Rinvoq extended-release tablets — Medica
Ulcerative Colitis
Initial criteria
- age ≥ 18 years
- Patient has had a 3-month trial of at least one tumor necrosis factor inhibitor OR patient has tried at least one tumor necrosis factor inhibitor but was unable to tolerate a 3-month trial
- Medication is prescribed by or in consultation with a gastroenterologist
Reauthorization criteria
- Patient has been established on therapy for at least 6 months
- When assessed by at least one objective measure, patient experienced a beneficial clinical response from baseline OR compared with baseline patient experienced an improvement in at least one symptom (e.g., decreased pain, fatigue, stool frequency, and/or rectal bleeding)
Approval duration
Initial: 6 months; Reauth: 1 year