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Tyenne subcutaneousMedica

Rheumatoid Arthritis – Initial Therapy

Preferred products

  • Enbrel
  • adalimumab-adbm
  • Cyltezo
  • adalimumab-adaz
  • adalimumab-ryvk
  • Simlandi

Initial criteria

  • Patient meets the standard Inflammatory Conditions – Tocilizumab Subcutaneous Prior Authorization Policy criteria
  • Patient has tried one adalimumab product (e.g., Humira, Abrilada, adalimumab-adaz, adalimumab-adbm, adalimumab-fkjp, adalimumab-aaty, adalimumab-ryvk, Simlandi, Amjevita, Cyltezo, Hadlima, Hulio, Hyrimoz, Idacio, Yuflyma, Yusimry) OR a trial of Cimzia, Enbrel, an infliximab product (e.g., Remicade, biosimilars), or Simponi (Aria or subcutaneous) also counts OR According to the prescriber, patient has heart failure or a previously treated lymphoproliferative disorder

Approval duration

6 months