Tarpeyo — Blue Cross Blue Shield of Illinois
other FDA labeled or compendia-supported indication (Ohio Fully Insured or HIM Shop members)
Initial criteria
- Member resides in Ohio AND plan is Fully Insured or HIM Shop (SG) AND
- Patient does not have any FDA labeled contraindications to the requested agent AND
- Patient has another FDA labeled indication OR an indication supported in compendia OR prescriber submitted two articles from major peer‑reviewed medical journals supporting safe and effective use
Approval duration
12 months