Enbrel® (etanercept)

Priority Health no longer utilizes drug-specific prior authorization forms for most drugs covered under the pharmacy benefit.

Visit the Approved Drug List (ADL) to search by drug name and view the criteria and PA form.

Go to the ADL

Authorization form

Traditional & Optimized

For further information on medical drugs, please see the Injectable drugs page.

Code(s): J1438

Benefit: Pharmacy only, must be ordered from a specialty pharmacy

Notes: Treatment of rheumatoid arthritis, juvenile RA, ankylosing spondylosis, plaque psoriasis, psoriatic arthritis, and ankylosing spondylitis