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Steqeyma SCMedical Mutual

Ulcerative Colitis SQ Maintenance (adults)

Preferred products

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

Initial criteria

  • Patient age ≥ 18 years; AND
  • Patient received ustekinumab IV induction within 2 months of starting SC; AND
  • Patient either: trialed one systemic UC agent OR patient has pouchitis AND tried antibiotic, probiotic, corticosteroid enema, or mesalamine enema; AND
  • Prescribed by or in consultation with gastroenterologist

Reauthorization criteria

  • Patient established on ustekinumab SC ≥6 months; AND
  • Patient had beneficial response assessed by objective measure (e.g., biomarkers, endoscopy, imaging) OR symptom improvement (pain, fatigue, stool frequency, bleeding)

Approval duration

initial 6 months, reauth 1 year