Celecoxib (Celebrex)


Indications for Prior Authorization:

  • Osteoarthritis (OA)
  • Rheumatoid Arthritis (RA)
  • Juvenile Rheumatoid Arthritis (JRA)
  • Anklosing Spondylitis (AS)
  • Acute Pain (AP)
  • Primary Dysmenorrhea (PD)

Patients must meet the following criteria for the indications listed above:

  • Patient is < 65 years old, AND
  • Has tried and failed at least two different oral, select, prescription-strength, non-steroidal anti-inflammatory drugs (NSAIDs) for the treatment condition OR is taking a select anticoagulant within the last 130 days evidenced by claims or as documented in medical record documentation


  • Osteoarthritis: 200 mg once daily or 100 mg twice daily
  • Rheumatoid Arthritis: 100 to 200 mg twice daily
  • Juvenile Rheumatoid Arthritis:
    • 10-25 kg: 50 mg twice daily
    • > 25 kg: 100 mg twice daily
  • Anklosing Spondylitis: 200 mg once daily or 100 mg twice daily.  If no effect after 6 weeks, 400 mg may be of benefit
  • Acute Pain and Primary Dysmenorrhea: Initial: 400 mg, followed by 200 mg if needed on first day.  On subsequent days, 200 mg twice daily as needed


  • Chronic conditions: one year

The site you are transferring to is not hosted by WHA. WHA's Terms of Use and internet Privacy Practices do not apply to your use of this linked site. Please review the policies on privacy and terms of use for the linked site. WHA does not control the accuracy, completeness, or timeliness of the content on the linked site.

Press Esc to cancel

El sitio Web al que está siendo transferido no es provisto por WHA. Las Condiciones de Uso y las Prácticas de Privacidad en Internet de WHA no se aplican a este sitio Web asociado que usted está usando. Revise las políticas sobre la privacidad y condiciones de uso de este sitio Web asociado. WHA no tiene control sobre la exactitud, la totalidad o la actualidad del contenido del sitio Web asociado. WHA no puede garantizar que los servicios de traducción de idiomas estarán disponibles en el sitio vinculado.

Presione «Esc» para cancelar