Kevzara (sarilumab) — CareFirst (Caremark)
Giant cell arteritis (GCA)
Initial criteria
- Diagnosis confirmed by temporal artery biopsy or cross-sectional imaging OR acute-phase reactant elevation (high ESR and/or CRP)
Reauthorization criteria
- Positive clinical response as evidenced by improvement or maintenance of disease control per physician-assessed outcome
Approval duration
12 months