Kineret — Medica
Other Conditions (including Cryopyrin-Associated Periodic Syndromes (CAPS), Systemic Juvenile Idiopathic Arthritis)
Initial criteria
- Patient meets the standard Inflammatory Conditions – Kineret Prior Authorization Policy criteria
Reauthorization criteria
- Patient continues to meet the standard Inflammatory Conditions – Kineret Prior Authorization Policy criteria
Approval duration
1 year