Skyrizi (risankizumab-rzaa) injection — United Healthcare
moderately to severely active Crohn’s disease
Initial criteria
- Diagnosis of moderately to severely active Crohn’s disease
- Patient is not receiving Skyrizi in combination with another targeted immunomodulator [e.g., adalimumab, Cimzia (certolizumab), Entyvio (vedolizumab), Omvoh (mirikizumab-mrkz), Rinvoq (upadacitinib), 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, Cimzia (certolizumab), Entyvio (vedolizumab), Omvoh (mirikizumab-mrkz), Rinvoq (upadacitinib), Tremfya (guselkumab), ustekinumab]
Approval duration
12 months