Medical Policy Updates

Medical Policy Update for June 1, 2021

Medical Guidelines Reason for Update
Abatacept (Orencia®) Medical record documentation required for all indications.
Certolizumab pegol (Cimzia®) Medical record documentation required for all indications.
Golimumab (Simponi Aria®) Medical record documentation required for all indications.
Guselkumab (Tremfya®) Medical record documentation required for all indications.
Infliximab (Remicade®) and Infliximab Biosimilars Medical record documentation required for all indications.
Tildrakizumab-asmn (Ilumya®) Medical record documentation required for all indications.
Tocilizumab (Actemra®) Medical record documentation required for all indications.
Ustekinumab (Stelara®) Medical record documentation required for all indications.
Vedolizumab (Entyvio®) Medical record documentation required for all indications.