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Rinvoq LQMedica

Other inflammatory conditions

Preferred products

  • Enbrel
  • adalimumab-adbm
  • Cyltezo
  • adalimumab-adaz
  • adalimumab-ryvk
  • Simlandi
  • Otezla
  • Skyrizi subcutaneous (pen or syringe)
  • Stelara subcutaneous
  • Taltz
  • Tremfya subcutaneous

Initial criteria

  • Patient meets the standard Inflammatory Conditions – Rinvoq/LQ Prior Authorization Policy criteria
  • AND has tried one of Enbrel or an adalimumab product (trial of Cimzia, infliximab product, or Simponi also counts)

Reauthorization criteria

  • Patient meets the standard Inflammatory Conditions – Rinvoq/LQ Prior Authorization Policy criteria
  • AND for continuation, has tried one of Enbrel or an adalimumab product OR is established on Rinvoq/LQ ≥ 90 days with verification in claims or by prescriber

Approval duration

6 months for initial therapy; 1 year for continuation or as directed for other conditions