The FDA has granted interchangeability designation to HADLIMA™
The FDA has granted interchangeability designation to HADLIMA™ (adalimumab-bwwd; Samsung Bioepis, Organon), a biosimilar to Humira (adalimumab; AbbVie), as a high- and low-concentration autoinjector and a high-concentration prefilled syringe.
HADLIMA (adalimumab-bwwd) injection, 40 mg/0.4 mL & 40 mg/0.8 mL is now interchangeable with all high- and low-concentration presentations (autoinjector, prefilled syringe, and single-dose vial) of Humira (adalimumab).
The interchangeability designation for HADLIMA is based on a Pharmacokinetics, Efficacy, Safety, and Immunogenicity study of SB5 versus Humira in patients with moderate to severe chronic plaque psoriasis.
What is interchangeability?
According to the FDA
- An interchangeable biosimilar is a biosimilar that meets the additional requirements outlined by the law, allowing the FDA to approve both biosimilar and interchangeable biosimilar medications.
- An interchangeable biosimilar product may be substituted for the original product without consulting the prescriber, much like generic drugs are routinely substituted for brand-name drugs. This practice is called pharmacy-level substitution and is subject to state pharmacy laws.
- Both biosimilars and interchangeable biosimilars are as safe and effective as the original biologic to which they were compared, and they can be used in its place. This allows health care professionals to prescribe either a biosimilar or an interchangeable biosimilar product instead of the original biologic.
In the US, several adalimumab biosimilars have received interchangeable status.
1. Simlandi (adalimumab-ryvk); developed jointly by Alvotech and Teva Pharmaceutical Industries
2. Abrilada (adalimumab-afzb); developed by Pfizer
3. Cyltezo (adalimumab-adbm); developed by Boehringer Ingelheim
4. Yuflyma (adalimumab-aaty); developed by Celltrion, Inc.
5. Hadlima (adalimumab-bwwd); developed by Samsung Bioepis
The price indications for some of the above products from GlobalData are as follows.

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