how to administer stelara – Corporate Medical Policy

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17.11.2014 · Johns Hopkins Arthritis Center Nurse Manager Victoria Ruffing, RN shows the proper way to inject Stelara (ustekinumab).

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There are 6 injections during the first year of treatment. Your doctor can administer at his or her office, or your doctor will decide if you or a caregiver may give your injections of STELARA ® at home. STELARA ® is intended for use under the guidance and supervision of your doctor

Continuing with our self-injection series, Dr. Farrell teaches us how to inject Stelara. Stelara, also known as ustekinumab, is a biologic medication designed to block interleukin-12 and interleukin-23. Stelara is currently FDA approved for moderate to severe plaque psoriasis, psoriatic arthritis, and moderate to severely active Crohn’s disease.

STELARA ® can be used alone or in combination with methotrexate (MTX). STELARA ® (ustekinumab) is indicated for the treatment of patients 12 years or older with moderate to severe plaque psoriasis who are candidates for phototherapy or systemic therapy.

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complete information on how to prepare and administer STELARA ®. STELARA® solution for IV infusion must be diluted, prepared and infused by a healthcare professional using aseptic technique. If necessary, the diluted infusion solution may be stored for up to 4 hours at

Serious Infections. STELARA ® may lower your ability to fight infections and may increase your risk of infections. While taking STELARA ®, some people have serious infections, which may require hospitalization, including tuberculosis (TB), and infections caused by bacteria, fungi, or viruses.

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Stelara (ustekinumab) is an immunosuppressant that reduces the effects of a chemical substance in the body that can cause inflammation. Stelara is used to treat plaque psoriasis in adults and children who are at least 12 years old.

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Administer Stelara ® subcutaneously at Weeks 0 and 4, then every 12 weeks thereafter. The recommended dose of Stelara ® for adolescents (12–17 years old) based on

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STELARA ® can be used alone or in combination with methotrexate (MTX). STELARA ® (ustekinumab) is indicated for the treatment of patients 12 years or older with moderate to severe plaque psoriasis who are candidates for phototherapy or systemic therapy.

Clinical significance

How to Inject Stelara (ustekinumab) Use of this Site. All information contained within the Johns Hopkins Arthritis Center website is intended for educational purposes only. Physicians and other health care professionals are encouraged to consult other sources and

Administer STELARA ® subcutaneously at Weeks 0 and 4, then every 12 weeks thereafter. The recommended dose of STELARA ® for adolescents (12-17 years old) based on body weight is shown below (Table 1). Table 1: Recommended Dose of STELARA ® for Subcutaneous Injection in Adolescent Patients with Psoriasis

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This policy refers to Stelara (ustekinumab) injection. Stelara (ustekinumab) for self-administered subcutaneous injection is obtained under the pharmacy benefit. Stelara is proven and/or medically necessary for the treatment of: Crohn’s disease when ALL of the following criteria are met:1

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o Stelara is initiated and titrated according to US Food and Drug Administration labeled dosing for psoriatic arthritis up to a maximum of 90mg every 12 weeks subcutaneously (or equivalent dose and interval schedule); and o Physician attestation that the patient or caregiver is not competent to administer Stelara FDA labeled for self-

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• STELARA ® is intended for use under the guidance and supervision of a physician. STELARA ® should only be administered to patients who will be closely monitored and have regular follow-up visits with a physician. • Prior to administration, visually inspect STELARA ®

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STELARA (stel ar’ a) (ustekinumab) injection, for subcutaneous or intravenous use What is the most important information I should know about STELARA? STELARA is a medicine that affects your immune system. STELARA can increase your risk of having serious side effects, including: Serious infections.

Stelara and Humira are two biological medicines that doctors use to treat immune system conditions. They have different effects on the body and some different benefits and risks. Biological medicines, or biologics, are a class of drugs composed of naturally occurring molecules, such as sugars and

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INSTRUCTIONS FOR USE STELARA® (ustekinumab) STELARA (stel ar’ a) (ustekinumab) injection, for subcutaneous use Instructions for injecting STELARA from a vial. Read this Instructions for Use before you start using STELARA. Your doctor or nurse should show you how to prepare, measure your dose, and give your injection of STELARA the right way.

12.11.2019 · Administer STELARA ® subcutaneously at STELARA ® (ustekinumab) Injection is a sterile, preservative-free, colorless to light yellow solution and may contain a few small translucent or white particles with pH of 5.7– 6.3.

