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KevzaraMedica

Rheumatoid Arthritis – Initial Therapy

Preferred products

  • Actemra subcutaneous
  • Tyenne subcutaneous
  • Enbrel
  • adalimumab-adbm
  • Cyltezo
  • adalimumab-adaz
  • adalimumab-ryvk
  • Simlandi
  • Rinvoq
  • Xeljanz tablets
  • Xeljanz XR

Initial criteria

  • Patient meets the standard Inflammatory Conditions – Kevzara Prior Authorization Policy criteria
  • Patient has tried TWO of the following: a tocilizumab subcutaneous product (Actemra SC, Tyenne SC), Enbrel, an adalimumab product (Humira, Abrilada, adalimumab-adaz, adalimumab-adbm, adalimumab-fkjp, adalimumab-aaty, adalimumab-ryvk, Simlandi, Amjevita, Cyltezo, Hadlima, Hulio, Hyrimoz, Idacio, Yuflyma, Yusimry), Rinvoq, or Xeljanz/Xeljanz XR [documentation required]; OR According to prescriber, patient has heart failure or previously treated lymphoproliferative disorder

Approval duration

6 months