Cosentyx subcutaneous — Medica
Psoriatic Arthritis
Initial criteria
- Patient meets the standard Inflammatory Conditions – Cosentyx Subcutaneous Prior Authorization Policy criteria
- Patient is ≥ 18 years of age AND has tried TWO of Enbrel, an adalimumab product, Otezla, Rinvoq/Rinvoq LQ, Skyrizi subcutaneous, an ustekinumab subcutaneous product, Taltz, Tremfya subcutaneous, and Xeljanz/XR; OR
- Patient is < 18 years of age AND has tried ONE of Enbrel, Otezla, Rinvoq/LQ, or an ustekinumab subcutaneous product
Approval duration
6 months