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Orencia (abatacept) SubcutaneousPoint32Health

Juvenile Idiopathic Arthritis

Preferred products

  • Cimzia
  • Enbrel
  • Humira
  • Rinvoq
  • Xeljanz

Initial criteria

  • Documented diagnosis of juvenile idiopathic arthritis
  • Patient age ≥ 2 years
  • Prescribed by or in consultation with a rheumatologist
  • Documentation of one (1) of the following: (a) Both of the following: (i) Inadequate response or adverse reaction to one (1), or contraindication to all traditional disease modifying antirheumatic drug (e.g., methotrexate, leflunomide, hydroxychloroquine, sulfasalazine), or previous treatment with a biologic agent indicated for the requested use; (ii) Trial and failure with two (2) or contraindication to all of the following: Cimzia, Enbrel, Humira, Rinvoq, Xeljanz; OR (b) The patient is new to the plan and stable on Orencia and the prescribing physician has documented that changing to a preferred product would result in adverse clinical outcomes