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TOCILIZUMAB-BAVI INJ,SOLN

Generic Name: TOCILIZUMAB-BAVI INJ
Brand Names: TOFIDENCE
Drug Class: ANTIRHEUMATICS,OTHER
Formulary Status: Non-Formulary Requires prior authorization
Copay Tier: 3
Last Updated: June 1, 2026

Clinical Criteria Summary

⇄ This criteria document covers 4 drugs .

See all drugs in this document

TOCILIZUMAB INJ,SOLN
TOCILIZUMAB-AAZG INJ,SOLN
TOCILIZUMAB-ANOH INJ,SOLN
TOCILIZUMAB-BAVI INJ,SOLN

Inclusion Criteria (All must be met)

Prescribed and monitored by or in consultation with a VA/VA Community Care pulmonologist or rheumatologist experienced in the management of systemic sclerosis-associated interstitial lung disease (SSc-ILD)
SSc-ILD diagnosed by a pulmonologist or rheumatologist

Source Documents

Download CFU PDF: Tocilizumab in Systemic Sclerosis ILD Criteria