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TaltzMedical Mutual

Ankylosing Spondylitis

Initial criteria

  • Patient is age ≥ 18 years
  • Prescribed by or in consultation with a rheumatologist

Reauthorization criteria

  • Patient has been established on therapy for at least 6 months
  • When assessed by at least one objective measure, patient experienced a beneficial clinical response from baseline OR compared with baseline patient experienced an improvement in at least one symptom such as decreased pain or stiffness, or improvement in function or activities of daily living

Approval duration

Initial: 6 months; Reauth: 1 year