prescribing Information, including the Boxed Warning, also are available.
This private and confidential program provides product free of charge to eligible patients, primarily the uninsured, who, without our assistance, could not afford needed Organon medicines. A single application may provide for up to 1 year of product free of charge to eligible patients and a patient may reapply as many times as needed.
Program Contact Information
- 1-866-809-9515
- Hours: 8 AM-8 PM ETDays: Monday-Friday
Who May Qualify
If you have been prescribed an Organon medicine, you may be eligible for the program* if all 3 of the following conditions apply:
You are a US resident and have a prescription for an Organon product from a health care provider licensed in the United States.†
AND
You do not have insurance or other coverage for a prescription medicine.
AND
You cannot afford to pay for your medicine. You may qualify for the patient assistance program if you have a household income that does not exceed 500% of the Federal Poverty Level.‡
*Offered through the Organon Patient Assistance Program Inc.
†You do not have to be a US citizen. Legal residents of the United States, including US territories, are also eligible.
‡For income limits in Alaska and Hawaii, please call 1-866-809-9515.
How to Get Started
If you believe that you meet the eligibility criteria for the Organon Patient Assistance Program and you have received a prescription for HADLIMA, please download and complete the enrollment form.
Your provider will also need to complete information on this form.
Fax the completed application to 1-866-806-0775.
If fax is not available, please mail a completed application to:
Organon Patient Assistance Program
PO Box 2355
Morristown, NJ 07962
For additional assistance or if you have any questions, please call 1-866-809-9515.