Kevzara (sarilumab subcutaneous injection – Regeneron/SanofiAventis) — Cigna
Rheumatoid arthritis
Initial criteria
- Patient age > 18 years
 - Patient has tried ONE conventional synthetic DMARD for at least 3 months
 - 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 when assessed by at least one objective measure OR improvement in at least one symptom
 
Approval duration
initial 6 months; reauth 1 year