Simponi Aria

Procedures, programs and drugs that require …

Simponi* (golimumab) Simponi Aria (golimumab) — precertification for the drug and site of care required Skyrizi* (risankizumab-rzaa) Stelara* (ustekinumab) Stelara IV (ustekinumab) Taltz* (ixekizumab) Tremfya* (guselkumab) Truxima (rituximab-abbs) Xeljanz*, Xeljanz XR* (tofacitinib) Injectable infertility drugs:

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Prior Authorization Program Information

Remicade, Renflexis, Rituxan, Simponi Aria, Truxima * Important information on page 1 Florida Blue is an Independent Licensee of the Blue Cross and Blue Shield Association

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01/01/2022 – UnitedHealthcare Commercial Medical Policy ...

The inclusion of a health service (e.g., test, drug, device or procedure) in this bulletin indicates only that UnitedHealthcare is adopting a new policy and/or updated, revised, replaced or