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Exjade (deferasirox) — Blue Cross Blue Shield of New Mexico

chronic iron overload due to blood transfusions (transfusional hemosiderosis)

Initial criteria

  • ALL of the following:
  • 1. The patient has a diagnosis of chronic iron overload due to blood transfusions (transfusional hemosiderosis) AND BOTH of the following:
  • a. The patient’s baseline (pretreatment) serum ferritin is greater than 1,000 mcg/L AND