Anthem Blue Cross - 2014 to Present (HMO, PPO, EPO)
Skyrizi (150 MG Dose) (risankizumab-rzaa)
Drugs for the Skin : Drugs for the Skin
  • Step Therapy: Psoriasis (PsO):
    ST Multiple Generics

  • Available only through Specialty Pharmacy;
  • Psoriasis (PsO):
    Duration: 1 year(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A
    TB Test required: No
    History of Plaque Psoriasis: N/A
    Overall % of Body Surface For Initiation: N/A
    Overall % of Body Surface For Initiation With Sensitive Areas: N/A
    Sensitive Area BSA Percent override: No

  • Prior Authorization: Psoriasis (PsO):
    Documented Diagnosis: Yes
    Duration: 1 year(s)

  • Quantity Limit: 2 syringes per 84 day(s).