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iptacopan hcl cap 200 MGBlue Cross Blue Shield of Kansas

Other FDA-labeled indications for Fabhalta

Initial criteria

  • Patient has an FDA-labeled indication for the requested agent and route of administration
  • The patient’s age is within FDA labeling for the requested indication OR there is support for using the agent at the patient’s age
  • Prescriber is a specialist in the area of the patient’s diagnosis or has consulted with a specialist
  • The agent will NOT be used in combination with Empaveli (pegcetacoplan), Soliris (eculizumab), Bkemv (eculizumab-aeeb), Epysqli (eculizumab-aagh), Ultomiris (ravulizumab-cwvz), or Piasky (crovalimab-akkz)
  • The patient does NOT have any FDA-labeled contraindications to Fabhalta

Approval duration

12 months