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Ilaris (canakinumab)Highmark

Gout flares

Initial criteria

  • age ≥ 18 years
  • diagnosis of gout flare
  • prescribed by or in consultation with a rheumatologist
  • therapeutic failure, contraindication, or intolerance to all of: NSAIDs, systemic corticosteroids, colchicine tablets
  • receiving or will take concomitant urate-lowering medication (e.g., allopurinol, febuxostat, probenecid) unless contraindicated

Reauthorization criteria

  • member is tolerating therapy AND has experienced disease improvement OR delayed disease progression