Whether pressured into it by insurance companies, or simply wanting to see if the least potent drug works, it's up to the patient to demand a different drug when there has been no improvement after a couple months. When I was diagnosed 30 years ago, we didn't have biologics. I made it clear to my then-rheumatologist that I needed to be on the best drug for the job, as I was self-supporting and couldn't afford the luxury of down time. Luckily I was heard. I was put on Methotrexate. It began to help and over a month, as I recall, I was greatly improved. I never quite reached the point of not being in pain or not having inflammation though, in spite of upped doses over the years.
Because biologics weren't available, I underwent many steroid injections in the joints, which helped tremendously, in spite of the impact on my adrenal glands. But those injections were short term and had to be repeated over and over again.
Eventually I went on Humira, and for me it was a game changer.
Regarding Humira, which I've been on for est. 15 years: within two months I saw significant improvement. It was overwhelming. Granted, I didn't get back my earlier healthy joints, but at least I could move about without pain.
Just know that if Humira doesn't work for you, try another biologic.
Be vocal. Don't settle.