Wezlana IV — Medical Mutual
Crohn’s Disease IV Induction (adults)
Initial criteria
- Patient age ≥ 18 years; AND
- Patient has tried/using corticosteroids OR corticosteroids contraindicated OR
- Patient has tried one other Crohn’s disease agent (e.g., azathioprine, 6-MP, methotrexate, certolizumab, vedolizumab, adalimumab, infliximab); AND
- Medication prescribed by or in consultation with gastroenterologist; AND
- Will be used for induction therapy; AND
- Site of care exception criteria met
Approval duration
single dose