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Administer STELARA ® subcutaneously at Weeks 0 and 4, then every 12 weeks thereafter. The recommended dose of STELARA ® for adolescents (12-17 years old) based on body weight is shown below (Table 1). Reference ID: 4273358 3

Define administer. administer synonyms, administer pronunciation, administer translation, English dictionary definition of administer. v. ad·min·is·tered , ad·min·is·ter·ing , ad·min·is·ters v. tr. 1. To have charge of; manage. 2. a.

My 21 year old daughter has aggressive Crohn’s disease. 10 years of illness and now 2 years of remission on Stelara! Every other drug failed after some initial success. Stelara more specific and successful at targeting her particular type of Crohn’s disease. Easy to administer with tiny syringe, practically painless.

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subcutaneous injection technique, a patient may self inject with Stelara® if a physician determines that it is appropriate. The first self-injection should be performed under the supervision of a qualified healthcare professional. If a patient or caregiver is to administer Stelara®, he/she should be instructed in injection

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you start treatment, STELARA may be injected by your healthcare provider. If your doctor determines that it is appropriate, you may be able to administer STELARA under the skin yourself if you wish, after proper training in injection technique. (See . Injecting STELARA under the skin yourself.) It

Stelara is approved to treat Crohn’s disease. The loading dose of Stelara is given by infusion and thereafter is given by injections at home. People taking shots for allergies should talk to their doctor about possible allergic reactions and Stelara. Common side effects

STELARA is intended for use under the guidance and supervision of your doctor. When you start treatment, STELARA may be injected by your healthcare provider. If your doctor determines that it is appropriate, you may be able to administer it under the skin yourself if you wish, after proper training in injection technique.

Do not administer STELARA ® to patients with active tuberculosis infection. Initiate treatment of latent TB before administering STELARA ®. Closely monitor patients receiving STELARA ® for signs and symptoms of active TB during and after treatment. Malignancies. STELARA ® is an

How is Stelara given? Ustekinumab is only prescribed by specialists in these diseases. The Stelara injection is given under the skin (subcutaneously). If possible the areas of the skin that are affected by psoriasis should be avoided. Your doctor or consultant will administer your first Stelara injection.

Find patient medical information for Stelara Subcutaneous on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings.

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Physician attestation that the patient or caregiver is not competent to administer Stelara FDA labeled for self-administration. Physician must submit explanation; and Stelara is initiated and titrated according to U.S. Food and Drug Administration labeled dosing for plaque

When you start treatment, STELARA may be injected by your healthcare provider. If your doctor determines that it is appropriate, you may be able to administer it under the skin yourself if you wish, after proper training in injection technique.

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General Information about Stelara® Stelara® efficacy & safety • Stelara® has demonstrated in clinical trials that it can provide patients with significant improvements in their psoriasis and psoriatic arthritis, as measured 1by PASI and ACR scores. • Psoriasis patients receiving Stelara® showed significant improvement in skin

administer STELARA®. Please see Important Safety Information on pages 18 to 20. Active Psoriatic Arthritis. • The recommended dose is 45 mg initially and 4. Nov 12, 2019. Table 1: Recommended Dose of STELARA® for Subcutaneous Injection in Adolescent Patients with Psoriasis.

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ustekinumab (Stelara). Further information can be found in the information leaflet supplied by the manufacturer (inside the box) or from your pharmacist, IBD nurse specialist or doctor. Why am I having ustekinumab? Ustekinumab is licensed to treat people with Crohn’s disease, if the condition has not responded well to corticosteroid treatment

STELARA ® is indicated for the treatment of adult patients with active psoriatic arthritis. STELARA ® can be used alone or in combination with methotrexate (MTX). 1.3 Crohn’s Disease (CD) STELARA ® is indicated for the treatment of adult patients with moderately to severely active Crohn’s disease. 1.4 Ulcerative Colitis

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injections using the Stelara® pre-filled syringe. Below are step-wise instructions showing you how to prepare and inject your Stelara® treatment. Please note that you should not try to inject Stelara® yourself until you have been shown the right way to self-administer the injections by your doctor or nurse.

The amount of Stelara your healthcare provider recommends will depend mainly on your weight. For example, if you are under 220 pounds, the recommended Stelara dosage for plaque psoriasis is 45 mg — if you weigh over 220 pounds, it is 90 mg. Regardless of the amount, your second injection should be given four weeks after the first.

