Yes, CareSource requires prior authorization for Tremfya. Providers must submit documentation of the patient's diagnosis and, under some plans, previous treatments tried.
Some CareSource plans require step therapies in order to cover Tremfya. Depending upon the patient's specific plan and diagnosis, providers may need to document trial and failure of previous therapies.
Most CareSource plans require prior authorization in order to cover Tremfya. This can delay access if documentation is incomplete. Ensure all criteria are met to facilitate patient access.