Save your $ as starting ERA with MTX works vs initial bDMARD. 470 w ERA given Rx based on DAS. Strategies MTX, BDMARD, one to other or vice versa. Not RCT- if not needed to stepup you did well as did stepdown. Not a #gamechanger @RheumNow @CRASCRRheum abstr#221 #ACR20 https://t.co/o1L3LlpIlm