Health Net
Olumiant (baricitinib)
Drugs for Pain and Fever : Arthritis and Pain Drugs
  • Rheumatoid Arthritis (RA):
    Age Requirement: >= 18
    Duration: 1 plan year
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): Rheumatologist
    Reauthorization Required: Yes
    Duration of Reauthorization: <= 1 plan year
    TB Test required: No

  • Step Therapy: Rheumatoid Arthritis (RA):
    ST Multiple Brands

  • Prior Authorization: Rheumatoid Arthritis (RA):
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 1 plan year
    Reauthorization Required: Yes

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