Bimzelx (bimekizumab-bkzx) — United Healthcare
moderate to severe hidradenitis suppurativa
Initial criteria
- Diagnosis of moderate to severe hidradenitis suppurativa
- Patient is not receiving Bimzelx in combination with another targeted immunomodulator [e.g., adalimumab, Cimzia (certolizumab), Cosentyx (secukinumab), Enbrel (etanercept), Olumiant (baricitinib), Orencia (abatacept), Simponi (golimumab), Rinvoq (upadacitinib), Xeljanz (tofacitinib)]
Reauthorization criteria
- Documentation of positive clinical response to Bimzelx therapy
- Patient is not receiving Bimzelx in combination with another targeted immunomodulator [e.g., adalimumab, Cimzia (certolizumab), Cosentyx (secukinumab), Enbrel (etanercept), Olumiant (baricitinib), Orencia (abatacept), Simponi (golimumab), Rinvoq (upadacitinib), Xeljanz (tofacitinib)]
Approval duration
12 months