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KineretMedical Mutual

Cryopyrin-Associated Periodic Syndromes (CAPS): NOMID, CINCA, FCAS, MWS

Initial criteria

  • Kineret is being used for treatment of CAPS (NOMID, CINCA syndrome, FCAS, or MWS)
  • Kineret is prescribed by or in consultation with a rheumatologist, geneticist, or a dermatologist
  • Site of care medical necessity is met

Reauthorization criteria

  • Patient has had a response as determined by the prescriber
  • Site of care medical necessity is met

Approval duration

initial 6 months; reauth 1 year