Do you use apremilast in combination with biologic DMARDs for psoriatic arthritis and/or psoriasis?
Are there ways to overcome barriers in insurance coverage of this combination of treatments?
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Do you use apremilast in combination with biologic DMARDs for psoriatic arthritis and/or psoriasis?
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2 Answers
Mednet Member
Rheumatology · Mayo Clinic Jacksonville
Answered on
I have used apremilast in combination with a biologic in my practice. Monotherapy with biologics is not always effective in relevant treatment domains in patients with psoriasis and psoriatic arthritis. Then the choices are to switch to a different biologic agent, add a traditional DMARD or consider...
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Mednet MemberInvited Expert
Rheumatology · Uniformed Services University of the Health Sciences (USUHS)
Answered on
I agree with @Dr. First Last.
By the way, for help with insurance coverage, the insurance subcommittee of the Committee of Rheumatologic Care at ACR has come up with an appeals letter using apremilast with a biologic. Just go to the following link and you can download it:
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