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Humira and biosimilarsCareFirst (Caremark)

pyoderma gangrenosum

Initial criteria

  • Member previously received biologic indicated for pyoderma gangrenosum OR inadequate response to corticosteroids or immunosuppressive therapy (cyclosporine, mycophenolate mofetil) OR intolerance/contraindication to corticosteroids and immunosuppressive therapy

Approval duration

12 months