anakinra — CareFirst (Caremark)
Hyperimmunoglobulin D syndrome (HIDS)/Mevalonate kinase deficiency (MKD)
Initial criteria
- Member has had active flares within the last 6 months
- Physician’s Global Assessment (PGA) score ≥ 2 OR C-reactive protein (CRP) > 10 mg/L
Approval duration
12 months