- Available through Specialty Pharmacy;
- Prior Authorization: Documented Diagnosis: Yes
- Step Therapy: Ankylosing Spondylitis (AS):
ST Multiple Generics
Juvenile Idiopathic Arthritis, Psoriasis (PsO), Rheumatoid Arthritis (RA): ST Single Generic
- Step Therapy: Acromegaly:
ST Single Generic
For FAX form click HERE Our electronic prior authorization (ePA) process is the preferred method for submitting pharmacy prior authorization requests. Creating an account is free, easy and helps patients get their medications sooner. You can complete the process through your current electronic health record/electronic medical record (EHR/EMR) system or by using one of these ePA sites: Log in to Surescripts Log in to CoverMyMeds; For details on drug coverage click HERE;
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