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Pyzchiva SC — Medica

any indication meeting the standard Inflammatory Conditions – Ustekinumab Subcutaneous Products Prior Authorization Policy with Dosing

Preferred products

  • ustekinumab-ttwe SC

Initial criteria

  • Pyzchiva SC is not approved. Offer to review for ustekinumab-ttwe using the Inflammatory Conditions – Ustekinumab Subcutaneous Products Prior Authorization Policy with Dosing criteria.