Stelara medical vs pharmacy coverage

[chantell.reagan]

As a follow-up to our psoriasis policy comparison, one of our members asked the following question: "Do you know if most groups are covering Stelara under pharmacy or medical benefit?"

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[diana.papshev]

Anonymous feedback:

"[Our organization] covers via Medical. As I recall, FDA guideline requires administration of this drug (although by SubQ) to be done by a “health care professional.”

[gigi]

we are finding that most offices do not want to stock stelara.

[mndrx]

Most of our plans cover it under the pharmacy benefit and have it shipped via our specialty pharmacy directly to the physician's office.