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Xeljanz oral solutionHighmark

Polyarticular Juvenile Idiopathic Arthritis

Preferred products

  • adalimumab product
  • Enbrel

Initial criteria

  • age ≥ 2 years
  • diagnosis of polyarticular juvenile idiopathic arthritis
  • prescribed by or in consultation with a rheumatologist
  • member meets one of the following: experienced therapeutic failure or intolerance to at least one non-biologic DMARD, or all non-biologic DMARDs are contraindicated; OR requires initial biologic therapy due to high-risk joints, high disease activity, or high risk of disabling joint damage
  • experienced therapeutic failure or intolerance to a preferred adalimumab product or Enbrel for the treatment of PJIA

Reauthorization criteria

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

Approval duration

12 months