Ustekinumab SC — Medica
any indication meeting the standard Inflammatory Conditions – Ustekinumab Subcutaneous Products Prior Authorization Policy with Dosing
Preferred products
- Stelara SC
 
Initial criteria
- Ustekinumab SC is not approved. Offer to review for Stelara using the Inflammatory Conditions – Ustekinumab Subcutaneous Products Prior Authorization Policy with Dosing criteria.