Evaluate patients for TB prior to initiating treatment with STELARA ®. Do not administer STELARA ® to patients with active tuberculosis infection. Initiate treatment of latent TB before administering STELARA ®. Closely monitor patients receiving STELARA ® for signs and symptoms of active TB during and after treatment. Malignancies

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Using STELARA • STELARA is given by injection just under the skin (subcutaneously). • STELARA injections are for single use in one patient only. • STELARA is intended for use under the guidance and supervision of your doctor. If your doctor determines that it is appropriate, you may be able to administer

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Stelara (ustekinumab, CNTO 1275) is a fully human immunoglobulin G1 kappa monoclonal antibody With regards to posology it is claimed to administer the product in Crohn’s disease first as a single intravenous dose which is followed up by subcutaneous ad ministrations every 8 weeks.

Do not administer STELARA® to patients with active tuberculosis infection. Initiate treatment of latent TB before administering STELARA®. Closely monitor patients receiving STELARA® for signs and symptoms of active TB during and after treatment. Malignancies STELARA® is an immunosuppressant and may increase the risk of malignancy.

Administer XOLAIR only in a healthcare setting by healthcare providers prepared to manage anaphylaxis that can be life-threatening. For more information on anaphylaxis, read Boxed Warning. Be sure to review the full prescribing information, including

Medscape – Indication-specific dosing for Stelara (ustekinumab), frequency-based adverse effects, comprehensive interactions, contraindications, pregnancy & lactation schedules, and cost information.

STELARA treatment is to be initiated with a single intravenous dose based on body weight. The infusion solution is to be composed of the number of vials of STELARA 130 mg as specified in Table 1 (see section 6.6 for preparation). Table 1 Initial intravenous dosing of STELARA

Nervous system disorders: Common: Dizziness, headache, Uncommon: Facial palsy

Do not administer in areas that are tender, bruised, erythematous, or indurated. Solution is colorless to light yellow and may contain a few small translucent or white particles; do not administer solutions that are discolored, cloudy, or contain other particulate matter. Do not shake. Store solution in

This post was originally published on this siteStelara and Humira are two biological medicines that doctors use to treat immune system conditions. They have different effects on the body and some different benefits and risks. Biological medicines, or biologics, are a class of drugs composed of naturally occurring molecules, such

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STELARA™ will be susceptible to these types of infections. Appropriate diagnostic testing should be considered as dictated by clinical circumstances. pre-treatment evaluation of tuberculosis (tB) • Evaluate patients for TB infection prior to initiating treatment with STELARA™. Do not administer STELARA™ to patients with active TB.

This post was originally published on this siteStelara and Humira are two biological medicines that doctors use to treat immune system conditions. They have different effects on the body and some different benefits and risks. Biological medicines, or biologics, are a class of drugs composed of naturally occurring molecules, such

 · PDF tiedosto

STELARA™ will be susceptible to these types of infections. Appropriate diagnostic testing should be considered as dictated by clinical circumstances. pre-treatment evaluation of tuberculosis (tB) • Evaluate patients for TB infection prior to initiating treatment with STELARA™. Do not administer STELARA™ to patients with active TB.

Ustekinumab (Stelara) is a biologic medication used to lower inflammation and help patients with moderate to severe plaque psoriasis, psoriatic arthritis, and moderate to severe Cohn’s Disease. This medicine is prescribed after non-responding to other medications. It is taken as a home injection.

Simponi Aria (golimumab), the intravenous (IV) infusion delivery system for Simponi, is now available for adults with active psoriatic arthritis (PsA). Simponi Aria had been initially approved for treating only rheumatoid arthritis, but on Oct. 20, 2017, the U.S. Food and Drug Administration (FDA) approved IV use of Simponi Aria for treating

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INSTRUCTIONS FOR USE COSENTYX® (koe-sen-tix) (secukinumab) Injection Prefilled Syringe Be sure that you read, understand, and follow this Instructions for Use before injecting COSENTYX.

Ustekinumab (Stelara) Home page / Providers / Pharmacy Prior Authorization Criteria / Ustekinumab. Ustekinumab (Stelara®) OFFICE ADMINISTRATION – SELF-INJECTION. Indications for Prior Authorization: Do not administer live vaccines or attenuated vaccines concurrently with ustekinumab .

