ACCESS

From formulary access to patient support programs, we have your patients covered.

CONFIDENCE IN COVERAGE

KEVZARA IS NOW PREFERRED WITH NO STEP EDIT AT CVS CAREMARK Rx FOR COMMERCIALLY INSURED PATIENTS

OF COMMERCIALLY INSURED PATIENTS HAVE ACCESS TO KEVZARA

KEVZARA NATIONAL COVERAGE
KEVZARA is available nationally across multiple plans and segments.
PLAN NAME KEVZARA COVERAGE
STATUS
LIVES IMPACTED
Commercial*
Aetna Preferred access: covered for first-line use following cDMARD 2 million
Anthem Covered for use after failure on TWO of the following–
Enbrel®, Humira®, Rinvoq™, Simponl®
13 million
BCBS FEP Covered for use after failure on ONE of the following–
Humira® or Enbrel®
6 million
CIGNA Covered for use after failure on any TWO of the following–
Humira®, Enbrel®, Rinvoq™, Xeljanz®, Actemra®
6 million
CVS
(Advanced Control
Specialty Formulary)
Preferred access: covered for first-line use following cDMARD 16 million
ESI Covered for use after failure on any TWO of the following–
Humira®, Enbrel®, Rinvoq™, Xeljanz®, Actemra®
40 million
Humana Preferred access: covered for first-line use following cDMARD 1 million
Prime Clients Covered for use after failure on any TWO of the following–
Humira®, Enbrel®, Rinvoq™, Xeljanz®, Actemra®
10 million
Tricare Covered for use after failure on Humira® 7 million
VA Covered for use after failure on Enbrel® 9 million
Medicare*
ESI Covered for use after failure on any TWO of the following–
Humira®, Enbrel®, Rinvoq™, Xeljanz®, Actemra®
1 million
Humana Preferred access: covered for first-line use following cDMARD 8 million
Managed Medicaid*
Anthem Covered for use after failure on:
Humira® and Enbrel®
3 million
CVS Preferred access: covered for first-line use following cDMARD 15 million
  • *Requires prior authorization.

Formulary data are provided by Managed Markets Insight Technology, LLC, and are current as of 01/2021. Utilization management criteria shown represent CVS Caremark Rx's Advanced Control Specialty Formulary (ACSF). According to these data, the ACSF makes up ~55% of CVS Caremark Rx's commercially insured lives.

A majority of commercially insured patients, 82%, have access to KEVZARA after trying and failing with up to 2 products (double-step edit). KevzaraConnect® is designed to support and simplify the KEVZARA journey for your patients by providing coverage support, including assistance with navigating the complex insurance process.