| 734 | Initiation criteria:
For the treatment of adult patients with severe alopecia areata (AA) who meet the following criteria:
1. Have a Severity of Alopecia Tool (SALT) score of 50 or above, and
2. Have experienced the current episode of AA for more than 6 months but less than 8 years.
The maximum duration of initial authorization is 36 weeks.
Renewal criteria:
For continuation of reimbursement, the patient must demonstrate beneficial clinical effect, defined as achieving a SALT score of 20 or less at 36 weeks after treatment initiation. Maintenance of a SALT score of 20 or less every 12 months thereafter is required for reimbursement renewal.
Dosing and prescribing:
The recommended dose is 2mg once daily. The maximum funded dose is 4mg once daily.
Baricitinib should be prescribed by a dermatologist with expertise managing patients with severe AA.
Baricitinib should not be used in combination with other JAK inhibitors, biologic immunomodulators, or systemic immunosuppressants. |