Remicade • Xolair • Entyvio • Lemtrada • Ocrevus • Tysabri • Stelara • Fasnera • and may others. We administer only high quality brand and generic pharmaceuticals acquired from the most reputable U.S sources, and our registered nurses and physician supervisors follow the

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administer Stelara to patients with active tuberculosis. Initiate treatment of latent tuberculosis prior to administering Stelara. Consider anti-tuberculosis therapy prior to initiation of Stelara in patients with a past history of latent or active tuberculosis in whom an adequate course of treatment cannot

What is Stelara? Stelara is the brand name for the biological medicine ustekinumab. Like Humira, doctors use this medicine to treat autoimmune conditions, which are diseases that affect the immune system. Stelara works by targeting two proteins in the body,

Evaluate patients for TB prior to initiating treatment with STELARA ® . Do not administer STELARA ® to patients with active tuberculosis infection. Initiate treatment of latent TB before administering STELARA ® . Closely monitor patients receiving STELARA ® for signs and symptoms of active TB during and after treatment. Malignancies

Stelara injection: Just like the spray version of this medicine, the Stelara injection is used to manage various psoriatic conditions in adult patients. The retail price of a supply of 0.5 milliliters of Stelara is around $10,770. OFEV: Nintedanib (OFEV) is a pill that is used to treat pulmonary fibrosis (IPF).

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administer in children, and may be associated with long-term skin cancer risks. Patients with moderate to severe psoriasis who do not respond adequately to phototherapy, or who cannot utilize it for a variety of possible reasons, may be tre ated with conventional

The NAVIGATE trial evaluated patients who did not achieve a response of cleared or minimal disease, an Investigator’s Global Assessment (IGA) score of 0 or 1, by week 16 when treated with Stelara (ustekinumab), and were then randomised to either switch to guselkumab or continue on ustekinumab.

Biologic drugs are a relatively new class of treatment for psoriasis and psoriatic arthritis. A biologic is a protein-based drug derived from living cells cultured in a laboratory. Biologics are different from traditional systemic drugs that impact the entire immune system. Biologics, instead, target

Janssen has the following prescription pharmaceutical products in the United States. This information is intended for use by our customers, patients and healthcare professionals in the United States only.

Today at dermatology appointment I was told my treatment is changing because the cosentyx has stopped being as effective after almost three years. I am due to start stelara in a month or so. I was told a nurse will come to my home to administer my injection every time!

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ustekinumab (Stelara) in 250ml 0.9% sodium chloride, intravenous infusion, use in line filter 0.2 micron IV dose: 260mg (2 vials) / 390mg (3 vials) / 520mg (4 vials) Have oxygen by nasal canula available and administer 2-15 liters, titrate to keep Spo2 >92% 5. Have Automated External Defibrillator available 6.

31.5.2019 · In closing, I have started Stelara and have received my initial induction 360 mg IV infusion. Accordingly, I will administer my first 90mg injection in less than 3 weeks. To date, the Stelara has not had the immediate relief Remicade gave me when I first initiated it back in 2013. Sadly, I built-up antibodies to Remicade and later reacted to

Learn more about the prescribing information, convenient dosing, and safety profile for ILUMYA™, a treatment for moderate-to-severe plaque psoriasis.

Ustekinumab may be administered in a clinic or in the patient’s home. With proper training, patients may self-administer ustekinumab at the discretion of the physician. Patient Population: Ustekinumab is indicated for the treatment of adult patients ( 18 years of age) with active PsA, alone or in combination with methotrexate.

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Stelara Order Form Page 1 of 1 Form # 313 N:\Forms\300 – PHARMACY\F313 – Stelara Order Form.docx Orders are initiated unless crossed out by provider. Check box to initiate order. Please complete this form and fax to (360)933-1197. Call our office and our clinical pharmacists will be happy to make therapy recommendations.

INDICATIONS. Patients with Cancer Receiving Myelosuppressive Chemotherapy: to decrease the incidence of infection, as manifested by febrile neutropenia, in patients with nonmyeloid malignancies receiving myelosuppressive anti-cancer drugs associated with a significant incidence of severe neutropenia with fever.

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Stelara ndc prior to 4 1 17 May 16, 2017 . 1 mg” to instead read:” Injection, ustekinumab, 1 mg, for subcutaneous injection to clearly distinguish its use from the code for the IV formulation. Administer STELARA® subcutaneously at Weeks 0 and 4, then every 12 weeks thereafter.

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Stelara® Vials less than 55kg 260 mg 2 55-85 kg 390 3r greater than 85kg 520 mg 4 Maintenance adult dosage: STELARA® 90 mg Subcutaneous 8 weeks after initial IV dosing and every 8 weeks thereafter. (Administer as subcutaneous injection to upper arm, thigh, or abdomen.) Service provided in ambulatory infusion center after insurance approval.

Stelara ®: Now eligible for coverage under the medical and pharmacy benefits . October 3, (Stelara ®) is eligible for coverage under the pharmacy benefit for Independence commercial members who have prescription drug coverage through FutureScripts They will also need to learn how to self-administer Stelara

Stelara™ works by targeting an underlying cause of plaque psoriasis — an overactive immune system. Stelara™ specifically targets and blocks certain natural proteins in your body (Inter-Leukin-12 and Inter-Leukin-23) that are shown to be present in psoriatic plaques.

