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The Policy VaultThe Policy Vault

Bimzelx (bimekizumab-bkzx)Point32Health

Plaque psoriasis

Preferred products

  • Cimzia
  • Enbrel
  • Humira
  • Otezla
  • Skyrizi
  • Yesintek
  • Taltz
  • Tremfya

Initial criteria

  • Documented diagnosis of plaque psoriasis
  • Patient age ≥ 6 years
  • Prescribed by or in consultation with a dermatologist
  • Documentation of one (1) of the following: a. Both of the following: i. One (1) of the following: 1. Inadequate response to one (1), or contraindication to all of the following topical therapies: corticosteroids, vitamin D analogs, tazarotene, calcineurin inhibitors, anthralin, coal tar OR 2. Previous treatment with a biologic agent indicated for the requested use AND ii. Trial and failure with two (2), or contraindication to all of the following: Cimzia, Enbrel, Humira, Otezla, Skyrizi, Yesintek, Taltz, Tremfya OR b. The patient is new to the plan and stable on Bimzelx and the prescribing physician has documented that changing to a preferred product would result in adverse clinical outcomes