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The Policy VaultThe Policy Vault

Steqeyma SCMedical Mutual

Psoriatic Arthritis

Preferred products

  • Stelara SC
  • Selarsdi SC
  • ustekinumab-ttwe SC
  • Yesintek SC

Initial criteria

  • Patient age > 6 years; AND
  • Medication prescribed by or in consultation with a rheumatologist or dermatologist

Reauthorization criteria

  • Patient has been established on ustekinumab SC ≥6 months; AND
  • Patient experienced beneficial clinical response measured by standardized disease activity indices OR
  • Patient experienced improvement in ≥1 symptom (e.g., joint pain, stiffness, fatigue, swelling, function)

Approval duration

initial 6 months, reauth 1 year