Specialty medical injectable drug program, requirements and drug policy updates: Cimerli™ and Skyrizi®

New specialty medical injectable updates and requirements announced.


Please review the following table to determine changes to our specialty medical injectable drug programs.

Specialty medical injectable drugs added to review at launch

Drug Name UnitedHealthcare Commercial Treatment Uses
Cimerli™
(ranibizumab-eqrn)
X Indicated for the treatment of neovascular (wet) age-related macular degeneration, macular edema following retinal vein occlusion, diabetic macular edema, diabetic retinopathy and myopic choroidal neovascularization.

Review the UnitedHealthcare Commercial Plan Review at Launch Medication List.

 

Updates to drug program requirements and drug policies for UnitedHealthcare commercial business effective Nov. 1, 2022

Drug Name Treatment Uses Summary of Changes
Skyrizi® – IV formulation
(risankizumab-rzaa)
 
Used to treat adults with moderate to severe Crohn’s disease. Add notification/prior authorization and Site of Care.

Note: Subcutaneous self-administered Skyrizi is covered under the pharmacy benefit.

For questions, please contact your broker or UnitedHealthcare representative.

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