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1 HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use STELARA™ safely and effectively. See full prescribing information for

While 96% of insurance plans cover the most common version of Stelara at a co-pay of $32.50-$80.00, many of them have restrictions. Manufacturer and pharmacy coupons can help offset the cost. The lowest GoodRx price for the most common version of Stelara is around $21,713.72, 30% off the average retail price of $31,109.88.

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Stelara (ustekinumab) Provide medical rationale why Stelara has been prescribed off-label instead of an alternate drug with an approved indication for this condition. Provide any pertinent medical history or information to support this off-label request.

For example, a course of treatment consisting of scheduled injections lasting less than two weeks, regardless of frequency or route of administration, is considered by CMS as acute, and it would be unlikely that a patient would self-administer the drug in those circumstances [CMS Manual System, Pub 100-02, Medicare Benefit Policy Manual

Do not administer as an IV push or bolus; Must reconstitute Entyvio lyophilized powder with sterile water for injection and dilute in 250 mL of sterile 0.9% sodium chloride injection or sterile lactated ringer’s injection prior to administration; Please see full Prescribing Information for complete reconstitution and dilution instructions

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Administer by subcutaneous injection (2.1) CAPS 150 mg for CAPS patients with body weight greater than 40 kg and 2 mg/kg for CAPS patients with body weight greater than or equal to 15 kg and less than or equal to 40 kg. For children 15 to 40 kg with an inadequate response, the dose can be increased to 3

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Using STELARA •STELARA is given by injection just under the skin (subcutaneously). •STELARA injections are for single use in one patient only. •STELARA is intended for use under the guidance and supervision of your doctor. If your doctor determines that it is appropriate, you may be able to administer it under the skin yourself if you

How to administer stelara keyword after analyzing the system lists the list of keywords related and the list of websites with related content, in addition you can see which keywords most interested customers on the this website

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• Ustekinumab (Stelara®) has been approved for the treatment of adults with moderately to severely active Crohn’s disease who have had an inadequate response to conventional therapy. The first dose is a one-time intravenous (IV) infusion based on body weight that is given under the supervision of a health care professional.

If RPLS is suspected, discontinue STELARA ® and administer appropriate treatment. RPLS is a neurological disorder, which is not caused by an infection or demyelination. RPLS can present with headache, seizures, confusion, and visual disturbances. RPLS has been associated with fatal outcomes.

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Ustekinumab is a monoclonal antibody that is FDA approved for the {{{indicationType}}} of moderate to severe plaque psoriasis (Ps), active psoriatic arthritis (PsA). Common adverse reactions include nasopharyngitis, upper respiratory tract infection, headache, and fatigue.

Rheumatoid arthritis (RA) is a form of arthritis that causes pain, swelling, stiffness and loss of function in your joints. It can affect any joint but is common in the wrist and fingers.

Stelara ® is indicated for Do not administer ILUMYA™ to patients with active TB infection. Initiate treatment of latent TB prior to administering ILUMYA™. Consider anti-TB therapy prior to initiation of ILUMYA™ in patients with a past history of latent or active TB in whom an adequate course of treatment cannot be confirmed.

STELARA ® solution for intravenous infusion must be diluted, prepared and infused by a healthcare professional using aseptic technique. Calculate the dose and the number of STELARA ® vials needed based on patient weight (Table 3). Each 26 mL vial of STELARA ® contains 130 mg of ustekinumab.

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Ustekinumab (Stelara®) Therapy Your healthcare provider believes treatment with a medicine called ustekinumab may help to manage your Crohn’s disease. The brand name for ustekinumab is Stelara®. In this pamphlet you will find basic information about ustekinumab to help you make an informed decision about whether or not to use this treatment.

STELARA ® is a human interleukin-12 and -23 antagonist indicated for the treatment of adult patients (18 years or older) with. moderate to severe plaque psoriasis (Ps) who are candidates for phototherapy or systemic therapy. active psoriatic arthritis (PsA), alone or in combination with methotrexate.

Stelara ® will continue to be eligible for coverage under the AmeriHealth medical benefit for commercial members. Medicare Advantage members are not affected by this change. Covering Stelara ® under both benefits gives our members greater access to this medication.

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Stelara is unproven and not medically necessary for the treatment of multiple sclerosis. In available studies, Stelara does not demonstrate efficacy in the treatment of multiple sclerosis. U.S. FOOD AND DRUG ADMINISTRATION (FDA) Stelara is a human interleukin-12 and

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