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Notification of Drug Policy Revisions Effective June 1, 2025 (Posted April 1, 2025)
| Medical Drug Policy Name | Revised Criteria |
|---|---|
| Anifrolumab-fnia (Saphnelo®) “Notification” | Added requirement within initial criteria for 6-month trial and failure of belimumab (Benlysta) for shared indications and ages unless certain criteria are met. Added allowance for prescriber submission of adequate written clinical rationale to support that the use of Benlysta is not clinically appropriate for the patient. Policy notification given 4/1/2025 for effective date 6/1/2025. |
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