biologic immunomodulator agents — Blue Cross Blue Shield of Oklahoma
non-radiographic axial spondyloarthritis (nr-axSpA)
Initial criteria
- Has tried and had inadequate response to TWO different NSAIDs after at least a 4-week total duration OR
- Has inadequate response to ONE NSAID after ≥4 weeks and intolerance/hypersensitivity to another OR
- Intolerance/hypersensitivity to TWO NSAIDs OR
- FDA labeled contraindication to ALL NSAIDs