UnitedHealthcare
Humira Pen-Pediatric UC Start (adalimumab)
Drugs for Pain and Fever : Arthritis and Pain Drugs
  • Step Therapy: Ulcerative Colitis (UC):
    ST Single Generic

  • Ulcerative Colitis (UC):
    Duration: 12 week(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 24 month(s)
    TB Test required: No

  • Prior Authorization: Ulcerative Colitis (UC):
    Documented Diagnosis: Yes
    Duration: 12 week(s)
    Reauthorization Required: Yes

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