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Aetna Precertification Notification 503 Sunport Lane Orlando FL 32809 Phone 1-855-240-0535 FAX 1-877-269-9916 Siliq brodalumab Medication Precertification Request Page 1 of 2 All fields must be completed and legible for Precertification Review. For All Requests No Will Siliq be used concomitantly with other biological DMARDs e.g. apremilast Otezla or tofacitinib Xeljanz No Has the patient been tested for TB within the past 6 months of initiating a biologic therapy with any of the following...

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