Skyrizi (risankizumab-rzaa) injection — United Healthcare
moderate to severe plaque psoriasis
Initial criteria
- Diagnosis of moderate to severe plaque psoriasis
- Patient is not receiving Skyrizi in combination with another targeted immunomodulator [e.g., adalimumab, Bimzelx (bimekizumab-bkzx), Cimzia (certolizumab), Cosentyx (secukinumab), Enbrel (etanercept), Ilumya (tildrakizumab), Otezla (apremilast), Siliq (brodalumab), Sotyktu (deucravacitinib), Taltz (ixekizumab), Tremfya (guselkumab), ustekinumab]
Reauthorization criteria
- Documentation of positive clinical response to Skyrizi therapy
- Patient is not receiving Skyrizi in combination with another targeted immunomodulator [e.g., adalimumab, Bimzelx (bimekizumab-bkzx), Cimzia (certolizumab), Cosentyx (secukinumab), Enbrel (etanercept), Ilumya (tildrakizumab), Otezla (apremilast), Siliq (brodalumab), Sotyktu (deucravacitinib), Taltz (ixekizumab), Tremfya (guselkumab), ustekinumab]
Approval duration
12 months