Yes, WellCare Health Plans require prior authorization for Tremfya. Providers must submit documentation of the patient's diagnosis and, under some plans, previous treatments tried.
Most WellCare Health Plans require step therapy for Tremfya, necessitating the trial of alternative treatments such as Systemic Antipsoriatic Agents. Providers should document these trials and outcomes when submitting prior authorization requests.
WellCare Health Plans require prior authorization in order to cover Tremfya. These restrictions can delay access if documentation is incomplete or if alternative therapies have not been tried. Ensure all criteria are met to facilitate patient access.