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Stelara IVMedical 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