Kevzara (sarilumab subcutaneous injection – Regeneron/SanofiAventis) — Cigna
Polymyalgia rheumatica
Initial criteria
- Patient age > 18 years
- Patient has tried one systemic corticosteroid
- Medication is prescribed by or in consultation with a rheumatologist
Reauthorization criteria
- Patient has been established on therapy for at least 6 months
- Patient experienced a beneficial clinical response from baseline assessed by at least one objective measure OR improvement in at least one symptom
Approval duration
initial 6 months; reauth 1 year