Skip to content
The Policy VaultThe Policy Vault

Bimzelx (bimekizumab-bkzx)Highmark

Psoriatic Arthritis (PsA) – enthesitis and/or dactylitis associated

Initial criteria

  • age ≥ 18 years
  • diagnosis of enthesitis and/or dactylitis associated PsA
  • prescribed by or in consultation with a rheumatologist or dermatologist
  • therapeutic failure or intolerance to at least one NSAID or a local glucocorticoid injection, or all NSAIDs and all local glucocorticoid injections are contraindicated
  • therapeutic failure or intolerance to at least one step 1 plan-preferred agent for PsA

Reauthorization criteria

  • disease stability or beneficial response to therapy