Stelara IV — Medical Mutual
Ulcerative Colitis IV Induction (adults)
Initial criteria
- Patient age ≥ 18 years; AND
- Will be used as induction therapy; AND
- Patient has tried one systemic agent for UC (6-MP, azathioprine, cyclosporine, tacrolimus, corticosteroid, or biologic); AND
- Prescribed by or in consultation with gastroenterologist; AND
- Site of care criteria met
Approval duration
single dose