| Anthem Blue Cross - 2014 to Present (HMO, PPO, EPO) |
| Cosentyx Sensoready Pen (secukinumab) |
| Drugs for the Skin : Drugs for the Skin |
- Step Therapy: Ulcerative Colitis (UC):
ST Multiple Generics
- Quantity Limit: limit maximum 6 ML PER 30 day(s)
- Prior Authorization: PA_APPLIES
- Multiple Sclerosis (MS):
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
Patients Cardiac Medical History Required: No
Concomitant use of other MS medication: No
Secondary Progressive Multiple Sclerosis:
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
- PA Applies
|