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Otezla (apremilast)United Healthcare

Behçet’s disease

Initial criteria

  • Diagnosis of Behçet’s disease
  • Patient has oral ulcers attributed to Behçet’s disease
  • Patient is not receiving Otezla in combination with another targeted immunomodulator [e.g., adalimumab, Cimzia (certolizumab), Enbrel (etanercept), Olumiant (baricitinib), Orencia (abatacept), Simponi (golimumab), tocilizumab]

Reauthorization criteria

  • Documentation of positive clinical response to Otezla therapy
  • Patient is not receiving Otezla in combination with another targeted immunomodulator [e.g., adalimumab, Cimzia (certolizumab), Enbrel (etanercept), Olumiant (baricitinib), Orencia (abatacept), Simponi (golimumab), tocilizumab]

Approval duration

12 months