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Orencia SubcutaneousMedica

Rheumatoid Arthritis – Initial Therapy

Preferred products

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

Initial criteria

  • Patient meets the standard Inflammatory Conditions – Orencia Subcutaneous Prior Authorization Policy criteria
  • Patient meets ONE of the following: a) Patient has tried TWO of tocilizumab subcutaneous, Enbrel, an adalimumab product, Rinvoq, or Xeljanz/XR [documentation required]; OR b) According to the prescriber, patient has heart failure, a previously treated lymphoproliferative disorder, a previous serious infection, OR a demyelinating disorder

Approval duration

6 months