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adalimumab (preferred products)Highmark

Psoriatic Arthritis (PsA) - spinal or axial

Initial criteria

  • age ≥ 18 years
  • diagnosis of spinal or axial PsA
  • prescribed by or in consultation with a rheumatologist or dermatologist
  • experienced therapeutic failure or intolerance to at least one NSAID OR all NSAIDs are contraindicated

Reauthorization criteria

  • member has demonstrated disease stability or a beneficial response to therapy