Generic drug name (Brand name)

Mint-Apremilast

(OTEZLA)

Active Ingredient: apremilast

Drug Class: Phosphodiesterase 4 (PDE4) Inhibitors

WAIT. This drug requires Special Authorization, BUT only certain indications (uses) are covered. Check with your plan administrator as to which indications are covered on the Reformulary.

You and your doctor need to fill out and submit a Special Authorization form in order to be considered for coverage.  You can download the form from your insurer/plan administrator website.

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Mint-Apremilast is used to treat  
Behçet’s Disease
Psoriasis
Psoriatic Arthritis