Health Net
Ilaris (PF) 180 Mg/1.2 Ml (150 Mg/Ml) Solr (canakinumab (PF))
Drugs for Pain and Fever : Arthritis and Pain Drugs
  • Step Therapy: Juvenile Idiopathic Arthritis:
    ST Single Generic

  • 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

  • Prior Authorization: Juvenile Idiopathic Arthritis:
    Documented Diagnosis: Yes
    Age Requirement: >= 2
    Duration: 6 Month(s)
    Reauthorization Required: Yes

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