SPOTLIGHT: DMARD Use in Patients with Rheumatoid Arthritis
As a Medicare/Medicare-Medicaid provider, you know that quality health care is a high priority for Fidelis Care and the Centers for Medicare & Medicaid Services (CMS). CMS and the New York State Department of Health consider DMARD use an important quality measure in patients with Rheumatoid Arthritis (RA). The American College of Rheumatology recommends the addition of a DMARD to patients with RA, preferably within 3 months of disease onset. DMARDs have been shown to suppress inflammation and prevent further joint injury. The following DMARDs are on our formulary:
Non-Biologic DMARDs Biologic DMARDs
Methotrexate tablets Humira*
Hydroxychloroquine Xeljanz XR*
* Prior Authorization is required
Please consider using one of these DMARDs when treating your patients with RA. If you have any questions, please call the Provider Call Center at 1-888-FIDELIS (1-888-343-3547).