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PharmaCare is changing coverage of ustekinumab for plaque psoriasis (PsO).
To maintain PharmaCare coverage, patients currently covered for the originator biologic Stelara® must, in consultation with their prescriber, switch to an approved biosimilar product (Jamteki™ , Wezlana™ or Steqeyma®)
May 30, 2024 – All new Special Authority (SA) requests, including renewals, for ustekinumab will only be approved for Jamteki. As of September 17, 2024, Wezlana and Steqeyma are also available as approved biosimilars.
May 30, 2024 to December 2, 2024 – During the six-month transition period, patients with PharmaCare coverage for the originator ustekinumab (Stelara) who wish to maintain their coverage must transition to an approved biosimilar ustekinumab product; a new SA request is not required for coverage of the biosimilar until the next scheduled renewal date. To maintain patients' coverage of ustekinumab, prescribers must write a new prescription for their patients on the originator ustekinumab (Stelara), indicating the transition to a specific biosimilar product.
December 3, 2024 – The originator ustekinumab (Stelara) is no longer an eligible PharmaCare benefit and only the approved biosimilar products are authorized for continued coverage.
SA requests for patients who are unable to transition to a ustekinumab biosimilar will be considered on an exceptional case-by-case basis.
Generic name: |
ustekinumab | ||
Brand name |
Strength |
Form |
|
Jamteki™ |
45 mg/0.5 mL | pre-filled syringe | |
90 mg/1 mL | |||
Wezlana™ | 45 mg/0.5 mL | pre-filled syringe single-use vial |
|
90 mg/1 mL | pre-filled syringe | ||
Steqeyma® | 45 mg/0.5 mL | pre-filled syringe | |
90 mg/1 mL |
Special Authority criteria |
Approval period |
---|---|
InitialFor the treatment of chronic moderate to severe plaque psoriasis in adult patients (18 years of age and older) who meet the following conditions:
AND
AND
AND
AND
|
16 weeks |
First renewal
AND
|
1 year |
Second and subsequent renewals
AND
|
1 year |