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Orencia subcutaneous — Medica

Other inflammatory conditions covered by standard Orencia Subcutaneous Prior Authorization Policy

Initial criteria

  • Patient meets the standard Inflammatory Conditions – Orencia Subcutaneous Prior Authorization Policy criteria

Reauthorization criteria

  • For patients continuing therapy, meets standard Inflammatory Conditions – Orencia Subcutaneous Prior Authorization Policy criteria

Approval duration

as directed or 1 year for continuation