Biotechnology The National Institute for Health and Care Excellence (NICE), the medicines cost watchdog for England and Wales, has published final draft guidance today which does not recommend US biotech major Celgene Otezla (apremilast) for adults with active psoriatic arthritis that has either not responded to disease-modifying antirheumatic drug (DMARD) therapy, or where such therapy is not tolerated. 3 September 2015