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fecal microbiota spores, live-brpk capsBlue Cross Blue Shield of Illinois

Off-label use for members under BCBS MT, NM, or OH plans as described

Initial criteria

  • For BCBS MT Fully Insured or MT HIM members: (A) Patient age < 18 years; (B) Patient has no FDA‑labeled contraindications; (C) Indication supported in TWO articles from major peer‑reviewed medical journals (e.g., JAMA, NEJM, Lancet) showing general safety and efficacy; (D) Age bracket supported in TWO articles from major peer‑reviewed medical journals showing general safety and efficacy (infancy, childhood, adolescence as defined)
  • For BCBS NM Fully Insured or NM HIM members: (A) Patient has no FDA‑labeled contraindications; (B) Requested indication is a rare disease; (C) ONE of the following: (1) Patient has another FDA‑labeled indication for requested agent and route of administration; OR (2) Requested indication supported in compendia for requested agent and route of administration
  • For Ohio Fully Insured or HIM Shop (SG) members: (A) Member resides in Ohio; (B) Plan is Fully Insured or HIM Shop (SG); (C) Patient has no FDA‑labeled contraindications; (D) ONE of the following: (1) Patient has another FDA‑labeled indication for requested agent and route of administration; OR (2) Requested indication supported in compendia; OR (3) Prescriber submitted TWO peer‑reviewed medical journal articles supporting safety and efficacy

Approval duration

12 months (one course per 12 months)