Health Net
Ilaris (PF) (Solr) (canakinumab (PF))
Drugs for Pain and Fever : Arthritis and Pain Drugs
  • Prior Authorization: Juvenile Idiopathic Arthritis:
    Documented Diagnosis: Yes
    Age Requirement: >= 2
    Duration: 6 Month(s)
    Reauthorization Required: Yes

  • Juvenile Idiopathic Arthritis:
    Age Requirement: >= 2
    Duration: 6 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): 1 of Dermatologist;Gastroenterologist;Rheumatologist
    Reauthorization Required: Yes
    Duration of Reauthorization: = 6 month(s)
    TB Test required: No

  • Step Therapy: Juvenile Idiopathic Arthritis:
    ST Single Generic