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CosentyxMedical Mutual

Ankylosing Spondylitis

Initial criteria

  • Prescribed by or in consultation with a rheumatologist

Reauthorization criteria

  • Patient has been established on therapy for at least 6 months AND
  • Patient experienced a beneficial clinical response from baseline by objective measure OR improvement in at least one symptom (pain, stiffness, function, or activities of daily living)

Approval duration

initial 6 months; reauth 1 year