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Formulary Coverage

For patients with commercial insurance

This is not a complete list of plans. If you don't see a plan you're looking for, request a rep for more information.

Getting Otezla® (apremilast) keeps getting easier

Improved step-edit status for many prescription benefit plans

  • No biologic step
  • One biologic step*
State Plan Plaque Psoriasis Psoriatic Arthritis
National Aetna No biologic step No biologic step
Cigna No biologic step No biologic step
Express Scripts (ESI) No biologic step No biologic step

SafeGuardRxSM Program has 1 biologic step for patients with a diagnosis of psoriatic arthritis only.

AL BCBS AL No biologic step No biologic step
AZ Healthnet No biologic step No biologic step
CA Healthnet No biologic step No biologic step
CT Connecticare No biologic step One biologic step
FL BCBS FL No biologic step No biologic step
GA ProCare No biologic step No biologic step
IL BCBS IL No biologic step No biologic step
KS BCBS KS No biologic step No biologic step
MA BCBS MA No biologic step One biologic step
MI Priority Health No biologic step One biologic step
MN BCBS MN No biologic step No biologic step
HealthPartners MN No biologic step No biologic step
MO BCBS Kansas City No biologic step One biologic step
MT BCBS MT No biologic step No biologic step
NC BCBS NC No biologic step No biologic step
ND BCBS ND No biologic step No biologic step
NE BCBS NE No biologic step No biologic step
NJ 1199 SEI No biologic step One biologic step
BCBS NJ No biologic step No biologic step
NM BCBS NM No biologic step No biologic step
NY Excellus BCBS Plans No biologic step No biologic step
Univera Healthcare No biologic step No biologic step
HealthNow No biologic step One biologic step
1199 SEI No biologic step One biologic step
OH Medical Mutual of Ohio No biologic step One biologic step
OK BCBS OK No biologic step No biologic step
OR Healthnet No biologic step No biologic step
RI BCBS RI No biologic step No biologic step
TX BCBS TX No biologic step No biologic step
VT BCBS VT No biologic step One biologic step
WA Healthnet No biologic step No biologic step
WY BCBS WY No biologic step No biologic step
*

Documented failure through one of the following: Cosentyx® (secukinumab), Enbrel® (etanercept), Humira® (adalimumab), Stelara® (ustekinumab).

Plan has 1 biologic step for patients with a diagnosis of psoriatic arthritis only.

Indications & Important Safety Information

Please click here for Full Prescribing Information.

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For patients who
have commercial insurance,

Getting Otezla

Just Got
Easier

Now there are no biologic
agent step-edit requirements

on certain prescription benefit plans.

Call your otezla sales representative
today to learn which plans