Western Health Advantage
Rinvoq (upadacitinib)
Drugs for the Stomach : Drugs for Inflammatory Bowel Disease
  • Available through Specialty Pharmacy;
  • Ulcerative Colitis (UC):
    Duration: 1 year(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): Gastroenterologist
    Reauthorization Required: Yes
    Duration of Reauthorization: = 1 year(s)
    TB Test required: No

  • Prior Authorization: Ulcerative Colitis (UC):
    Documented Diagnosis: Yes
    Duration: 1 year(s)
    Reauthorization Required: Yes

  • Quantity Limit: 30 day supply per 1 fill(s).
  • PA Required
  • Step Therapy: Ulcerative Colitis (UC):
    ST Multiple Generics

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